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NR 449 Week 6 Assignment Nutrition, Feeding, and Eating


This week’s assignment focuses on examining interventions aimed at improving nutritional status. Dr. Desroches and colleagues conducted a quantitative study exploring the significance of patients adhering to dietary advice, particularly in preventing and managing chronic diseases. The study addresses the question of which interventions are effective in promoting adherence to recommendations on nutritional intake. This is a crucial topic to discuss, as non-compliance and inadequate management of care plans can lead to a heightened risk of chronic diseases, mortality, infection, and morbidity. The research article outlines the search strategy employed to address the study question.

Research Article Review:

The research article by Dr. Desroches and colleagues presents a quantitative study investigating interventions’ impact on patient’s adherence to nutritional recommendations. The article explores the importance of compliance with dietary advice in preventing and managing chronic diseases. The study aims to identify effective strategies for improving adherence to nutritional guidelines by examining various interventions.

Search Strategy:

To address the research question, a systematic search strategy was employed. The initial step involved accessing relevant databases, such as PubMed and Cochrane Library, to identify pertinent research articles. Keywords and search terms, including “interventions,” “nutritional intake,” “adherence,” and “chronic diseases,” were used to narrow down the search results and ensure relevancy.

NR 449 Week 6 Assignment Nutrition, Feeding, and Eating

The inclusion criteria were set to select articles published within the last five years, written in English, and focused on interventions targeting nutritional adherence in patients with chronic diseases. Exclusion criteria included articles outside the designated timeframe, Those not directly related to the research question. Based on these criteria, relevant articles were screened based on their titles and abstracts. The selected papers underwent a thorough reading to assess their quality, relevance, and contribution to answering the research question. The chosen research article by Dr. Derechos and colleagues was deemed appropriate for review due to its focus on interventions to improve adherence to nutritional recommendations.

Article Findings:

Among the numerous results generated, an article authored by Dr. Murai and colleagues emerged as a notable finding. This article resonated with the target audience, shared similarities with related studies, and aligned with the desired publication timeline. Dr. Murai and colleagues focused their research on the topic of adherence to interventions related to dietary advice. Their study encompassed compliance with dialysis, fluid management, and medication adherence. The methodology involved a qualitative approach, specifically a meta-analysis. Data collection predominantly occurred online, with the study’s findings highlighting improvements in trial design and outcomes, particularly in the short-term benefits observed in dialysis patients (Mural, 2019).

NR 449 Week 6 Assignment Nutrition, Feeding, and Eating

Evidence for Practice: The Importance of Adherence Interventions

Dr. Murali and colleagues conducted a study on non-compliance among patients with end-stage kidney disease to determine whether non-adherence was intentional or unintentional (Murali, 2019). The article discusses four intervention methods that can improve adherence in these patients. These methods include educational approaches that provide information about the disease, counseling that addresses patient behavior and empowers them in their self-care, psychological interventions that facilitate discussions about emotions and identify social support, and a combination of interventions tailored to individual patient needs (Murali, 2019).

Implementing these interventions can significantly improve patient care by encouraging patients to take ownership of their choices and prioritize their health. Each method acts as a stepping stone to the next, creating a comprehensive approach to adherence. So interventions have their benefits, but they also present challenges. Patients need self-confidence, a sense of responsibility, and motivation to participate in their care actively. If these elements are lacking, patients may be able to engage with the interventions, which can be perceived as a weakness.

Overall, the study’s findings emphasize the importance of implementing adherence interventions to bridge the gap between patients and their care. By addressing factors that contribute to non-compliance and decisions, healthcare professionals can improve patient outcomes. It is crucial to tailor interventions to individual needs and provide support to overcome barriers that may hinder adherence. By doing so, patients can become active partners and improve their quality of life.

NR 449 Week 6 Assignment Nutrition, Feeding, and Eating

Sharing Evidence for Improved Patient Care

The evidence presented in Dr. Murali’s article holds excellent value and should be disseminated across various departments, healthcare providers, families, and patients at risk for or affected by kidney disease. The information can benefit professionals working in urology, nephrology, nutrition and dietary fields, cardiology, and other relevant specialties. To enhance the available resources and evidence, including Dr. Derechos’ article would be advantageous.

Sharing this valuable information is crucial not only for education but also for preventive measures. Incorporating the findings into patient brochures or featuring them in magazines or news articles would be effective ways to reach a broader audience. Placing these resources in dialysis clinics or nephrologists’ offices ensures that patients and their family’s decision-making and self-care.

By sharing this evidence, healthcare professionals can enhance their knowledge and understanding of effective interventions for improving adherence in patients with kidney disease. It empowers them to provide better care, offers appropriate guidance, and engages patients in discussions about their treatment and lifestyle choices. Ultimately, the dissemination of evidence contributes to improved patient outcomes, increased awareness among the public, and a proactive approach to managing kidney disease.


Recognizing the Importance of Ethical Considerations and Evidence-Based Practice In healthcare, it is crucial to acknowledge the presence of ethical issues and understand the significant role of evidence-based practice in addressing these concerns. When it comes to interventions aimed at improving compliance and adherence to dietary recommendations and nutritional intake, it is essential to tailor these interventions to patients.


Murali, K. M., Mullan, J., Roodenrys, S., Hassan, H. C., Lambert, K., & Lonergan, M. (2019). Strategies to improve dietary, fluid, dialysis, or medication adherence in patients with end-stage





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