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Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices

BACKGROUND: The cultural-cognitive, normative and regulative pillars of institutions influence the ability of hospitals to change how they function at an organizational and operational level. As more hospitals and their foodservices instigate changes to address their environmental footprint and impa...

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Autores principales: Carino, Stefanie, Collins, Jorja, Malekpour, Shirin, Porter, Judi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511788/
https://www.ncbi.nlm.nih.gov/pubmed/36172519
http://dx.doi.org/10.3389/fnut.2022.905932
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author Carino, Stefanie
Collins, Jorja
Malekpour, Shirin
Porter, Judi
author_facet Carino, Stefanie
Collins, Jorja
Malekpour, Shirin
Porter, Judi
author_sort Carino, Stefanie
collection PubMed
description BACKGROUND: The cultural-cognitive, normative and regulative pillars of institutions influence the ability of hospitals to change how they function at an organizational and operational level. As more hospitals and their foodservices instigate changes to address their environmental footprint and impact on food systems, they move through the “sustainability phase model” from no response through to high level action and leadership. The aim of this study was to describe and compare the pillars of institutions between hospitals in different stages of achieving environmentally sustainable foodservices (business-as-usual vs. exemplar hospitals). METHODS: For this qualitative inquiry study, interviews were conducted with 33 hospital staff from 3 business-as-usual hospitals in Melbourne, Australia and 21 hospital staff from 14 exemplar hospitals across 9 countries. Participants were asked questions about their perspectives on environmental sustainability in foodservices and the barriers, enablers and drivers they experienced. Each data set was analyzed thematically and then compared. FINDINGS: There was a clear and distinct difference in responses and behaviors within each pillar between the exemplar and business-as-usual hospitals. The cultural-cognitive pillar identified a similarity in personal belief in the importance of addressing environmental impacts of foodservices, but difference in how staff saw and acted on their responsibility to drive change. The normative pillar uncovered a supportive culture that encouraged change in exemplar hospitals whilst business-as-usual hospital staff felt disheartened by the difficult processes and lack of support. The regulative pillar reflected business-as-usual hospital staff feeling restricted by government policy vs. exemplar hospital participants who were motivated to internalize government policy in different ways and work with other hospitals to advocate for better policy. INTERPRETATION: These findings highlight strategies related to each of the three pillars of institutions that can be used to drive effective, sustainable long term change within hospitals. This includes staff education and training, revisiting hospital culture and values around environmental sustainability, embedding sustainable foodservices in internal policies, and a comprehensive government policy approach to sustainable healthcare.
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spelling pubmed-95117882022-09-27 Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices Carino, Stefanie Collins, Jorja Malekpour, Shirin Porter, Judi Front Nutr Nutrition BACKGROUND: The cultural-cognitive, normative and regulative pillars of institutions influence the ability of hospitals to change how they function at an organizational and operational level. As more hospitals and their foodservices instigate changes to address their environmental footprint and impact on food systems, they move through the “sustainability phase model” from no response through to high level action and leadership. The aim of this study was to describe and compare the pillars of institutions between hospitals in different stages of achieving environmentally sustainable foodservices (business-as-usual vs. exemplar hospitals). METHODS: For this qualitative inquiry study, interviews were conducted with 33 hospital staff from 3 business-as-usual hospitals in Melbourne, Australia and 21 hospital staff from 14 exemplar hospitals across 9 countries. Participants were asked questions about their perspectives on environmental sustainability in foodservices and the barriers, enablers and drivers they experienced. Each data set was analyzed thematically and then compared. FINDINGS: There was a clear and distinct difference in responses and behaviors within each pillar between the exemplar and business-as-usual hospitals. The cultural-cognitive pillar identified a similarity in personal belief in the importance of addressing environmental impacts of foodservices, but difference in how staff saw and acted on their responsibility to drive change. The normative pillar uncovered a supportive culture that encouraged change in exemplar hospitals whilst business-as-usual hospital staff felt disheartened by the difficult processes and lack of support. The regulative pillar reflected business-as-usual hospital staff feeling restricted by government policy vs. exemplar hospital participants who were motivated to internalize government policy in different ways and work with other hospitals to advocate for better policy. INTERPRETATION: These findings highlight strategies related to each of the three pillars of institutions that can be used to drive effective, sustainable long term change within hospitals. This includes staff education and training, revisiting hospital culture and values around environmental sustainability, embedding sustainable foodservices in internal policies, and a comprehensive government policy approach to sustainable healthcare. Frontiers Media S.A. 2022-09-12 /pmc/articles/PMC9511788/ /pubmed/36172519 http://dx.doi.org/10.3389/fnut.2022.905932 Text en Copyright © 2022 Carino, Collins, Malekpour and Porter. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Carino, Stefanie
Collins, Jorja
Malekpour, Shirin
Porter, Judi
Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices
title Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices
title_full Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices
title_fullStr Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices
title_full_unstemmed Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices
title_short Harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices
title_sort harnessing the pillars of institutions to drive environmentally sustainable hospital foodservices
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511788/
https://www.ncbi.nlm.nih.gov/pubmed/36172519
http://dx.doi.org/10.3389/fnut.2022.905932
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