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Barriers to healthy eating among nurses working in hospitals: A meta‐synthesis

journal contribution
posted on 2022-03-29, 03:03 authored by Zu Y Cheong, Violeta LopezVioleta Lopez, Wai SW Tam
Aim: To explore the barriers to healthy eating among nurses working in hospitals. Design: Meta-synthesis. Data sources: Published and unpublished papers were identified through electronic searches on PubMed, CINAHL, PsycINFO, Embase, Scopus, COCHRANE Library, Food Science and Technology Abstract, ProQuest Dissertations and Theses and OpenGrey from inception until 6 September 2020. English-language primary qualitative or mixed-method studies on barriers to healthy eating among hospital nurses were included. Mixed-method studies were eligible if their qualitative data were distinguishable. Studies on nursing assistants, enrolled nurses, nursing students, and patient-care assistants were excluded, as well as studies without full-texts, correlational studies, quantitative surveys, exploratory studies, conference abstracts and reviews. Methods: The studies were appraised using Critical Appraisal Skills Programme checklist. Qualitative data were extracted using Joanna Briggs Institute Qualitative Data Extraction Tool. Data synthesis followed two stages, meta-summary and metasynthesis, proposed by Sandelowski & Barroso. Results: Twelve studies published from 2008 to 2020 involving 618 hospital nurses were included. The meta-summary generated 10 themes, which were metasynthesized into three interrelated themes: personal barriers (e.g. nonchalance towards unhealthy eating), interprofessional and patient-related barriers (e.g. sharing unhealthy food), and organizational barriers (e.g. overwhelming work demands). Conclusion: Insufficient self-control and self-confidence, nonchalance and negligence towards healthy eating and cultural beliefs that oppose the practice of healthy eating (personal barriers), exposure of unhealthy food practices in wards (interprofessional and patient-related barriers) and hospital cafeterias, overwhelming work exigencies and institutional constraints (organizational barriers) hindered nurses to achieve wholesome healthy eating. Impact: Many hospital nurses’ encountered challenges in healthy eating, thereby potentially jeopardizing their health and work performance. The findings emphasized the need of a joint effort by hospital nurses, families and colleagues, and hospital institutions to overcome the barriers to healthy eating faced by the hospital nurses.

History

Volume

78

Issue

2

Start Page

314

End Page

331

Number of Pages

18

eISSN

1365-2648

ISSN

0309-2402

Publisher

Wiley

Language

en

Peer Reviewed

  • Yes

Open Access

  • No

Acceptance Date

2021-07-24

External Author Affiliations

National University of Singapore

Era Eligible

  • Yes

Journal

Journal of Advanced Nursing

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