Unit 6: NR449 Evidence-Based Practice- Interventions to improve nutritional status
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Unit 6: NR449 Evidence-Based Practice-Interventions to improve nutritional status
Introduction
I chose topic 5, the interventions to improve nutritional status that answers the question concerning the types of interventions that will enhance the adherence to the recommendations on dietary intakes. Dietary interventions are actions planned by clinicians to change nutrition positively. These interventions relate to behaviour, environmental conditions or health status. It is essential to design measures that enhance adherence to nutritional interventions. The adherence is significant in the effectiveness of dietary treatment. Non-adherence affects negatively to the management of chronic diseases.
Article Search
I searched for articles on Google Scholar and PubMed using the following search terms; nutritional prescription, dietary patterns and the management of chronic diseases. I got three articles; one from PubMed and two from Google Scholar. I chose to narrow done on the material that answers the topic question on the types of interventions and settled on Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults from my Google Scholar search.
Article Findings
The article addresses the interventions for enhancing adherence to dietary practices to solve the problem problems it might have on the wellbeing of patients (Desroches et al., 2013). The article reviews results from randomized clinical trials that give results of success in improving the patient’s adherence to dietary advice. It is qualitative research that reviews evidence-based literature from which supported conclusions and deductions are made. The articles used 38 studies that involved 9445 participants (Desroches et al., 2013). Thirty-two studies on diet adherence outcomes, favoured intervention groups, four control groups, while 62 did not have significant differences between the groups Desroches et al., 2013). Follow-ups, contact, feedbacks and other more complex interventions proved useful in ensuring adherence to diet advice.
Evidence for Practice
The evidence in the study is concrete because authors only included eligible studies in their review. Long-term studies should adopt more valid and standard measures to enhance adherence to diet and prevent chronic diseases such as hypertension, cancers and diabetes (Desroches et al., 2013). This improves practise by suggesting measures that are effective in ensuring diet adherence and health promotion in chronic disease patients. It also decreases a gap to practice by mobilizing health professionals to embrace the long term and quality studies to address diet adherence for the management of chronic diseases.
Sharing of Evidence
The healthcare industry needs to know a lot about these interventions of improving diet adherence in patients. Family education should also teach about them so that patients in those families can be managed appropriately. The information can be shared through seminars, patient and family education, mass media awareness or articles. This process requires complete support from Nutrition departments in National Health and other stakeholders for its efficacy. The significance of sharing this evidence is it invokes a complete change of thought on clinical outcomes and interventions that are more efficient for dietary advice adherence. This also influences the management of chronic diseases.
Conclusion
The interventions for ensuring dietary adherence are essential for chronic disease management. This information should be shared amongst nurses or through nursing education to ensure effective strategies are adopted. Research on standard and valid measures is the best way to develop evidence and promote its application in nursing.
References
Desroches, S., Lapointe, A., Ratte, S., Gravel, K., Legare, F., & Turcotte, S. (2013). Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. Cochrane Database of Systematic Reviews, (2).