Department of Medicine, Faculty of Medicine, University of Calgary, Health Sciences Center, 3330 University Drive NW, Calgary, AB, T2N 4N1, Canada.
Nutr J. 2011 Feb 18;10(1):18. doi: 10.1186/1475-2891-10-18.
Nutrition is often a casualty of the busy work day for physicians. We aimed to explore physicians' views of their nutrition in the workplace including their perceptions of the impact of inadequate nutrition upon their personal wellness and their professional performance.
This is a qualitative study of a sample of 20 physicians practicing in a large urban teaching hospital. Semi-structured open ended interviews were conducted to explore physicians' views of workplace nutrition. The same physicians had agreed to participate in a related nutrition based wellness intervention study that compared nutritional intake and cognitive function during a day of usual nutrition patterns against another day with scheduled nutrition breaks. A second set of interviews was conducted after the intervention study to explore how participation in the intervention impacted these views. Detailed interview content notes were transcribed and analyzed independently with differences reconciled by discussion.
At initial interview, participants reported difficulty accessing adequate nutrition at work, linking this deficit with emotional (irritable and frustrated), physical (tired and hungry), and cognitive (difficulty concentrating and poor decision making) symptoms. In addition to identifying practical barriers such as lack of time to stop and eat, inconvenient access to food and poor food choices, the physicians described how their sense of professionalism and work ethic also hinder their work nutrition practices. After participating in the intervention, most physicians reported heightened awareness of their nutrition patterns and intentions to improve their workplace nutrition.
Physicians report that inadequate workplace nutrition has a significant negative impact on their personal wellness and professional performance. Given this threat to health care delivery, health care organizations and the medical profession need to address both the practical and professional barriers identified.
对于医生来说，营养往往是忙碌工作日的牺牲品。我们旨在探讨医生对工作场所营养的看法，包括他们对营养不足对个人健康和专业表现影响的看法。
这是一项对 20 名在大型城市教学医院工作的医生进行的定性研究。采用半结构化开放式访谈，探讨医生对工作场所营养的看法。这些医生曾同意参加一项基于营养的相关健康干预研究，该研究比较了在正常营养模式下的一天和有计划的营养休息的一天的营养摄入和认知功能。干预研究后进行了第二次访谈，以探讨参与干预对这些观点的影响。详细的访谈内容注释被独立转录和分析，通过讨论解决差异。
在最初的访谈中，参与者报告说在工作中难以获得足够的营养，将这种不足与情绪（易怒和沮丧）、身体（疲倦和饥饿）和认知（难以集中注意力和决策能力差）症状联系起来。除了确定缺乏时间停下来进食、不方便获取食物和食物选择不佳等实际障碍外，医生还描述了他们的职业感和职业道德如何也阻碍了他们的工作营养实践。参加干预后，大多数医生报告说对自己的营养模式有了更高的认识，并打算改善工作场所的营养。
医生报告说，工作场所的营养不足对他们的个人健康和专业表现有重大的负面影响。鉴于这对医疗服务提供的威胁，医疗保健组织和医疗行业需要解决确定的实际和专业障碍。
