Skills Module: Nutrition

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: 100 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 from the table below and answer one (1) of the topic questions listed.

a.   What methods can be used to assess nutritional status?

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

c.   What specific health conditions increase the risk of malnutrition?

d.  What associations exist between nutritional status and health outcomes?

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

Create a 2-3 page scholarly paper which supports the topic question you selected. Search for a current research article (less than 5 years) to support the topic question selected. 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. https://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 evaluation 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. https://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. https://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. https://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:

·       Paul, B., Singh, T., Paul, G., Jain, D., Singh, G., Kaushal, S., & Chhina, R. (2019). Prevalence of malnutrition in Parkinson’s disease and correlation with gastrointestinal symptoms. Annals of Indian Academy of Neurology, 22(4), 447-452. https://doi: 10.4103/aian.AIAN_349_18

·       Rios, T. C., de Oliveira, L. P., da Costa, M. L., da Silva Baqueiro Boulhosa, R. S., Roriz, A. K., Ramos, L. B., & Bueno, A. A. (2021). A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients. Health and Quality of Life Outcomes, 19(1). https://doi.org/10.1186/s12955-021-01735-7

·       Jackson, A. A. (2018). Identifying children at risk of malnutrition. Nutrition Journal, 17(1). https://doi.org/10.1186/s12937-018-0392-4

Main Topic: Outcomes associated with nutritional status.

Articles for review:

·       Ruiz, A. J., Buitrago, G., Rodríguez, N., Gómez, G., Sulo, S., Gómez, C., Partridge, J., Misas, J., Dennis, R., Alba, M. J., Chaves-Santiago, W., & Araque, C. (2019). Clinical and economic outcomes associated with malnutrition in hospitalized patients. Clinical Nutrition, 38(3), 1310–1316. https://doi:10.1016/j.clnu.2018.05.016

·       Harbottle L. (2019). The effect of nutrition on older people’s mental health. British Journal of Community Nursing, 24, S12–S16. https://doi.org/10.12968/bjcn.2019.24.Sup7.S12

·       Jung, S. E., Bishop, A. J., Kim, M., Hermann, J., Kim, G., & Lawrence, J. (2017). Nutritional status of rural older adults is linked to physical and emotional health. Journal of the Academy of Nutrition & Dietetics, 117(6), 851–858. https://doi:10.1016/j.jand.2017.01.013

Main Topic: Interventions to improve nutritional status.

Article for review:

·       Santo, K., Hyun, K., Keizer, L., Thiagalingam, A., Hillis, G., Chalmers, J., Redfern, J., & Chow, C. (2018). The effects of a lifestyle-focused text-messaging intervention on adherence to dietary guideline recommendations in patients with coronary heart disease: An analysis of the TEXT ME study. International Journal of Behavioral Nutrition and Physical Activity, 15(45). https://doi.org/10.1186/s12966-018-0677-1

·       Lessard, L. M., Wilkins, K., Rose-Malm, J., & Mazzocchi, M. C. (2020). The health status of the early care and education workforce in the USA: A scoping review of the evidence and current practice. Public Health Reviews (2107-6952), 41(1), 1–17. https://doi:10.1186/s40985-019-0117-z

·       DeHaven, M. J., Gimpel, N. A., Gutierrez, D., Kitzman, C. H., & Revens, K. (2020). Designing health care: A community health science solution for reducing health disparities by integrating social determinants and the effects of place. Journal of Evaluation in Clinical Practice, 26(5), 1564–1572.

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

a.       Introduction and Key Points (5 Points)

•         Choose one of the assigned articles located under the main topics in the table above; selects and identifies one of the questions listed in 5a. – 5e.

•         Defines the topic and question

•         States why it is a problem

•         Information presented in logical sequence

b.       Article Search (5 Points)

•         Conduct an article search – a good resource is the Chamberlain Library. If you start the assignment early, the library has resources/support to help find an appropriate article.

•         The article must be current (less than 5 years) and from a credible resource (peer-reviewed or a reputable organization).

•         List the database that you searched and list the terms and methods used

•         Number of articles located – this is the number of articles that showed up in the results list for the terms you used

•         Source outside of ATI module used – the article used cannot be the one that is listed in the ATI Nutrition Module

c.       Article Findings (25 Points) – this is based on the article you found in 6(b)

•         How it addresses the main topic

•         Type of research conducted in the article selected (e.g., quantitative, qualitative, etc.)

•         Findings of research conducted in the article

•         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 (20 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 (5 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 (5 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

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

For writing assistance visit the Academic Support -> Writing Center

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

MY PROFESSOR’S RECOMMENDED TEMPLATE FOR THE ASSIGNMENT:

Title of Your Paper in Upper and Lower Case (Centered, Bold)

This Template is a guide, please refer to your rubric for all criteria, and feel free to adjust the headings names. This is just an example of how to structure your paper using headings with some content from the rubric.

Type your introduction here. Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. This is a great place to utilize a scholarly resource, to emphasize why the topic is important.

Choose one of the main topics from the table and then choose one (1) article for review under that main topic. After reading the article chosen from the table answer one (1) of the topic questions listed on the rubric. You will use this in the introduction to complete this rubric criteria.

1.     Choose one of the assigned topics and identifies one of the questions

2.     Defines the topic and question

3.     States why it is a problem

4.     Information presented in logical sequence

Article Search

In this section you will locate another article to address your main topic/problem other than the articles listed in the table and the ATI Module. You will discuss your article search here. Please discuss the following discussion criteria.

1.     Current (less than 5 years) and credible resource

2.     Database search – terms and methods used

3.     Number of articles located

4.     Source outside of ATI module used

Article Findings

You will discuss here the article you found discuss these rubric criteria.

1.     How it addresses the topic

2.     Type of research conducted

3.     Findings of research

4.     Why this article was chosen

Evidence for Practice

You will discuss here the evidence you found and how this can be used in practice, you can use the article you found and the one chosen from the main topic. Please address these rubric criteria.

1.     Summary of evidence

2.     How it will improve practice

3.     How this evidence will decrease a gap to practice

4.     Any concerns or weaknesses located in the evidence

Sharing of Evidence

In this section you will need to discuss the following rubric criteria.

1.     Who would you share the information with?

2.     How would you share this information?

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

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

Conclusion

Papers should end with a conclusion or summary. It should be concise and contain no new information. No matter how much space remains on the page, the references always start on a separate page (insert a page break after the conclusion so that the references will start on a new page). Review major findings in a summary paragraph. Please address these rubric criteria:

1.       Summarizes the theme of the paper

2.       Information presented in logical sequence

3.       All key points addressed

4.       Conclusion shows depth of understanding of topic