Academic Journal
Exploring the Practices of Healthcare Practitioners During the Implementation of a Healthy Eating Policy.
| Τίτλος: | Exploring the Practices of Healthcare Practitioners During the Implementation of a Healthy Eating Policy. |
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| Συγγραφείς: | Kennedy LJ; School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada., Leigh JP; School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada., Kirk SFL; School of Health and Human Performance, Healthy Populations Institute, Dalhousie University, Halifax, Nova Scotia, Canada., Sim M; Research and Innovation, IWK Health, Halifax, Nova Scotia, Canada., Mah CL; School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada. |
| Πηγή: | The International journal of health planning and management [Int J Health Plann Manage] 2026 Sep; Vol. 41 (5), pp. 903-913. Date of Electronic Publication: 2026 Jul 18. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Wiley Country of Publication: England NLM ID: 8605825 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1751 (Electronic) Linking ISSN: 07496753 NLM ISO Abbreviation: Int J Health Plann Manage Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Chichester, Sussex, England : Wiley, c1985- |
| Ιατρικοί όροι (MeSH): | Health Promotion*/organization & administration , Health Personnel*/psychology , Diet, Healthy* , Nutrition Policy*, Humans ; Qualitative Research ; Health Policy ; Interviews as Topic |
| Περίληψη: | Health promotion policy is an effective way to improve population health and reduce the burden of chronic disease, yet how implementation of health promotion at policy levels occurs within healthcare remains unclear. Healthcare organizations, on the one hand, aim to improve population health and 'upstream' health determinants through the Quintuple Aim, but, on the other, are complex and dynamic organizations, with a particular emphasis on downstream clinical care services. Many types of practitioners interpret health promotion policies within the healthcare setting and must implement them in their everyday work: policy implementation as an everyday occurrence. Healthy eating policies focused on creating supportive food environments (e.g., cafeterias, cafes) are being adopted by healthcare organizations as a way to improve diets and reduce the burden of chronic disease. An examination of healthy eating policy implementation is essential to better understand how health promotion is integrated into healthcare organizations. This qualitative phenomenological study uses organizational social theory on street-level bureaucrats to interpret the implementation of a healthy eating policy within healthcare food retail services and the relationships between street-level bureaucrats. We conducted 12 in-depth policy key informant interviews and analysed findings using directed content analysis. The findings showed a shift in priorities from leadership to allocate resources for health promotion tasks to make food more accessible and available to staff. Participants considered context as they implemented the policy using local knowledge arising from informal and formal networks and identified other opportunities to influence healthy eating. Studying the actions of healthcare practitioners in everyday policymaking provides essential context and insight into how policy implementation unfolds. Although standards for health promotion are lacking, practitioners can engage in quality improvement initiatives to challenge the status quo and improve food environments. (© 2026 The Author(s). The International Journal of Health Planning and Management published by John Wiley & Sons Ltd.) |
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| Contributed Indexing: | Keywords: healthy eating policy; hospital policy; quality improvement; street level bureaucrat |
| Entry Date(s): | Date Created: 20260718 Date Completed: 20260908 Latest Revision: 20260910 |
| Update Code: | 20260910 |
| PubMed Central ID: | PMC13551546 |
| DOI: | 10.1002/hpm.70102 |
| PMID: | 42470706 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1099-1751 |
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| DOI: | 10.1002/hpm.70102 |