PELOMINO Evidence Based Guidelines On Nutrition Practice

UNIVERSITY OF CEBU LAPU-LAPU AND

MANDAUE
A.C CORTES AVENUE, LOOC, MANDAUE CITY

Resource Unit on NCM 105

EVIDENCE BASED GUIDELINES

IN NUTRITION PRACTICE
Submitted by:
Pelomino, Lovely C.
Submitted to:
Welkenie D. Austria, RN, MAN
UNIVERSITY OF CEBU LAPU-LAPU AND MANDAUE

A.C CORTES AVENUE, LOOC, MANDAUE CITY
RECOMMENDATIONS CRITERIA
15 % Creativity
15 % Preparation
30 % Mastery of the topic
40 % Knowledge
University of Cebu Lapu-Lapu and Mandaue
A.C. Cortes Ave., Looc, Mandaue City, Philippines
COLLEGE OF NURSING
Learning Plan
TEACHING
LEARNING CONTENT LEARNING REFERENCES
ACTIVITIES
OUTCOMES
Evidence-Based Nutrition Practice Guidelines are a series of guiding statements developed Online https://www.andeal
from a systematic review. They are designed to help practitioners and patients make Discussion .org/category.cfm
appropriate nutritional care decisions regarding specific diseases or conditions in typical ?cid=14#EBNPG
environments. Key elements include scope, intent, major recommendations, methods, rating
Overview of the evidence and harms and potential benefits of implementing the guideline. The
multidisciplinary expert workgroup, which includes practitioners and researchers with a
depth of experience in the specific field of interest, develops the nutrition practice guideline.
The guideline development involves the following steps: Review the conclusion statements,
formulate recommendations for the guideline integrating conclusions from evidence analysis.
Nutrition Care Process, Complete the writing of the guideline, Criteria used in guideline
development, Internal and External Review, and Revision.
Define Evidence Based  Evidence-based practice is an approach to nutrition therapy where dietitians use the Online https://www.whitneyerd.
Guidelines (EBG) best evidence possible to make decisions about client care. It involves the critical Discussion com/2017/10/difference-between-
analysis of information and incorporates the most recent and rigorous research, registered
clinical expertise, and individual client needs and preferences. -dietitian-nutritionist.html
 External Evidence – systemic reviews, randomized control trials, best practice, and
clinical practice guidelines that support a change in clinical practice https://www.nursi
 Internal evidence – healthcare provider expertise, quality improvement projects ngcenter.com/ncb
outcome management initiatives log/evidence
 Patient based-practice?page=3
- Preferences – what does the patient really want when given several different
options
- Patient Values – quality of life
 Best evidence, best practice, best outcomes
Purposes of Evidence Based  Leads to highest quality care and patient outcomes Online https://www.nursingcente
Guidelines (EBG)  Reduces health care costs Discussion r.com/ncblog/evidence-based-
 Increases reimbursement and decreases denials practice
 Meets the expectations of an informed public

Elaborate and Explain  Rating: The rating for the recommendation is based on the strength of the Online https://www.andeal
Evidence Based Guidelines supporting evidence. Discussion .org/ealguideline-develop
in Nutrition Practice: Major  Label of Conditional or Imperative: Each recommendation will have a label of
Recommendations “conditional” or “imperative”.
 Risks and Harms of Implementing the Recommendation: Includes any
potential risks, anticipated harms or adverse consequences associated with applying
the recommendation(s) to the target population.
 Conditions of Application: Includes any organizational barriers or changes that
would need to be made within an organization to apply the recommendation in daily
practice.
 Potential Costs Associated with Application: Includes any costs that may be
associated with the application of this recommendation such as specialized staff, new
equipment or treatments.
 Recommendation Narrative: Provides a brief description of the evidence that
supports this recommendation.
 Recommendation Strength Rationale: Provides a brief list of the evidence
strength and methodological issues that determined the recommendation strength.
 Minority Opinions: If the expert workgroup cannot reach consensus on the
recommendation, the minority opinions may be listed here.
 Supporting Evidence: Provides links to the conclusions statements, evidence
summaries and worksheets related to the formulation of this recommendation(s).
Importance of Evidence  Explosion of literature: Health care literature is published at a rate that is impossible Online https://www.andea
Based Guidelines for individual clinicians to keep up with. Discussion l.org/evidencebased
 Unmet information needs: Questions from patients, clients and other stakeholders -practice
are continuously being generated, however, the information needs of practitioners
are not being met.
 Avoids Implementation delays: Research findings are often delayed in
implementation. Evidence-based practice resources take into account evidence from
a wide variety of fields and provide an opportunity for greater exposure to evidence.
 Quality and effectiveness of practice: Evidence-based practice can help to
standardize practice so that outcomes data can be collected and analyzed in order to
continue to improve the quality and effectiveness of practice.
Background Information  Evidence-based clinical research poses special barriers in the field of nutrition. The Online https://www.ncbi.nlm
present review summarizes the main barriers to research in the field of nutrition that Discussion .nih.gov/pmc/articles
are not common to all randomized clinical trials or trials on rare diseases and /PMC5594518/
highlights opportunities for improvements. https://www.andea
 Evidence-based practice is an approach to health care wherein health practitioners l.org/evidencebased
use the best evidence possible, i.e., the most appropriate information available, to -practice
make decisions for individuals, groups and populations.
 Evidence-based practice values, enhances and builds on clinical expertise, knowledge
of disease mechanisms, and pathophysiology. It recognizes that health care is
individualized and ever changing and involves uncertainties and probabilities.
 Evidence-based practice incorporates successful strategies that improve client
outcomes and derived from various sources of evidence including research, national
guidelines, policies, consensus statements, systematic analysis of clinical experience,
quality improvement data, specialized knowledge and skills of experts.
Questions:
Evidence Based Guidelines 1. It involves the critical analysis of information and incorporates the most recent and rigorous research, clinical expertise, and individual
client needs and preferences.
Evidence Based Guidelines 2. What does EBG stands for?
Supporting Evidence 3. It provides links to the conclusion’s statements, evidence summaries and worksheets related to the formulation of this recommendations
Leads to highest quality care and patient outcomes
Reduces health care costs 4.
Increases reimbursement and decreases denials 5. Give at least 2 purposes of EBG
Meets the expectations of an informed public
Internal evidence 6. Healthcare provider expertise, quality improvement projects outcome management initiatives
External Evidence 7. A systemic review, randomized control trials, best practice, and clinical practice guidelines that support a change in clinical practice.
Recommendation Narrative 8. It supports this recommendation that provides a brief description of the evidence.
Conditions of Application 9. Includes any organizational barriers or changes that would need to be made within an organization to apply the recommendation in daily
practice.
Minority Opinions 10. If the expert workgroup cannot reach consensus on the recommendatio, the minority opinions may be listed here.

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UNIVERSITY OF CEBU LAPU-LAPU AND

Resource Unit on NCM 105

EVIDENCE BASED GUIDELINES

UNIVERSITY OF CEBU LAPU-LAPU AND MANDAUE

A.C. Cortes Ave., Looc, Mandaue City, Philippines

 Meets the expectations of an informed public

Evidence Based Guidelines 2. What does EBG stands for?

Leads to highest quality care and patient outcomes

Reduces health care costs 4.

Increases reimbursement and decreases denials 5. Give at least 2 purposes of EBG

Meets the expectations of an informed public

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