scholarly journals Barriers and facilitators to healthy eating for nurses in the workplace: an integrative review

2016 ◽  
Vol 73 (5) ◽  
pp. 1051-1065 ◽  
Author(s):  
Rachel Nicholls ◽  
Lin Perry ◽  
Christine Duffield ◽  
Robyn Gallagher ◽  
Heather Pierce
Author(s):  
Tatiana Tombini Wittmann ◽  
Daniela de Oliveira Massad ◽  
Gertrudes Aparecida Dandolini ◽  
João Arthur de Souza

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shandel Vega-Soto ◽  
Cheryl Der Ananian ◽  
Hector Valdez ◽  
Ferdinand Delgado ◽  
Steven Hooker ◽  
...  

Abstract Objectives Dietary behaviors contribute to an increased risk of cardiometabolic disease in Hispanic men. Few studies have assessed Hispanic men's perspectives on healthy eating. The purpose of this qualitative study was to identify perceived barriers and facilitators to healthy eating in middle-aged, Hispanic men of Mexican descent. Methods Six focus groups (FGs) with Hispanic men were primarily conducted in Spanish (n = 5 FGs), audio-recorded, transcribed, then translated verbatim to English. A grounded theory approach was used to identify common themes. Results Participants (n = 34; mean age: 54.4 ± 7.0 years) primarily self-identified as Mexican (71%) or Mexican-American (10%). In preliminary findings, the main barriers to healthy eating were competing responsibilities (n = 6 FGs), lack of nutrition knowledge (n = 6 FGs), cultural factors (n = 5 FGs), habits (n = 5 FGs), and available food choices (n = 5 FGs). A demanding work schedule was considered a barrier because it contributes to “eating on the run” and the selection of fast or convenient foods. Cultural factors perceived as barriers to healthy eating included the need to have food at social gatherings and the “Mexican diet.” Food at gatherings was perceived as leading to an increased availability of unhealthy food items and the consumption of large portions. “Mexican foods”, including tortillas, tacos, pozole, meat and cooking fats were considered unhealthy but central to the diet. Family (n = 5 FGs), health reasons (n = 6 FGs), portion control (n = 5 FGs), and nutrition education (n = 5 FGs), were reported as facilitators to healthy eating. Men reported the importance of longevity to support their family as an essential motivator to engage in healthy eating. Participants (n = 3 FGs) also indicated their spouse/partner enabled healthy eating by providing healthy food choices and encouragement or support. Health reasons (e.g., a diagnosis of diabetes or cardiovascular disease, improving health) were an important catalyst to improving eating habits. Conclusions Findings suggest that MA men have an active interest in behavior change affecting healthy eating habits. Our research provides invaluable insight to construct tailored strategies to improve dietary behavior in this vulnerable population. Funding Sources National Institute of Aging.


2021 ◽  
Author(s):  
Erica Busca ◽  
Alessia Savatteri ◽  
Tania Lorenza Calafato ◽  
Beatrice Mazzoleni ◽  
Michela Barisone ◽  
...  

Abstract Background The rapid evolution of the epidemiological picture and the recent SARS-COV-2 pandemic has expressed the vulnerabilities of health systems and focuses attention on the population's needs.The nurse's figure in the care teams is universally identified; however, the implementation of the role within some care settings turns out to be complex and challenging. This integrative review aims to identify the barriers and facilitators in implementing the role of the nurse in primary care settings.MethodsAn integrative review was conducted on the Medline and Cinahl databases until 9 June 2020. Qualitative, quantitative, and Mixed-method research studies were selected to identify studies related to the barriers and facilitators of the nurse's role in nursing facilities' primary care. For the extraction of the results, the Consolidating Framework for Research Implementation (CFIR) was used to identify the factors that influence implementation in health care.ResultsFollowing the duplicates' removal, the search identified 18257 articles, of which 56 were relevant to the inclusion criteria; therefore, they were included in the summary.The selected studies were conducted in thirteen countries, most from Oceania, Europe, North America, Latin America, and the Caribbean.The barriers reported most frequently concern the nursing profession's regulatory and regulatory aspects within the contexts of care, cultural and organizational aspects, training, and the transfer of specific skills, which were previously designated to doctors.The facilitators are mainly linked to the nurse's adaptability to the various contexts of care, recognizing the patient's role, and the desire to develop multidisciplinary and effective working groups to respond to the health needs of the population in primary care contexts.ConclusionThis review highlighted the main barriers and facilitators in implementing the nurse's role in primary care settings. These results offer useful elements for stakeholders to identify effective strategies in preparing programs and activities for implementing the nurse's role, acting on the elements identified as barriers and favouring the aspects that emerge as facilitators.


2015 ◽  
Vol 2 (2) ◽  
pp. 117 ◽  
Author(s):  
Ana Raquel Gómez-Alpízar ◽  
Ana Rocío González-Urrutia ◽  
Ofelia Flores-Castro ◽  
Xinia Fernández-Rojas

Introduction: The Preschool Cycle is a period of changes in nutritional status and eating behavior, constituting a fundamental stage for the development of healthy eating habits, where the family plays a major role. Objective: Identify the main barriers and facilitators for healthy eating in preschool age, with the purpose of designing strategies to prevent childhood overweight and obesity. Materials and Methods: The research was conducted under a mixed approach, with a descriptive and transversal type. Sixty parents or caregivers of preschool children who were part of the model during 2014 at the Mariano Cortés School (urban) and Canada School (rural), completed the questionnaire and twenty-five participated in the focus groups (one focus group in each school). Results: The barriers that the parents and caregivers faced daily included: food rejection by the child, the influence of peers and even the attitudes of adults who share with the child while eating. The facilitators that encourage healthy eating in this stage of life were: establish clear rules when eating, offer a variety of foods and explain to the child the importance of eating fruits and vegetables in a simple way. Conclusion: The barriers and facilitators to promote healthy eating in this stage of the lifetime, must be include as part of future strategies for the prevention of childhood obesity.


BJGP Open ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. bjgpopen20X101030 ◽  
Author(s):  
Alison Jayne Doherty ◽  
Helen Atherton ◽  
Paul Boland ◽  
Richard Hastings ◽  
Lucy Hives ◽  
...  

BackgroundGlobally, people with intellectual disabilities and/or autism experience health inequalities. Death occurs at a younger age and the prevalence of long-term morbidities is higher than in the general population. Despite this, their primary healthcare access rates are lower than the general population, their health needs are often unmet, and their views and experiences are frequently overlooked in research, policy, and practice.AimTo investigate the barriers and facilitators reported by individuals with intellectual disabilities, autism, or both, and/or their carers, to accessing and utilising primary health care for their physical and mental health needs.Design & settingAn integrative review was undertaken, which used systematic review methodology.MethodElectronic databases MEDLINE, Embase, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and Cochrane were searched for relevant studies (all languages) using a search strategy. Two researchers independently screened the results and assessed the quality of the studies.ResultsSixty-three international studies were identified. Six main themes relating to barriers and facilitators emerged from an analysis of these studies. The main themes were: training; knowledge and awareness; communication; fear and embarrassment; involvement in healthcare decision-making; and time. All the themes were underpinned by the need for greater care, dignity, respect, collaborative relationships, and reasonable adjustments. Opposing barriers and facilitators were identified within each of the main themes.ConclusionAdolescents and adults with intellectual disabilities and/or autism experience several barriers to accessing and utilising primary health care. The findings highlight the reasonable adjustments and facilitators that can be implemented to ensure that these individuals are not excluded from primary health care.


Appetite ◽  
2019 ◽  
Vol 138 ◽  
pp. 215-222 ◽  
Author(s):  
Amy L. Beck ◽  
Esti Iturralde ◽  
Julissa Haya-Fisher ◽  
Sarah Kim ◽  
Victoria Keeton ◽  
...  

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