NR449 Evaluating Nutritional Status

NR449 Evaluating Nutritional Status

Evaluating Nutritional Status

In recent years, the role of nursing and nurses has grown to ensure that individuals and populations have better health outcomes and living conditions. One group of people who are exposed to numerous health conditions, such as chronic conditions due to their low immunity, are the aged (Rizzuto et al., 2017). Therefore, it is important to address various aspects such as nutrition to ensure that they get a balanced diet and necessary nutrients for better health outcomes. Therefore, the purpose of this paper is to evaluate nutritional status by analyzing published literature.

Question

The chosen research question to guide the analysis is what methods can be used to identify those at risk for malnutrition? Malnutrition refers to a lack of sufficient nutrition resulting from an inability to use the food eaten, failure to eat the right food, or not having enough food to eat. Malnutrition among the elderly is a problem because it can lead to several adverse outcomes, such as the risk of infections due to a weakened immune system and heightened risk of hospitalization.

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The Article Search

The urge to address the research topic led to a comprehensive search of relevant literature published in the past. Therefore various databases were used, including PsycINFO, CINAHL, EMBASE, and Medline. Various keywords were used during the database search, including; malnutrition, risk identification, and elderly. The search produced a total of 5847 articles with relevant information. After a careful analysis, the article by Isenring et al. (2020) was chosen.

Findings of the Article

The article’s main purpose was to explore the validity of various malnutrition screening tools and anthropometric parameters against the well-validated and established assessment tools in a patient care setting. Therefore, this article addressed the research topic by studying the validity of various instruments used for screening malnutrition (Isenring et al., 2012). The researcher employed a cross-sectional observational study to accomplish the goals. The major findings of the research are that various assessment tools used to access nutritional status include calf circumference, corrected arm muscle area, body mass index, Mini Nutritional Assessment, and Subjective Global Assessment. Again, the nutritional screening tools used include the Simplified Nutritional Assessment Questionnaire, Mini Nutritional Assessment Short Form, Malnutrition Universal Screening Tool, and Malnutrition Screening Tool. The researchers noted that these instruments have acceptable levels of validity (Isenring et al., 2012). This article was chosen because it uses a valid methodology to test the validity of instruments used in screening for malnutrition and for screening nutritional status hence appropriately addressing the topic.

The Evidence for Practice

         This article presents evidence that the studied instruments and other anthropometric screens have good concurrent validity when compared to the already validated nutrition assessment tools. Therefore, these instruments and screening tools can be applied in triaging nutrition care in care settings such as long-term care. This evidence improves practice since though it, more robust instruments are made available, making screening for malnutrition more easy and effective (Isenring et al., 2012). The gap in practice to be bridged is that some of the existing instruments are more complex and hard to use, so confirming that these new instruments are valid too makes it easy and improves screening rates. One of the concerns or weaknesses in the evidence is the potential for malnutrition underestimation, leading to biases in the validation process.

Evidence Sharing

         It is worth noting that evidence from research should be shared by various relevant stakeholders. Therefore, I would share this information with nutritionists, nurses, and policymakers. Effective sharing of information depends on the strategy used for sharing. Therefore, one way is by sending them an analyzed electronic copy of the results and evidence. The next strategy is presenting this evidence in a conference or workshop to show the findings (Astroth & Hain, 2019). Some of the resources needed include internet connectivity and resources for presentation such as a laptop, projector, and a projector screen. It is important to share this evidence with the nursing profession since nurses are involved in the day-to-day activities of patient care, so they can easily use the instruments to screen for malnutrition and formulate care plans as appropriate.

Conclusion

         Malnutrition is a key problem that can lead to various adverse health outcomes; hence, it is necessary to address it. Therefore, this write-up has explored an article that focused on finding out the validity of various nutrition screening instruments. One of the major findings was that all the instruments and screening tools studied were found to be valid, hence can be used in clinical settings. The major findings of the research are that various assessment tools used to access nutritional status include calf circumference, corrected arm muscle area, body mass index, Mini Nutritional Assessment, and Subjective Global Assessment. Again, the nutritional screening tools used include the Simplified Nutritional Assessment Questionnaire, Mini Nutritional Assessment Short Form, Malnutrition Universal Screening Tool, and Malnutrition Screening Tool. The researchers noted that these instruments have acceptable levels of validity. Therefore, it is important to share these findings and evidence with relevant healthcare professionals to help in improving malnutrition screening.

References

Astroth, K. S., & Hain, D. (2019). Disseminating scholarly work through nursing presentations. Nephrology Nursing Journal, 46(5), 545-550. https://pubmed.ncbi.nlm.nih.gov/31566349/

Isenring, E. A., Banks, M., Ferguson, M., & Bauer, J. D. (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.org/10.1016/j.jada.2011.09.038

Rizzuto, D., Melis, R. J., Angleman, S., Qiu, C., & Marengoni, A. (2017). Effect of chronic diseases and multimorbidity on survival and functioning in elderly adults. Journal of the American Geriatrics Society, 65(5), 1056-1060. https://doi.org/10.1111/jgs.14868

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

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

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Assignment Section and Required Criteria
(Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper
Introduction and Key Points (10 points) 10 points 8 points 7 points 4 points 0 points
Required 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 Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented.
Article Search (25 points) 25 points 22 points 20 points 10 points 0 points
Required 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 Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented.
Article Findings (25 points) 25 points 22 points 20 points 10 points 0 points
Required criteria
1. How it addresses the topic
2. Type of research conducted
3. Findings of research
4. Why this article was chosen Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented.
Evidence for Practice (25 points) 25 points 22 points 20 points 10 points 0 points
Required 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 Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented.
Sharing of Evidence (25 points) 25 points 22 points 20 points 10 points 0 points
Required Criteria
1. Who would you share the information with?

Includes 4 requirements for Includes 3 requirements for Includes 2 requirements for Includes 1 requirement for No requirements for this section

Assignment Section and Required Criteria
(Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper
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? section. section. section. section. presented.
Conclusion (20 points) 20 points 18 points 17 points 10 points 0 points
Required 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 Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented.
APA Style (10 points) 10 points 8 points 7 points 4 points 0 points
Required criteria
1. APA style used properly for citations
2. APA style used properly for references
3. APA style used properly for quotations
4. All references are cited, and all citations have references
*NOTE: Must adhere to current APA guidelines and formatting. Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented.
Writing Mechanics (10 points) 10 points 8 points 6 points 4 points 0 points
Required criteria
1. No spelling errors
2. No grammatical errors, including verb tense and word usage
3. No writing errors, including sentence structure, and formatting
4. Must be all original work Includes 4 requirements for section. Includes 3 requirements for section. Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section presented.
Total Points Possible = 150 points