超越地方冠军:背景因素塑造了健康饮食干预措施在中心医疗中的实施 - - 与教育工作者和厨师进行的定性研究
Jacqueline Chan1,2, Alexander Hyde-Page3, Philayrath Phongsavan2,4
1Nutrition and Dietetics Group, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
概括
由于存在系统性障碍,在幼儿教育和护理 (ECEC) 环境中实施健康饮食政策具有挑战性. 改善营养教育,协作和基础设施对于成功至关重要.
科学领域:
- 公共卫生 营养 公共卫生 营养
- 实施科学 实施科学
- 幼儿教育 儿童早期教育
背景情况:
- 幼儿教育和护理 (ECEC) 环境对于促进儿童营养和发展至关重要.
- 尽管进行了众多的干预措施,但改善儿童饮食的有效策略仍然不清楚.
- 了解影响干预实施的上下文因素至关重要.
研究的目的:
- 探索幼儿教育工作者和厨师对影响健康饮食政策和实践实施的上下文因素的经验.
- 在ECEC环境中识别成功健康饮食干预措施的障碍和推动因素.
主要方法:
- 用10名澳大利亚新南威尔士州的教育工作者和厨师进行半结构面试进行的定性研究.
- 实施综合框架 研究指导数据收集.
- 为了数据的解释,采用了反射性主题分析.
主要成果:
- 员工表现出对健康饮食的承诺,得到了董事和卫生服务的支持.
- 管理层,教育工作者,厨师和家长之间的合作不足阻碍了实施.
- 限定的合作伙伴关系,网络机会和营养培训不足被确定为关键障碍.
结论:
- 加强工作基础设施,促进伙伴关系和加强营养教育是成功实施的必要条件.
- 解决系统层面的因素对于改善ECEC的健康饮食政策和实践至关重要.
- 调查结果可以为决策者提供有关ECEC工作人员在实施营养干预措施方面的挑战的信息.
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