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The first part is the case study and then the 3 questions are at the bottom: Case Study for Assignment 1: Healthy Food/Healthy People (pp.

The first part is the case study and then the 3 questions are at the bottom:

Case Study for Assignment 1: Healthy Food/Healthy People (pp. 25-27)The administrator of a large urban hospital wanted to offer healthier food options in the cafeteria but was not sure what changes needed to occur in the cafeteria. She decided to conduct a needs assessment. Volunteers were recruited from the clinical, financial, administrative, and environmental service staff to serve on the committee. After writing a few broad goal statements, the committee conducted several focus groups with employees from each shift, because night shift food choices may be different from day shift choices. The focus group results showed some general themes, so the committee developed a short survey. The survey was printed on postcards and was made available on the cafeteria tables, at the condiment station, and near the checkout cashier registers. Drop boxes were available at each exit to collect the postcard surveys. This method also allowed both the employees and hospital visitors to participate. The survey was also made available online and on the employee website.While the survey data were collected over a three-week period, the committee worked with the cafeteria manager. The committee requested secondary data about the most popular and least popular food choices, sodium and sugar content of popular items, and availability of fresh fruit and vegetables. They ranked the current purchased food choices by popularity, cost, and health factors. This grid was compared to the focus group and survey results. After analyzing the needs assessment data, the committee wrote a goal statement and three measurable objectives.

Goal Statement The hospital administration will change three aspects of the available food and drink choices to encourage healthy eating.

Objectives 1.By the end of May, the hospital cafeteria will offer 50% more fresh fruit and vegetables compared to the baseline data.2.By the end of June, the hospital cafeteria will replace foods and drinks with excess sodium and sugar with low-sodium and low-sugar foods. 3.By the end of July, the hospital cafeteria will modify its soft drink company contract to exchange the purchase of high-sugar drinks to lower sugar or sugar-free flavored water drinks or pure water.

The committee collected data from the cafeteria manager throughout the first three-month pilot study phase of the cafeteria changes. The baseline data were compared to the pilot study data. The final report was presented to the hospital administrator as the first step in modifying the cafeteria food choices. The results showed that the employees and visitors were spending the same amount of money in the cafeteria, but were purchasing the healthier food choices offered. The committee members agreed that the needs assessment provided valuable baseline data rather than merely making decisions based on a best guess of potential food changes in the cafeteria. Lastly, they expressed high satisfaction from the opportunity to serve on the committee; because it was a representative group of all employees, they got to know people from other departments, and the process was employee-driven rather than a top-down approach.





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