The attributes of leftovers and higher-order personal values

Purpose: The purpose of this paper is to investigate the inter-relationships between peoples’ perceptions of the attributes of leftover food and how they lead to higher-order values in relation to food waste. Design/methodology/approach: The method involved an online, text-based, qualitative survey of 112 panel members from a market research firm. The data were examined using thematic analysis and framed using a means-end approach. Findings: Findings show that leftover foods take on both positive and negative attributes and benefits, as shown in four themes—tasty foods, dangerous foods, images of spoiling and used or second-hand—leading to consequences, identified as creating time, Time to binning and repurposing. Additionally, how individuals in a household speak of themselves based on their higher-order values, termed as states of being, can determine whether such foods are repurposed or consigned to the bin. These states of being are reflected in the three themes: the responsible ones, the virtuous ones and the blameless ones. Originality/value: This study provides more focussed insights on the interplay between the attributes and benefits of leftovers and how household members position themselves towards these foods, particularly in their transition to waste. © 2018, Emerald Publishing Limited

Reframing communications that encourage individuals to reduce food waste

The waste of edible food throughout the food chain is recognised as a global issue and academic research focuses on how to encourage reductions in this waste. At the consumer level, governments are investing in communication campaigns that encourage individuals to reduce the amount of edible food discarded in their home-based activities. The specific aims of this paper were to identify causes of food waste and what experts recommend for reducing the problem, to identify gaps between information provided in food waste communication campaigns and the experts recommendations, and finally to empirically identify further gaps between individuals’ knowledge of food waste with a framework of the expert recommendations. In terms of findings, the literature review identified a range of causes and nine relevant expert recommendations for reducing this waste. An evaluation of a number of major consumer-focused communication campaigns available in Australia and New Zealand provided evidence that these campaigns were addressing some of the recommendations from experts. A subsequent qualitative investigation of household members’ knowledge of the issues of food discard showed that individuals’ understandings can be prioritised in terms of the expert recommendations and the communication messages in the campaigns. Further research is identified based on these findings

Supplemental parenteral nutrition in critically ill patients: A study protocol for a phase II randomised controlled trial

Background: Nutrition is one of the fundamentals of care provided to critically ill adults. The volume of enteral nutrition received, however, is often much less than prescribed due to multiple functional and process issues. To deliver the prescribed volume and correct the energy deficit associated with enteral nutrition alone, parenteral nutrition can be used in combination (termed "supplemental parenteral nutrition"), but benefits of this method have not been firmly established. A multi-centre, randomised, clinical trial is currently underway to determine if prescribed energy requirements can be provided to critically ill patients by using a supplemental parenteral nutrition strategy in the critically ill. Methods/design: This prospective, multi-centre, randomised, stratified, parallel-group, controlled, phase II trial aims to determine whether a supplemental parenteral nutrition strategy will reliably and safely increase energy intake when compared to usual care. The study will be conducted for 100 critically ill adults with at least one organ system failure and evidence of insufficient enteral intake from six intensive care units in Australia and New Zealand. Enrolled patients will be allocated to either a supplemental parenteral nutrition strategy for 7 days post randomisation or to usual care with enteral nutrition. The primary outcome will be the average energy amount delivered from nutrition therapy over the first 7 days of the study period. Secondary outcomes include protein delivery for 7 days post randomisation; total energy and protein delivery, antibiotic use and organ failure rates (up to 28 days); duration of ventilation, length of intensive care unit and hospital stay. At both intensive care unit and hospital discharge strength and health-related quality of life assessments will be undertaken. Study participants will be followed up for health-related quality of life, resource utilisation and survival at 90 and 180 days post randomisation (unless death occurs first). Discussion: This trial aims to determine if provision of a supplemental parenteral nutrition strategy to critically ill adults will increase energy intake compared to usual care in Australia and New Zealand. Trial outcomes will guide development of a subsequent larger randomised controlled trial. Trial registration:NCT01847534(First registered 5 February 2013, last updated 14 October 2015