Evaluating Evidence for Translation into Nursing Practice: A Report

This report assesses the evidence for translating research findings into nursing practice, focusing on the impact of dietary carbohydrates on weight maintenance, particularly in patients with a family history of obesity. It explores the rationale behind examining the influence of dietary carbohydrates on weight, the process used to conduct a systematic review including PICO, search strategies, and inclusion/exclusion criteria. The findings suggest that while high carbohydrate intake can contribute to weight gain, the influence may vary depending on genetic predispositions and individual dietary needs. The report also discusses the importance of maintaining the quality of evidence through tools like CASP and selecting appropriate knowledge translation tools to effectively implement evidence-based practices in nursing, ensuring that interventions are optimized for patient safety and care. The appraisal of evidence translation tools focuses on evaluating the impact of evidence on outcomes and its applicability in real-world practice.

Evaluating Evidence for Translation into Nursing Practice
Background of study
Every person is having different dietary needs which depends on their need of
body. Also, the requirements are different for adult, old age, youngster, etc. It is important to
maintain healthy diet so that lifestyle is improved. Besides, there is need to take a proper
balance diet in which nutrients, proteins, carbohydrates, etc. are balanced. This is because an
imbalance diet may result in obesity or malnutrition. Also, there is direct affect of food intake
on weight management. Here, if intake of calories burns is more than body consume than
weight rises. The prevalence of obesity has increased rapidly worldwide and the importance
of considering the role of diet in the prevention and treatment of obesity is widely
acknowledged. Carbohydrates are among the macronutrients that provide energy and can thus
contribute to excess energy intake and subsequent weight gain. There is no clear evidence that
altering the proportion of total carbohydrate in the diet is an important determinant of energy
intake. Obesity is highly increasing people around the world. It is found that in 2016 more
than 1.9 billion adult of age 18 years or more suffers from obesity. Besides that, in 2016 about
13% of world population is suffering from obesity. The main reason behind people being
overweight is due to change in their lifestyle. This has highly impacted on their physical
health. The people have changed their diet and now it includes large portion of carbohydrate.
Moreover, it is found that eating of junk food has resulted is rise in fats within body.
Furthermore, due to lack of physical exercise people are not able to maintain their health and
body.
In addition, it is analysed that many people who are overweight is having family
history of obesity. However, there is a great influence of weight maintenance of obese people
who is having family history of obesity. Hence, they are not able to maintain their weight.
Apart from it, intake of carbohydrate also led to rise in weight. In diet carbohydrate plays a
vital role in gaining of weight. Carbohydrates are fats, proteins, curbs, etc. which are essential
Rationale
The main reason for taking this clinical question is to find out does
dietary carbohydrate influence health weight maintenance in patient having
family history of obesity or not. It is because in many patient cases it is found that
in diet carbohydrate intake influence their weight maintenance. They are not able
to maintain their weight and it results in obesity. Therefore, in that it will be
evaluated that how carbo results in increase in weight. Besides, what type of
carbohydrates are taken by patient by which their weight is not maintained. But in
some cases it is found that even when patient try to reduce intake of
carbohydrates in diet and maintain weight then also they suffer from obesity. The
reason is because of obesity.
Along with it, the reason for this question is to find out association
between dietary carbohydrates and body weight. So, from that it can be examined
that whether more intake of carbohydrate results in increase or body weight or
there is reason of family history of obesity in it. Thus, due to these reason this
Quality appraisal of evidence
The quality of evidence has to be maintained so that
systematic review is done in effective way. The critical appraisal
skills programme (CASP) tool is designed for users to critically
appraise various types of evidence in research. In this there are
different check list which is used such as systematic review, case
control studies, controlled trails, cohort studies, etc. the checklist
were designed as educational pedagogic tool and part of a workshop
setting. The core CASP checklists are randomized controlled trial &
systematic review were based on JAMA 'Users’ guides to the
medical literature 1994. Then, for each check list expert view were
taken to develop. Hence, the tool systematically reviews all studies in
3 categories that are is study valid, what are outcomes and will result
help locally and then evaluation is done. Here, the first 2 ways are
screening one and is answered quickly. Hence, if evidence is relevant
then the last way is considered in it. This is designed to examine the
category is important. The main purpose of CASP tool is to check
studies and research for its trustworthiness, result and relevance. By
that the quality of evidence is maintained by eliminating those
Tool for evidence translation
It is important to select a relevant tool for evidence
translation. This concept record patient safety and care responses to
optimize it for patient and nursing staff. Thus, interventions are
applied in practice to obtain relevant outcomes. This is because there
are various types of tools available that can be used in it. However,
use of tools enable in finding out intervention in effective way. In
this study knowledge translation tool will be used. The tool helps in
presenting evidence in clear and concise way. Moreover, with help
of this tool evidence of studies is presented in user friendly way. By
that it becomes easy to translate systematic review. The use of KT
tool will implement and engage in knowledge in nursing practise.
There are certain factors which can affect translation into
practice. So, it is necessary to identify those factors so that
translation is not affected. Thus, the factors are process of
translation, evidence source, method used to find out studies.
Appraisal of evidence translation tool
The appraisal of tool of knowledge translation evaluate
knowledge and its impact. In this there are several things which is
followed. The evaluation instrument is reviewed and then for
choosing instrument clear presentation of that instrument is
considered. After that well developed instrument for evaluation is
selected. Thus, it can be used in various contexts and evidence is
presented in clear way. KT tool analyse that what impact evidence
can have on outcomes. Then, on basis of that evidence selection is
done. Here, tool is mostly used to present results in clear way. By
that it becomes simple to understand what outcome of overall study
is and how outcomes can be applied in practice. Usually, KT tool
focus on implementing outcomes within practice. So, the tool only
takes those evidence which can be applied in practice. Hence,
translation of evidence is done in effective way.
Process used to identify systematic review
It is necessary to follow steps in carrying out systematic review. This is
because it enables in gathering of relevant data from authentic sources. A
systematic review is process of collecting and analysing data through various
studies which are included in review. Similarly, for current clinical question as
well a systematic process will be followed. It is as below :
PICO – This is first stage where a PICO question is formed in which
describe that what research question is, identify gaps, etc. thus, it is first identified
that research question is clear or not.
Search to identify all relevant studies- a comprehensive search is done in
which all studies related to research question is identified. This enables in finding
out that type of search strategy can be applied.
inclusion\ exclusion criteria- this is also a step to find out systematic
review. Here, the inclusion and exclusion criteria are formed. This shows that what
exclusion and inclusion research journals has to be taken into research. By that it
becomes easy to search for relevant articles and studies from various sources.
Clinical question - Does dietary carbohydrate intake influence healthy weight maintenance in
patients who have family history of obesity?
Summary of findings
It can be found from the studies which is collected that intake of dietary
carbohydrate influence on weight maintenance. This is because in diet when carbohydrate
increases it rise energy and glucose in it. Also, body is not able to consume energy that is intake.
Hence, this led to increase in weight. Alongside, if patient having family history of obesity does
not take high carbohydrate than it will not led to rise in weight. But in some cases there is
presence of genetics in patient due to family history of obesity. Hence, in that intake of
carbohydrate does not influence on their weight management. They already become obese
person.
Moreover, it can be summarised that if there is more intake of carbohydrates then
this influence on weight of patient having history of obesity. In that doing of physical exercise,
and other factors does not help. The weight is maintained only when changes in diet is done and
a balanced diet is prepared. Besides, intake of carbohydrates is reduced to a great extent. This
help in maintaining of weight in effective way.
Thus, here quality of findings in high and effective. The data gathered from various
studies is relevant and accurate. The studies searched an identified relate to topic and specifies
influence of dietary carbohydrate intake on weight. But in the findings it is found that there is
no association of carbohydrate with body weight and obesity shown and discussed. The findings
shows that family history patient is not having any influence on dietary carbohydrates. They
intake a lot of carbohydrates by which it they are not able to maintain weight. However, it is
found that dietary requirement of obese people varies from normal one. Thus, carbohydrates is
not main reason in diet due to which weight of person increase. Basically, patient having family
history of obesity is influenced due to their dietary needs.
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