Rethinking Food Waste in Aged Care: A Systematic Review Framing Food Waste as an Ecosystem Issue.

IF 1.8 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Elena Piere, Paula O'Kane, Miranda Mirosa
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引用次数: 0

Abstract

Objectives: To synthesise evidence on food waste in Aged Residential Care (ARC) facilities, identify organisational, cultural and structural drivers, and develop a conceptual model to inform practice and research.

Methods: Following PRISMA guidelines, five databases (1990-2025) were searched. Nineteen peer-reviewed studies met inclusion criteria. Narrative synthesis and inductive coding were used to identify barriers, facilitators and organisational responses, which were integrated into a conceptual model of the ARC food waste ecosystem.

Results: Food waste responses were largely fragmented and rarely embedded in strategy or policy. Barriers and facilitators commonly overlapped, including communication, training and infrastructure. Resident involvement was limited, and few studies evaluated intervention effectiveness or used theoretical framing.

Conclusions: Food waste in ARC is an ecosystem issue shaped by interdependent organisational, staff, resident and policy factors. The model highlights leverage points for integrated, sustainable change linking waste reduction, staff capacity and resident wellbeing.

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重新思考老年护理中的食物浪费:将食物浪费视为生态系统问题的系统综述。
目标:综合老年住宿护理(ARC)设施中食物浪费的证据,确定组织,文化和结构驱动因素,并开发一个概念模型,为实践和研究提供信息。方法:按照PRISMA指南,检索5个数据库(1990-2025)。19项同行评审的研究符合纳入标准。采用叙事综合和归纳编码来识别障碍、促进因素和组织反应,并将其整合到ARC食物垃圾生态系统的概念模型中。结果:食物浪费的应对措施在很大程度上是分散的,很少被纳入战略或政策。障碍和促进因素通常重叠,包括沟通、培训和基础设施。居民参与是有限的,很少有研究评估干预的有效性或使用理论框架。结论:ARC的食物浪费是一个由相互依赖的组织、员工、居民和政策因素形成的生态系统问题。该模型强调了将减少废物、员工能力和居民福利联系起来的综合、可持续变革的杠杆点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australasian Journal on Ageing
Australasian Journal on Ageing 医学-老年医学
CiteScore
3.10
自引率
6.20%
发文量
114
审稿时长
>12 weeks
期刊介绍: Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.
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