NR 449 Assignment: Identifying Those at Risk for Malnutrition

Purpose

NR449 Evidence-Based Practice

Skills Module: Nutrition

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

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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.

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Total points possible: 100 points

Preparing the assignment

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

Computer with internet
Recommend using Firefox browser and clearing your cookies and cache if you are accessing ATI on laptop or desktop computer.
Log into ATI, “My ATI”, and select the “Apply” 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.

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
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.

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 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.

The paper must include the following headings (see rubric for criteria under each heading):
1. 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

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
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
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
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?
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
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.

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.

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

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 (5 points) (6a in Guidelines)	5 points	4 points	3 points	1 point	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 (5 points) (6b in Guidelines)	5 points	4 points	3 points	1 point	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) (6c in Guidelines)	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.
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
Evidence for Practice (25 points) (6d in Guidelines)	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 (20 points) (6e in Guidelines)	20 points	17 points	15 points	10 points	0 points
Required 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 withthe nursingprofession?	Includes 4 requirements for section.	Includes 4 requirements for section.	Includes 4 requirements for section.	Includes 4 requirements for section.	Includes 4 requirements for 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
Conclusion (5 points) (6f in Guidelines)	5 points	4 points	3 points	1 point	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) (6g in Guidelines)	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 (5 points) (6h in Guidelines)	5 points	4 points	3 points	1 point	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 = 100 points

A Sample Of This Assignment Written By One Of Our Top-rated Writers

Identifying Those at Risk for Malnutrition

Malnutrition is a common condition that is often underdiagnosed and undertreated in patients. It is associated with reduced dietary intake, absorption of nutrients, nutritional losses, altered metabolic requirements, and increased energy expenditure (Isenring et al., 2012). Malnutrition is a primary concern in adult patients because it is attributed to increased hospital admissions, prolonged hospital stay, poor quality of life, increased incidence of falls, pressure ulcers, and hip fractures. The purpose of this paper is to analyze an article related to identifying patients at risk for malnutrition.

Article Search

Andersen et al. (2021) was the article identified during the article search for the above topic. The PubMed database through the Chamberlain University library was used to search for articles relating to identifying persons at risk for malnutrition. The terms used to facilitate the search are: “Malnutrition,” “Patients,” and “Risk for malnutrition.” The initial search retrieved 24 articles, some of which were irrelevant to the topic, and others were outdated. I refined the search by limiting the search to articles published from January 2018 to ensure that only recent articles were retrieved. Besides, I refined the search to articles that examined patients at risk of malnutrition, which led to retrieving six articles.

Article Findings

Andersen et al. (2021) address the topic by examining the prevalence, risk factors, and screening tools for malnutrition in older medical patients. The article was informed by the inadequate knowledge about malnutrition and the risk of malnutrition on admission and after discharge in older medical patients. The study employed a qualitative prospective observational study and evaluated malnutrition in 128 patients. Study findings revealed that malnutrition should be assessed in patients with polypharmacy, depression, dysphagia, low functional capacity, lowered cognitive function, and eating-related disorders. Furthermore, the study established that patients at risk of malnutrition can be identified using tools like the Mini Nutritional Assessment-Short Form (MNA-SF), the Nutritional Risk Screening 2002 (NRS-2002), and the Eating Validation Scheme (EVS) (Andersen et al., 2021). The article was selected because it sought to establish the prevalence of malnutrition and the prevalence of commonly known malnutrition risk factors.

Evidence for Practice

The article establishes that malnutrition and risk of malnutrition are common among acutely ill older medical patients upon admission and after discharge. Using MNA-SF and NRS-2002, alone or together, creates the best transitional agreement. The evidence will improve practice since it provides essential knowledge on malnutrition in older patients with acute medical conditions. The information can be utilized to design future interventional studies that seek to manage and prevent malnutrition, which reduces the gap in practice (Andersen et al., 2021). Nonetheless, there are concerns in the evidence since employing the MNA-SF as a stand-alone tool and not using the full MNA can lead to a high prevalence of malnutrition risk resulting in inaccurate conclusions.

Sharing of Evidence

The evidence found in the article will be shared with clinicians, clinical nutritionists, and nurses to empower them to identify patients at risk of malnutrition in the clinical setting. I would share the information by disseminating it on the organization’s website and presenting it during the hospital’s CME programs. Technology resources, including computers, the internet, and LCD projectors, will be needed to share the information with healthcare professionals. It will be crucial to share the information with nurses since they are involved in direct patient care, including daily assessment. They can use the evidence to identify patients with malnutrition since they interact most with patients.

Conclusion

Andersen et al. (2021) address identifying patients at risk for malnutrition by assessing the prevalence, risk factors, and screening tools for malnutrition in older medical patients. It identifies patients that should be screened for malnutrition and the tools that can be used to identify them in the clinical setting. The evidence can be shared with health providers to help them identify patients at risk of malnutrition and take the necessary measures.

References

Andersen, A. L., Nielsen, R. L., Houlind, M. B., Tavenier, J., Rasmussen, L., Jørgensen, L. M., Treldal, C., Beck, A. M., Pedersen, M. M., Andersen, O., & Petersen, J. (2021). Risk of Malnutrition upon Admission and after Discharge in Acutely Admitted Older Medical Patients: A Prospective Observational Study. Nutrients, 13(8), 2757. https://doi.org/10.3390/nu13082757

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.

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NR 449 Assignment: Identifying Those at Risk for Malnutrition