Meals, mealtimes and moments for learning: assessment of quality in early childhood education and care services.

IF 3 3区 医学 Q2 NUTRITION & DIETETICS
Bonnie Searle, Sandy Houen, Sally Staton, Karen Thorpe
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引用次数: 0

Abstract

Objective: Early education and care (ECEC) is part of the everyday life of most children in developed economies, presenting exceptional opportunity to support nutrition and ongoing food preferences. Yet, the degree to which such opportunity is captured in policy-driven assessment and quality ratings of ECEC services is unknown.

Design: Abductive thematic analysis was conducted, guided by key domains of knowledge in nutrition literature and examining identified themes within these domains.

Setting: ECEC services (n 38) in Queensland, Australia.

Participants: Data were a random sample of field notes pertaining to mealtimes and food provision (n 182) collected as evidence to inform quality ratings during assessment visits to ECEC services.

Results: The field notes mapped to three theory-driven domains: provisions, practices and education. Reflecting policy specification, health, hygiene and safety were a key focus, but food quality and quantity were not. Assessors noted the promotion of child autonomy at mealtimes, yet little evidence pertaining to characteristics of educator-child interactions.

Conclusions: Despite evidence that childhood nutrition is crucial for optimal development and learning, the quality and quantity of food are not directly assessed. Relationships and interactions at mealtimes provide an environment ideal for promoting learning and development, yet the policy guiding inspection and assessment of ECEC services directs focus to a more limited lens of safety, hygiene and promotion of 'healthy foods'. Our findings identify a narrow conceptualisation of mealtimes focused on 'health' as limiting the potential to leverage mealtimes as places to support children's nutrition and attendant development and learning.

三餐、用餐时间和学习时间:幼儿教育和照料服务质量评估。
目标:早期教育和护理(ECEC)是发达经济体大多数儿童日常生活的一部分,为支持营养和持续的食物偏好提供了难得的机会。然而,这种机会在政策驱动的评估和ECEC服务的质量评级中被抓住的程度是未知的。设计:以营养文献中的关键知识领域为指导,进行溯因性主题分析,并检查这些领域中确定的主题。环境:ECEC服务(n 38)在澳大利亚昆士兰。参与者:数据是关于用餐时间和食物供应(182)的随机现场记录样本,作为对ECEC服务评估访问期间告知质量评级的证据。结果:实地记录映射到三个理论驱动的领域:规定,实践和教育。反映政策规范,健康、卫生和安全是重点,但食品质量和数量不是重点。评估人员注意到儿童在吃饭时的自主性得到了提高,但很少有证据表明教育者与儿童互动的特点。结论:尽管有证据表明儿童营养对最佳发育和学习至关重要,但食物的质量和数量并没有直接评估。用餐时的关系和互动为促进学习和发展提供了理想的环境,但指导检查和评估ECEC服务的政策将重点放在更有限的安全、卫生和促进“健康食品”方面。我们的研究发现,将用餐时间狭隘地定义为“健康”,限制了将用餐时间作为支持儿童营养和随之而来的发展和学习的场所的潜力。
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来源期刊
Public Health Nutrition
Public Health Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.10
自引率
6.20%
发文量
521
审稿时长
3 months
期刊介绍: Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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