NR449 Evidence-Based Practice

Skills Module: Nutrition

Purpose
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.
NR449_Skills_Module_Nutrition ®2022 Chamberlain University. All Rights Reserved 1
 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

NR449_Skills_Module_Nutrition ®2022 Chamberlain University. All Rights Reserved 2

 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.

NR449_Skills_Module_Nutrition ®2022 Chamberlain University. All Rights Reserved 3

 NR449 Evidence-Based Practice
Skills Module: Nutrition
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.

NR449_Skills_Module_Nutrition V3 ®2022 Chamberlain University. All Rights Reserved 4

 NR449 Evidence-Based Practice
Skills Module: Nutrition

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.

NR449_Skills_Module_Nutrition V3 ®2022 Chamberlain University. All Rights Reserved 5

 NR449 Evidence-Based Practice
Skills Module: Nutrition

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 Highest Level of High Level of Satisfactory Unsatisfactory Section not
Criteria Performance Performance Level of Level of present in paper
(Points possible/% of total points available) Performanc Performance
e
Introduction and Key Points (5 points) 5 points 4 points 3 points 1 point 0 points
(6a in Guidelines)
Required criteria Includes 4 Includes 3 Includes 2 Includes 1 No requirements for
1. Choose one of the assigned topics and identifies one of the requirements for requirements for requirements for requirement for this section
questions section. section. section. section. presented.
2. Defines the topic and question
3. States why it is a problem
4. Information presented in logical sequence

Article Search (5 points) 5 points 4 points 3 points 1 point 0 points

(6b in Guidelines)
Required criteria Includes 4 Includes 3 Includes 2 Includes 1 No requirements for
1. Current (less than 5 years) and credible resource requirements for requirements for requirements for requirement for this section
2. Database search - terms and methods used section. section. section. section. presented.
3. Number of articles located
4. Source outside of ATI module used

Article Findings (25 points) (6c in 25 points 22 points 20 points 10 points 0 points
Guidelines)
Required criteria Includes 4 Includes 3 Includes 2 Includes 1 No requirements for
1. How it addresses the topic requirements for requirements for requirements for requirement for this section
2. Type of research conducted section. section. section. section. presented.
3. Findings of research
4. Why this article was chosen

Assignment Section and Required Highest Level of High Level of Satisfactory Unsatisfactory Section not
Criteria Performance Performance Level of Level of present in paper
NR449_Skills_Module_Nutrition V3 ®2022 Chamberlain University. All Rights Reserved 6
 NR449 Evidence-Based Practice
Skills Module: Nutrition
(Points possible/% of total points available) Performanc Performance
e
Evidence for Practice (25 points) 25 points 22 points 20 points 10 points 0 points
(6d in Guidelines)
Required Criteria Includes 4 Includes 3 Includes 2 Includes 1 No requirements for
1. Summary of evidence requirements for requirements for requirements for requirement for this section
2. How it will improve practice section. section. section. section. presented.
3. How this evidence will decrease a gap to practice
4. Any concerns or weaknesses located in the evidence

Sharing of Evidence (20 points) (6e in 20 points 17 points 15 points 10 points 0 points
Guidelines)
Required Criteria Includes 4 Includes 4 Includes 4 Includes 4 Includes 4
1. Who would you share the information with? requirements for requirements for requirements for requirements requirements for
2. How would you share this information? section. section. section. for section. section.
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?

NR449_Skills_Module_Nutrition V3 ®2022 Chamberlain University. All Rights Reserved 7

 NR449 Evidence-Based Practice
Skills Module: Nutrition
Assignment Section and Required Highest Level of High Level of Satisfactory Unsatisfactory Section not
Criteria Performance Performance Level of Level of present in paper
(Points possible/% of total points available) Performanc Performance
e
Conclusion (5 points) 5 points 4 points 3 points 1 point 0 points
(6f in Guidelines)
Required Criteria Includes 4 Includes 3 Includes 2 Includes 1 No requirements for
1. Summarizes the theme of the paper requirements for requirements for requirements for requirement for this section
2. Information presented in logical sequence section. section. section. section. presented.
3. All key points addressed
4. Conclusion shows depth of understanding of topic
APA Style (10 points) (6g in 10 points 8 points 7 points 4 points 0 points
Guidelines)
Required criteria Includes 4 Includes 3 Includes 2 Includes 1 No requirements for
1. APA style used properly for citations requirements for requirements for requirements for requirement for this section
2. APA style used properly for references section. section. section. section. presented.
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.
Writing Mechanics (5 points) (6h in 5 points 4 points 3 points 1 point 0 points
Guidelines)
Required criteria Includes 4 Includes 3 Includes 2 Includes 1 No requirements for
1. No spelling errors requirements for requirements for requirements for requirement for this section
2. No grammatical errors, including verb tense and word usage section. section. section. section. presented.
3. No writing errors, including sentence structure, and formatting
4. Must be all original work
Total Points Possible = 100 points

NR449_Skills_Module_Nutrition V3 ®2022 Chamberlain University. All Rights Reserved 8