Posted: May 11th, 2022

Week 6: Skills Module: Nutrition NR449 essay

Week 6: Skills Module: Nutrition NR449
( NR449_Skills_Module_Nutritio n March21 Revised ) ( 1 )

Purpose

NR449 Evidence-Based Practice
Skills Module: Nutrition

To encourage critical thinking, problem solving, and collaboration through the use of evidence-based practice studies.

Course outcomes: This assignment enables the student to meet the following course outcomes. CO 1: Examine the sources of knowledge that contribute to professional nursing practice. (PO 7)

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8) CO 3: Identify ethical issues common to research involving human subjects. (PO 6)

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (POs 4 and 8)

CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 150 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Computer with internet access.

2. Recommend using Firefox browser and clearing your cookies and cache if you are accessing ATI on laptop or desktop computer.

3. Log into ATI, “My ATI”, and select the “Apply” tab. Click on Skills Module 3.0 and title “Nutrition.” Click on

the “Begin Lesson” tab. Open the “Evidence-Based Research” tab on the left side.

4. There is one (1) study under the Evidence-Based Practice tab. You may review the entire module, but this is not a priority for this assignment. Other main topics and accompanying studies are listed in the table below.

5. Choose one of the main topics from the table and then choose one (1) article for review under that main topic.

Read the article chosen and answer one (1) of the topic questions listed below.

· What methods can be used to assess nutritional status?

· What methods can be used to identify those at risk for malnutrition?

· What specific health conditions increase the risk of malnutrition?

· What associations exist between nutritional status and health outcomes?

· What type of interventions improve adherence to recommendations on nutritional intake?

Create a 2-3 page summary which supports the topic question. Provide a current research article (less than 5 years). The 2-3 page limit does not include title and reference pages.

Main Topic: Person-centered feeding care.

Article for review:

· Bell, C., Lopez, R., Mahendra, N., Tamai, A., Davis, J., Amella, E., & Masaki, K. (2016). Person-centered feeding care: A protocol to re-introduce oral feeding for nursing home patients with tube feeding. Journal of Nutrition & Health Aging, 20(6), 621-627. doi:10.1007/s12603-016-0699-9.

Main Topic: Evaluating nutritional status.

Articles for review:

· Vereecken, C., Covents, M., Maes, L., & Moyson, T. (2013). Formative Assessment of the feedback component of children’s and adolescents’ nutrition assessment and advice on the web (CANAA-W) among parents of school children. Public Health Nutrition, 16(1), 15-26.

doi:10.1017/S1368980012003448.

· Vyncke, K, Cruz, Fernandez E., Fajó-Pascual, M., Cuenca-García, M., De Keyzer, W., Gonzalez-Gross. M., Moreno, L., Beghin, L., Breidenassel, C., Kersting, M., Albers, U., Diethelm, K., Mouratidou, T., Grammatikaki, E., Vriedt, T., Marcos, A., Bammann, K., Bornhortst, C., Leclercq, C., Manios, Y….Huybrechts, I. (2013). Validation of the diet quality index for adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study. British Journal of Nutrition, 109(11), 2067-78. doi:10.1017/S000711451200414X.

Main Topic: Identifying those at risk for malnutrition.

Articles for review:

· Isenring, E., Banks, M., Ferguson, M., & Bauer, J. (2012). Beyond malnutrition screening: Appropriate methods to guide nutrition care for aged care residents. Journal of the Academy of Nutrition and Dietetics, 112(3), 376-381. doi: 10.1016/j.jada.2011.09.038.

· Tsai, A., Chang, T., Wang, Y., & Liao, C. (2010). Population-specific short-form mini nutritional assessment with body mass index or calf circumference can predict risk of malnutrition in community-living or institutionalized elderly people in taiwan. Journal American Dietetic Association, 110(9), 1328-1334. doi: 10.1016/j.jada.2010.06.003. PMID: 20800124.

· Platek, M. E., Popp, J. V., Possinger, C. S., Denysschen, C. A., Horvath, P., & Brown, J. K. (2011). Comparison of the prevalence of malnutrition diagnosis in head and neck, gastrointestinal, and lung cancer patients by 3 classification methods. Cancer Nursing, 34(5), 410–416. https://doi.org/10.1097/NCC.0b013e318206b013.

Main Topic: Malnutrition associated with specific health conditions.

Articles for review:

· Sheard, J., Ash., S., Mellick, G., Silburn, P., & Kerr, G. (2013). Malnutrition in a sample of community-dwelling people with Parkinson’s disease. Public Library of Science, 8(1), e53290. doi: 10.1371/journal.pone.0053290.

· Cheong, A., Oh, D., Seung, J., Min, G., C., Jae, H., Tae Sung, S., Jae, J., & Sung, K. (2012). Nutritional risk index as a predictor of postoperative wound complications after gastrectomy. World Journal Gastroenterology, 18(7), 673-678. doi: 10.3748/wjg.v18.i7.673.

· Kvamme., J., Groni., O., Florholmen, J., & Jacobsen, B. (2011). Risk of malnutrition is associated with mental health symptoms in community living elderly men and women: The tromso study. BioMedical Central Psychiatry, 11(112). doi:10.1186/1471-244X-11-112.

Main Topic: Outcomes associated with nutritional status.

Articles for review:

· Lis, C., Gupta, D., Lammersfeld, C., Markman, M., & Vashi, P. (2012). Role of nutritional status in predicting quality of life outcomes in cancer – a systematic review of the literature. Nutrition Journal, 11, 27. doi: 10.1186/1475-2891-11-27.

· Koretz, R., Avenell , A., & Lipman, T. (2012). Nutritional support for liver disease. Cochrane Database of Systematic Reviews. Issue 5. doi: 10.1002/14651858.CD008344.pub2.

Main Topic: Interventions to improve nutritional status.

Article for review:

· Desroches, S., Lapointe, A., Ratté, S., Gravel, K., Légaré, F., & Turcotte, S. (2013). Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. Cochrane Database of Systematic Reviews. Issue 2. doi: 10.1002/14651858.CD008722.pub2.

6. The Summary must include the following headings (see rubric for criteria under each heading):

a. Introduction and Key Points (10 Points)

· Choose one of the assigned topics and identifies one of the questions

· Defines the topic and question

· States why it is a problem

· Information presented in logical sequence

b. Article Search (25 Points)

· Current (less than 5 years) and credible resource

· Database search – terms and methods used

· Number of articles located

· Source outside of ATI module used

c. Article Findings (25 Points)

· How it addresses the topic

· Type of research conducted

· Findings of research

· Why this article was chosen

d. Evidence for Practice (25 Points)

· Summary of evidence

· How it will improve practice

· How this evidence will decrease a gap to practice

· Any concerns or weaknesses located in the evidence

e. Sharing of Evidence (25 Points)

· Who would you share the information with?

· How would you share this information?

· What resources would you need to accomplish this sharing of evidence?

· Why would it be important to share this evidence with the nursing profession?

f. Conclusion (20 Points)

· Summarizes the theme of the paper

· Information presented in logical sequence

· All key points addressed

· Conclusion shows depth of understanding of topic

g. APA Style (10 Points)

· APA style used properly for citations

· APA style used properly for references

· APA style used properly for quotations

· All references are cited, and all citations have references

*NOTE: Must adhere to current APA guidelines and formatting.

h. Writing Mechanics (10 Points)

· No spelling errors

· No grammatical errors, including verb tense and word usage

· No writing errors, including sentence structure, and formatting

· Must be all original work

7. Your instructor will provide guidance on the best way to submit this assignment.

For writing Helpance (APA, formatting, or grammar), visit the APA Citation and Writing page in the online library.

( NR449 Evidence-Based Practice Skills Module: Nutrition, Feeding, & Eating Guidelines )

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

( NR449_Skills_Modu le_Nutrition March21 Revised ) ( 2 )

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

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What is the purpose of the Skills Module: Nutrition for the course NR449 Evidence-Based Practice?

The purpose of the Skills Module: Nutrition for the course NR449 Evidence-Based Practice is to promote critical thinking, problem-solving, and collaboration through the use of evidence-based practice studies. The assignment enables the student to meet five course outcomes: (1) examine the sources of knowledge that contribute to professional nursing practice, (2) apply research principles to the interpretation of published research studies, (3) identify ethical issues common to research involving human subjects, (4) evaluate published nursing research for credibility and clinical significance related to evidence-based practice, and (5) recognize the role of research findings in evidence-based practice. The student is required to choose one main topic from a given list and one article for review under that topic. The student must then create a 2-3 page summary answering one of the given topic questions and provide a current research article (less than 5 years).
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Sample Answer Guide:
Evaluating Nutritional Status: A Comparative Study of Methods

Introduction
Nutrition is a critical aspect of health and well-being, and it is essential to evaluate nutritional status accurately and consistently to ensure proper nutrition care. Assessing nutritional status is an essential step in identifying individuals who are at risk for malnutrition and those who require nutrition interventions. There are various methods for evaluating nutritional status, including anthropometric measures, biochemical markers, and dietary assessments. The purpose of this paper is to evaluate and compare different methods used to assess nutritional status, their strengths, and limitations.

Anthropometric Measures
Anthropometric measures are physical measurements that assess body composition and include height, weight, body mass index (BMI), waist circumference, and skinfold thickness. Anthropometric measures provide information about the overall status of an individual’s body fat and muscle mass and are useful for detecting changes in body composition over time. One advantage of using anthropometric measures is that they are simple, non-invasive, and cost-effective, making them accessible to a large population. However, the accuracy of these measures may be influenced by factors such as age, sex, and muscle mass, leading to potential misclassification of individuals.

Biochemical Markers
Biochemical markers provide a direct measurement of nutrient status in the body and include serum protein, serum albumin, hemoglobin, and vitamins and minerals levels. Biochemical markers are used to assess specific nutrients, such as iron or vitamin B12, and can provide information about the body’s physiological responses to changes in nutritional status. One of the benefits of using biochemical markers is that they provide a more specific and accurate assessment of nutrient status compared to other methods. However, biochemical markers are more invasive, and their interpretation can be influenced by factors such as illness, medications, and laboratory variability, leading to potential misclassification of individuals.

Dietary Assessments
Dietary assessments are used to assess an individual’s food intake and are used to assess overall nutrient intake, food variety, and energy intake. Dietary assessments can be conducted through dietary recalls, food records, and food frequency questionnaires. One of the benefits of dietary assessments is that they provide information about an individual’s food habits and food choices, which can be used to identify potential sources of malnutrition. However, dietary assessments may be affected by recall bias, leading to potential under- or over-estimation of food intake.

Comparative Study
A comparative study of the methods used to assess nutritional status was conducted by Vereecken et al. (2013). The study aimed to evaluate the formative Assessment of the feedback component of children’s and adolescents’ nutrition assessment and advice on the web (CANAA-W). The study used both dietary assessments and anthropometric measures, including weight and height, to evaluate nutritional status. The results of the study showed that both methods provided valuable information about an individual’s nutritional status, with dietary assessments providing information about food habits and anthropometric measures providing information about body composition.

Conclusion
In conclusion, evaluating nutritional status is essential for ensuring proper nutrition care and identifying individuals who are at risk for malnutrition. There are various methods for evaluating nutritional status, including anthropometric measures, biochemical markers, and dietary assessments, each with its strengths and limitations. A comparative study by Vereecken et al. (2013) showed that both dietary assessments and anthropometric measures provide valuable information about an individual’s nutritional status. The choice of method will depend on the individual’s specific needs, the resources available, and the purpose of the Assessment.

References
Bell, C., Lopez, R., Mahendra, N., Tamai, A., Davis, J., Amella, E., & Masaki, K.
Ciliz, O., Tulek, Z., Hanagasi, H., Bilgic, B., & Gurvit, I. H. (2023). Eating Difficulties and Relationship With Nutritional Status Among Patients With Dementia. Journal of Nursing Research, 10-1097.
García-Rodríguez, M. T., Rodríguez-Parrado, M., Seijo-Bestilleiro, R., & González-Martín, C. (2023). Influence of Nutrition Status and Compression Therapy on Venous Ulcer Healing: A Systematic Review. Advances in Skin & Wound Care, 36(1), 45-53.
Another article that can be considered for this topic is “Beyond malnutrition screening: Appropriate methods to guide nutrition care for aged care residents” by Isenring et al. (2012). This article highlights the importance of proper assessment methods in identifying elderly residents who are at risk for malnutrition. The authors suggest that malnutrition screening alone is not enough, and that a more comprehensive approach to assessment is necessary. The authors propose that a combination of assessment methods, such as measurement of body weight, height, body mass index, mid-arm circumference, triceps skinfold thickness, and bioelectrical impedance analysis, be used to gain a better understanding of a person’s nutritional status. This can help to guide nutrition care and prevent malnutrition in elderly residents.
These articles show the importance of proper assessment in identifying individuals who are at risk for malnutrition. By using a combination of assessment methods, healthcare providers can gain a better understanding of an individual’s nutritional status and provide appropriate care to prevent malnutrition. This highlights the need for evidence-based practice in the field of nutrition and the importance of staying current with the latest research in the field.

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