Nutritional counselling has been recognised as the first-line approach in the management of numerous chronic diseases. Though usually carried out by dietitians, nutritional counselling may be used by nurses, or other healthcare professionals to improve nutritional status and meet healthcare goals. Healthcare professionals require training and education to facilitate a patient-centred approach to effective counselling. Advances in digital technology have the potential to improve access to nutritional counselling for some patients such as those in primary care. However, caution is required to ensure that valuable interpersonal relationships are not lost, as these form the cornerstone of effective nutritional counselling. The aim of this narrative review is to explore aspects of effective nutritional counselling, including advances in e-counselling and areas where nursing input in nutritional counselling might enhance overall nutritional care. Nutrition-related chronic diseases—i.e., cancer, diabetes mellitus, chronic kidney disease, inflammatory bowel disease and so forth—and health problems that have significant implications on nutritional status, mainly by affecting digestion and absorption of food, place a significant burden on the overall health of a population and health care systems. As dietary modification can have a significant impact on biomarkers of non-communicable diseases and on symptoms of different clinical conditions, nutritional counselling has been recognised as the first-line approach for their management.

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