Effects of Adherence to Diet and Exercise

Effects of Adherence to Diet and Exercise

Effects of Adherence to Diet and Exercise on African American Males with Heart Failure

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Evidence-based practice (EBP) is a problem-solving model to the delivery of quality care that incorporates external evidence with the values and preferences of a patient and the expertise of the clinician, which entails internal evidence collected from patient data. Nurses can use EBP competencies to promote adherence to diet and exercise in African American males with heart failure. Melnyk et al (2014) argue that competencies are a scheme that endorses health care providers to offer safe, high-quality care. Competencies are universal entities undertaken within a clinical context and comprises of numerous attributes entailing affective skills, psychomotor skills and knowledge. Effects of Adherence to Diet and Exercise


According to Riley (2015), the main roles for nurses in heart failure management have hugely focused upon monitoring and education of patients at a greater risk of being readmitted to hospital. Close monitoring needs a care environment nurses possess the expertise and time to recognize and appropriately respond to alterations in physiological data. The link amid nurses’ quality of care and nurses’ competence have be acknowledged and the connection between patient outcomes nurse and nurse expertise have been verified. When academically prepared nurses take care of patients, there is a reduction in the risk of demise.

Management of heart failure is both physician-based and patient based.  Physician-based management entails all elements of suitable treatment, monitoring the impacts of these treatments and communicating pertinent information.  According to Herber et al (2018), patient-based denotes the model of self-care entailing the impetus to abide by therapeutic and diagnostic recommendations. Self-management interventions intended to promote self-care usually aims to empower patients through providing them with the skills essential to actively take part in managing their condition. Effects of Adherence to Diet and Exercise

Nurses play a crucial role in providing self-care education to heart failure patients. Patients are educated about the condition, its management, monitoring and adjusting their lifestyles, including adhering to regular exercise and maintaining a diet that is low in sodium. Herber et al (2018) note that evidence from systematic appraisals has demonstrated that patients’ adherence to self-care considerably lessens heart failure-related hospitalizations, mortality and morbidity, reductions in hospital readmissions and leads to improvement in the quality of life.


Herber, O., Atkins, L., Stork, S., & Wilm, S. (2018). Enhancing self-care adherence in patients with heart failure: a study protocol for developing a theory-based behavior change intervention using the COM-B model (ACHIEVE study).  BMJ Open, 8(9): e 025907.

Melnyk, B., Gallagher-Ford, L., Long, L., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1): 5-15.

Riley, J. (2015). The Key Roles for the Nurse in Acute Heart Failure Management. Cardiac Failure Review, 1(2): 123-127. Effects of Adherence to Diet and Exercise

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