Staff Resistance Research Articles

Effect of Automation on Organisational Structure, Job Performance and Communication in University Libraries in South West Nigeria

The paper examined the effect of automation on organisational structure, job performance and communication in university libraries in South West, Nigeria. The survey research design was adopted. A questionnaire and observation checklist was the instrument used to collect the data. The sample for the study consisted of 607 library personnel in six (6) university libraries in South West, Nigeria, stratified and judgemental sampling was used to sample 442 library staff for the study. Descriptive statistics were used to analyse data collected on the research questions developed while for inferential statistics, Kendall-tau was used to test hypotheses. Findings from the study revealed that none of the university libraries studied has been to implement full automation of their operations, only acquisitions have been automated across the board in the four (4) university libraries. Also, the findings revealed that automation has enabled a more flexible working environment, affected the pattern of staffing by specialisation, and bridged the gap between communication flow through the use of a variety of information and technology communication (ICT) tools. Furthermore, the study identified that the various constraints to automation in university libraries are irregular power supply, inadequate funding, lack of infrastructural facilities, and staff resistance to training. The study recommended that university and library management of the university libraries studied should make provision for full automation of library operations and services. This will go a long way in adopting new structures in line with technological advancements for greater flexibility, facilitating staff creativity at work, help improve collaboration and resource sharing through the use of automation tools for communication.

Breastfeeding sick children in hospital: Exploring the experiences of mothers in UK paediatric wards.

There is a paucity of literature exploring the challenges of breastfeeding sick children in hospital. Previous research has focused on single conditions and hospitals which limits understanding of the challenges in this population. Although evidence suggests that current lactation training in paediatrics is often inadequate, it is unclear where the specific training gaps are. This qualitative interview study of UK mothers aimed to explore the challenges of breastfeeding sick infants and children on a paediatric ward or paediatric intensive care unit. From 504 eligible respondents, a sample of 30 mothers of children aged 2-36 months with various conditions and demographic backgrounds was purposively chosen, and a reflexive thematic analysis undertaken. The study identified previously unreported impacts such as complex fluid needs, iatrogenic withdrawal, neurological irritability and changes to breastfeeding behaviour. Mothers described breastfeeding as emotionally and immunologically meaningful. There were many complex psychological challenges such as guilt, disempowerment, and trauma. Wider struggles such as staff resistance to bedsharing, inaccurate breastfeeding information, lack of food and inadequate breast pump provision made breastfeeding more challenging. There are numerous challenges related to breastfeeding and responsively parenting sick children in paediatrics, and these also impacted maternal mental health. Staff skill and knowledge gaps were widespread, and the clinical environment was not always conducive to supporting breastfeeding. This study highlights strengths in clinical care and provides insight into what measures are perceived as supportive by mothers. It also highlights areas for improvement, which may inform more nuanced paediatric breastfeeding standards and training.

Reducing air travel emissions in academia: an exploration of universities’ manoeuvring room

PurposeThis paper aims to explore the manoeuvring room of higher education institutions to take action to reduce emissions from academic flying. In particular, this study investigates how university staff and central actors in university management evaluate potential measures in this area.Design/methodology/approachThe authors applied a single case study design encompassing an online survey directed at staff (N = 338) and 11 semi-structured interviews with key actors from management at an Austrian university. The authors used descriptive statistics and qualitative content analysis to examine the data.FindingsThis study found considerable support among university staff in principle for implementing measures to reduce academic flying, but also serious concerns about the fairness and viability of some restrictive measures, especially disincentives and caps on flying. However, bans on short-haul flights were largely supported. Actors from university management saw their manoeuvring room limited by the potential resistance and non-compliance of staff, as well as by framework conditions external to the university.Practical implicationsDedicated leadership is needed to facilitate broad commitment within the university and to avoid shifting the responsibility between different governance levels. Restrictive measures to reduce academic air travel will be more readily accepted if perceived as fair and viable.Originality/valueAlthough several papers have addressed the behavioural and institutional factors that sustain extensive flying in academia, to the best of the authors’ knowledge, this is one of the first contributions to investigate the potentials and challenges of introducing measures to reduce air travel in higher education institutions.

Staff perspectives on smoking cessation treatment in German psychiatric hospitals

AimAlthough people with mental illness show a greater severity of nicotine dependence and have a significantly reduced life expectancy because of it, psychiatric staff rarely offer their patients smoking cessation support and are reluctant to encourage patients to quit. In order to improve smoking cessation treatment for psychiatric patients, such staff resistance must be better understood.Subjects and methodsA total of 448 members of staff in eight psychiatric units in Berlin were surveyed in relation to their attitudes towards smoking cessation.ResultsAlthough most participants recognize the importance of smoking cessation in psychiatric patients, they state that they do not adhere to international guidelines which recommend regularly asking patients about their smoking habits and offering cessation support. Staff have little knowledge about how to facilitate smoking cessation treatment and about the influences of smoking on the metabolism of drugs. They also harbor misconceptions about how smoking affects their patients’ mental well-being. Many express concern that a quit attempt might thwart psychiatric treatment and lead to aggressive behavior—assumptions unsupported by scientific evidence. The overwhelming majority does not believe it to be realistic that patients can manage to give up smoking during treatment.ConclusionsStaff training should be directed to heighten awareness of the international guidelines and treatment options for smoking cessation and impart knowledge on how smoking impacts both the physical and mental health of psychiatric patients.

Investigating the Performance of the Order-Picking Process by Using Smart Glasses: A Laboratory Experimental Approach

Background: Order picking process is critical for accurate and efficient order fulfilment. Pick-by-vision is a promising technology that may support order picking process, however there is still a limited amount of research concerning the impact of this technology on the performance of order-picking. The purpose of this paper is to investigate certain operational and technical parameters that affect the performance of pick-by-vision technology in item-level order picking via a series of laboratory tests. Methods: A systematic literature review is conducted for the identification of parameters that affect pick-by-vision performance. Subsequently, the analytical hierarchy process is adopted to rank these parameters, concerning their impact on order picking. Then, the design of experiment and NASA task load index methodology are implemented for assessing pick-by-vision efficiency and perceived workload. Results: The results reveal the parameters that significantly affect the performance of the pick-by-vision system, as well as the best configuration of parameters for the implementation of the proposed system in real environments. Conclusions: The results obtained are encouraging, showing how pick-by-vision technology can support order picking efficiency. Furthermore, practical implications are presented that deal with the organizational culture, process re-engineering, staff resistance to change, and motivation for maintaining the new way of executing order-picking processes.

Factors influencing implementation of food and food-related waste audits in hospital foodservices.

Designing a food waste audit tool for novel hospital foodservice practice does not guarantee uptake. Intended users must be consulted to understand the tool's feasibility and face validity. This study aimed to identify the perspectives of staff involved in the operation of hospital foodservices on (1) how an evidenced based consensus pathway food waste audit tool is perceived to translate into practice, and (2) to determine the factors that influence the completion of food and food-related waste audits within this setting. Purposeful sampling was used to recruit staff with knowledge on the operation/governance of foodservices within hospitals in Victoria, Australia. Semi-structured interviews (n = 20) were conducted via Zoom to explore barriers and enablers to completing food and food-related waste audits and a previously published food waste audit tool. NVivo was used for inductive thematic analysis. Three factors determined the completion of food and food-related waste audits in hospital foodservices, and each factor could be a barrier or an enabler; (1) capacity: the availability of time, labour and materials to complete an audit (2) change: staff resistance to audit procedures and how to gain their buy-in (3) processes, governance, and leadership: the opportunity for high level support, policy and structure to encourage waste audits if present. The consensus tool appeared to have face validity. Planning audit operations, conducting stakeholder meetings, providing education/training to foodservice team members, and facilitating communication between managers and staff were described to support consensus tool use and audit completion. The consensus tool can be used to support hospital foodservices to complete food and food-related waste audits, although it may need to be customised to be fit for purpose. Optimising the capacity, change management and processes, governance and leadership of the foodservice department may improve the experience and success of a food and food-related waste audit.

Sustainability in interventional radiology: are we doing enough to save the environment?

BackgroundHealthcare waste contributes substantially to the world’s carbon footprint. Our aims are to review the current knowledge of Interventional Radiology (IR) waste generation and ways of reducing waste in practice, to quantify the environmental and financial impact of waste generated and address green initiatives to improve IR waste management.MethodsA systematic literature search was conducted in July 2022 using the Medline and Embase literature databases. The scope of the search included the field of IR as well as operating theatre literature, where relevant to IR practice.ResultsOne-hundred articles were reviewed and 68 studies met the inclusion criteria. Greening initiatives include reducing, reusing and recycling waste, as well as strict waste segregation. Interventional radiologists can engage with suppliers to reformulate procedure packs to minimize unnecessary items and packaging. Opened but unused equipment can be prevented if there is better communication within the team and increased staff awareness of wasted equipment cost. Incentives to use soon-to-expire equipment can be offered. Power consumption can be reduced by powering down operating room lights and workstations when not in use, changing to Light Emitting Diode (LED) and motion sensor lightings. Surgical hand wash can be replaced with alcohol-based hand rubs to reduce water usage. Common barriers to improving waste management include the lack of leadership, misconceptions regarding infectious risk, lack of data, concerns about increased workload, negative staff attitudes and resistance to change. Education remains a top priority to engage all staff in sustainable healthcare practices.ConclusionInterventional radiologists have a crucial role to play in improving healthcare sustainability. By implementing small, iterative changes to our practice, financial savings, greater efficiency and improved environmental sustainability can be achieved.

Implementation of internal quality assurance in Zimbabwean universities

The study aimed to establish internal quality assurance practices in the academic staff at Chinhoyi University of Technology. The mixed method strategy and the convergent parallel design were adopted for the study. A questionnaire with both closed and open-ended questions and an interview guide were enlisted for the study. Simple random sampling was employed to select 40 academics to complete the questionnaires. Of these, 10 respondents were purposively selected for interviews. Quantitative data were analysed using the Statistical Package for the Social Sciences and qualitative data were coded and put into respective thematic areas. The main findings were that the quality assurance practices were characterised by limited student engagement, staff resistance, limited financial support and weak quality culture. The main deficiencies were management decisions not informed by quality data metrics and limited commitment to quality issues by staff. Keywords: Culture, quality assurance, quality culture, internal quality, external quality;

New Approaches to the Management of Organezations in Accordance with the “Vuca - World” Philosophy

The article examines the influence of the “VUCA world” philosophy on the management of a modern organization. The growth of instability and uncertainty in all spheres of life requires specialists of organizations to possess a wide range of knowledge and adequate response to situations when it is impossible to predict the negative development of certain events. The management of organizations needs to abandon mental illusions and established structures in management, maintain their physical and psychological state, work constantly checking with the organisation’s strategy, and support the team in the correctness of the chosen goals. In the “VUCA world” philosophy, digital technologies have predetermined the emergence of new “flat structures” for solving innovative tasks, assessing and managing counteraction to risks and threats. Contradictions associated with the release of a new product to the market have intensified because, in addition to previously known problems (investment, time and staff resistance), an organization may lose market share of products already produced.

Staff adjustment potential in corporate cultures of different types

Introduction. The corporate culture, as the basis of organizational behavior, is seen a modern management tool, which can improve management. Aim: to establish the relationship between the type of corporate culture and staff adjustment to organizational innovations. Methods. L. Konstantinov Corporate Culture Type, A. Rean Achievement and Avoidance Motivation; Personal Readiness for Change (Rodnik, Heather, Gold, Hal, adapted by N. Bazhanova and G. Bardier) as well as correlation analysis (Statistica 10). Results. The authors have analyzed the opposite types and leading characteristics of corporate culture («open» and «closed» types), found the distinctive tendencies of staff motivation and readiness for change and the relationship between the corporate culture type and staff adjustment capabilities. Conclusions. The staff of organizations with the open type of corporate culture, compared to the staff of the closed-corporate-culture organizations had greater adjustment capacity to innovations. Effective implementation of organizational changes should be based on the characteristics of corporate culture, managers' creativity, careful planning, and assessment of potential risks and staff resistance to change.

Novel Approach to the Actions for Causes Elimination of Staff Resistance to Innovative Change.

PurposeCommonly, employees’ resistance to innovation is one of the main barriers to innovative change and one of the negative stimuli of employment relationships in the health-care institutions. Identifying the reasons of resistance is a topical issue for every organization, as the speed of change always affect their competitiveness. Aim of the study is to develop a methodology, which would facilitate the choice of an appropriate strategy necessary to enable the health-care organizations to eliminate or at least to reduce resistance to often essential innovative changes.MethodsThe model was formed on the basis of the empirical research as a result of voluntary survey. The new approach manifests itself in original solutions by applying the method of quantitative modeling. This method is designed to calculate the strength of the resistance impact to innovation. A total of 217 employees were interviewed in two of the most innovative public Lithuanian primary health-care clinics (Vilnius and Kaunas university clinics).ResultsUsing a mathematical approach, the causes of change resistance were ranked and the suggested respective strategies were represented graphically and expressed in the form of a model. Its use will enhance the innovation capacity of the organization by avoiding or mitigating staff resistance.ConclusionBased on aggregate information from numerous sources, the article pinpoints the causes and briefly reviews possible ways to eliminate resistance to innovation. Suggested methodology is based on quantitative modeling method. Such use of modeling methodology can help the administrators of health-care institutions to eliminate causes of staff resistance for change, and such circumstances will accelerate innovation development. The article reviews the strategies for resistance elimination and assigns them to each specific cause.

Social Robot Interventions in Mental Health Care and Their Outcomes, Barriers, and Facilitators: Scoping Review.

BackgroundThe use of social robots as innovative therapeutic tools has been increasingly explored in recent years in an effort to address the growing need for alternative intervention modalities in mental health care.ObjectiveThe aim of this scoping review was to identify and describe social robot interventions in mental health facilities and to highlight their outcomes as well as the barriers and facilitators to their implementation.MethodsA scoping review of the literature published since 2015 was conducted using the Arksey and O’Malley’s framework. The MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and PsycINFO databases were searched, and 2239 papers were retrieved. The papers included were primary empirical studies published in peer-reviewed literature. Eligible studies were set in mental health facilities and they included participants with a known mental health disorder. The methodological quality of the included papers was also assessed using the Mixed Methods Appraisal Tool.ResultsA total of 30 papers met the eligibility criteria for this review. Studies involved participants with dementia, cognitive impairment, schizophrenia, depression, autism spectrum disorder, attention-deficit hyperactivity disorder, and an intellectual disability. The outcomes studied included engagement, social interaction, emotional state, agitation, behavior, and quality of life.ConclusionsThe methodological weaknesses of the studies conducted this far and the lack of diversity in the conditions studied limit the generalizability of the results. However, despite the presence of certain barriers to their implementation (eg, technical problems, unsuitable environment, staff resistance), social robot interventions generally show positive effects on patients with mental health disorders. Studies of stronger methodological quality are needed to further understand the benefits and the place of social robots in mental health care.

Causes of Organizational Conflicts

The article covers the essence of organizational conflicts and their causes in the management of organizations. The causes of conflicts in organizations are discussed in detail in the paper, also the human reaction to organizational changes is shown. The expediency of using a democratic management style to reduce staff resistance to organizational change is emphasized. Additionally, the phases of conflict development are studied. Keywords: causes of organizational conflicts, conflict management, phases of conflict development.

Factors Influencing the Implementation of Integrated Financial Management Information Systems: Study Focus on Bangladesh

Background of the study: Integrated Financial Management Information Systems (IFMIS) can help improve public sector management by giving managers real-time financial data to make better decisions. The Bangladeshi Public Service is currently busy with the implementation of an IFMIS. However, implementing IFMIS such a project has proved to be a demanding undertaking and has not been met with resounding success. 
 Objectives of the research: The research is primarily focused to identify the factors influencing the implementation of IFMIS in Bangladesh. Along aside, this paper assesses the influence of technical capacity of staff on implementation of IFMIS in Bangladesh’s public institutions and staff resistance on the deployment of IFMIS. 
 Methodology of the research: The paper draws from two theories in investigating the issues of IFMIS adoption for public financial management. The theories include System Theory and Rodger’s Theory. A simple Random sampling technique is used to collect the information from targeted respondents with a structured questionnaire. Around 80 respondents were selectively targeted. 
 Findings of the research: One of the Major findings of the study is that the governments have a strategic plan that recognizes political, administrative, and capacity limits that were found to be supported by respondents. The study indicates that the government has revised the wage structure to compete with the private sector and to prevent skilled employee turnover. Research 
 shows that employees have the necessary skills and credentials to implement IFMIS. Furthermore, the study looked at how IFMIS deployment is affected by capacity and abilities. Contributions of the research: The results revealed a significant connection between capacity and skills and IFMIS deployment. However, it is found that the infrastructure is central concern for successful IFMIS implementation. Moreover, the government's interaction with the external consultants is seen to be indecisive. Finally, the study recommends that government should uphold the strategic plan that identifies all the constraints and should have detail plan for maintaining its education system's alignment with information technology.

Outsourcing Methods for Optimizing the Staff Management of the Economical Organizations

The main aim of the study is to investigate the components of the concept of outsourcing, the genesis of its development, analyzes the transformation of outsourcing of information technology systems, defined the place of outsourcing in the practice of Russian and international business. It has given an assessment for the problems of implementation, outsourcing under conditions of uncertainty, types and tools of outsourcing are analyzed, aspects of optimizing the control of production costs at the core of the business, core competencies, non-core assets and types of economical business organizations are analyzed, the problem of overcoming staff resistance to changes during the implementation of the outsourcing program is analyzed, and prospects for implementation of HR-outsourcing are identified.

Assessment of Barriers and Enablers to Implementation of a Pediatric Early Warning System in Resource-Limited Settings

Pediatric early warning systems (PEWS) aid with early identification of clinical deterioration and improve outcomes in children with cancer hospitalized in resource-limited settings; however, there may be barriers to implementation. To evaluate stakeholder-reported barriers and enablers to PEWS implementation in resource-limited hospitals. In this qualitative study, semistructured stakeholder interviews were conducted at 5 resource-limited pediatric oncology centers in 4 countries in Latin America. Hospitals participating in a multicenter collaborative to implement PEWS were purposefully sampled based on time required for implementation (fast vs slow), and stakeholders interviewed included physicians, nurses, and administrators, involved in PEWS implementation. An interview guide was developed using the Consolidated Framework for Implementation Research (CFIR). Interviews were conducted virtually in Spanish, audiorecorded, and professionally transcribed and translated into English. A codebook was developed a priori using the CFIR and supplemented with codes inductively derived from transcript review. Two coders independently analyzed all transcripts, achieving a κ of 0.8 to 0.9. The study was conducted from June 1 to August 31, 2020. Thematic analysis was conducted based on CFIR domains (inner setting, characteristics of individuals, outer setting, intervention characteristics, and implementation process) to identify barriers and enablers to PEWS implementation. Seventy-one staff involved in PEWS implementation were interviewed, including 32 physicians (45%), 32 nurses (45%), and 7 administrators (10%). Of these, 50 were women (70%). Components of the 5 CFIR domains were mentioned by participants as barriers and enablers to PEWS implementation at both fast- and slow-implementing centers. Participants emphasized barriers at the level of the clinical staff, hospital, external factors, and PEWS intervention. These barriers included staff resistance to change, inadequate resources, components of health systems, and the perceived origin and complexity of PEWS. At all centers, most barriers were successfully converted to enablers during the implementation process through targeted strategies, such as early stakeholder engagement and adaptation, including adapting PEWS to better fit the local context and changing the hospital setting to support ongoing use of PEWS. To date, this is the first multicenter, multinational study describing barriers and enablers to PEWS implementation in resource-limited settings. Findings suggest that many barriers are not immutable and can be converted to enablers during the implementation process. This work can serve as a guide for clinicians looking to implement evidence-based interventions to reduce global disparities in patient outcomes.

Rehabilitation Workforce Challenges to Implement Person-Centered Care.

There is an increasing emphasis on developing person-centered care in rehabilitation settings. However, this care practice has not been fully implemented due to several factors. This study explores rehabilitation workforce perspectives on the barriers and facilitators to implementing person-centered care (PCC). This was a quantitative descriptive study, which was developed based on interviews with 12 healthcare professionals from a private institution in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in October 2020. Braun, Clarke, Hayfield, and Terry’s content analysis was applied to the transcripts, and these were transcribed verbatim. The consolidated criteria for reporting qualitative research (COREQ) checklist were applied to this study. Participants described barriers such as an unsupportive organization and leadership, staff constraints, heavy workload, and resistance to change. Unique to this study, a patient’s clinical characteristics were identified as barriers to person-centered care. As facilitators, they described leadership, staff satisfaction, a positive physical environment, training and education, and shared decision-making. It is essential to understand the perceptions of the rehabilitation workforce, as they play an integral role in providing PCC. This study serves as a guide to facilitate person-centered care, as it provides an understanding of key barriers and facilitators for its implementation in rehabilitation settings.

Single-dose versus multiple-dose antibiotics prophylaxis for preventing caesarean section postpartum infections: A randomized controlled trial.

Background:Caesarean section, a common obstetric surgical procedure, is a major predisposing factor for puerperal infections, requiring the need for antibiotic prophylaxis. Evidence suggests that single-dose antibiotic prophylaxis has comparable efficacy to multiple-dose antibiotic prophylaxis, but with a lower cost and risk of antibiotic resistance. However, single-dose antibiotic prophylaxis after caesarean section is not generally used in many centres in sub-Saharan Africa.Objective:This study aimed to compare the effectiveness of single- versus multiple-dose antibiotic prophylaxis to prevent post-caesarean section infections.Methodology:This open-label, randomized controlled trial involved 162 consenting patients admitted for caesarean section (elective or emergency) at the Federal Medical Centre Keffi. They were distributed randomly into treatment arm A or B. Subjects in both arms received intravenous ceftriaxone (1 g) and metronidazole (500 mg) 30–60 min before incision; subjects in arm B received additional parenteral doses for 48 h and then cefuroxime 500 mg tablets every 12 h and metronidazole 400 mg tablets every 8 h for 5 days. The patients were monitored for 2 weeks for evidence of wound infection, febrile morbidity and clinical endometritis.Result:There was no statistical difference in the incidence of wound infection (6.6% versus 7.4%; p = .882) and febrile morbidity (11.8% versus 11.1%, p = .807). However, clinical endometritis (0.0% versus 6.1%, p = .028) was statistically significant with none reported in the single-dose arm.Conclusion:Single-dose ceftriaxone and metronidazole is as effective as multiple doses for antibiotic prophylaxis to prevent post-caesarean section infections. Adoption of this approach in low-risk patients would reduce the cost of prophylactic antibiotics, workload for staff and antibiotic resistance.

TURİZM SEKTÖRÜNDE İŞ GÖRENLERİN BESLENME DURUMLARI VE FİZİKSEL AKTİVİTELERİNİN KARŞILAŞTIRILMASI

Bu çalışma, Turizm sektöründe 5 yıldızlı otellerde, görev yapan personelin, beslenme durumları, alışkanlıkları ve personele ait antropometrik ölçümlerini belirlemek amacıyla yapılmıştır. Araştırma evrenini; KKTC’de 5 yıldızlı bir otelde çalışan personel oluşturmaktadır. Çalışma belirlenen otelde 134 otel personeli üzerinde yürütülmüştür. Personelin Kronik rahatsızlığı olma ile özel diyet yapma durumu arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p=0,001). Kronik rahatsızlığı olan personelin % 60’ı özel bir diyet yaptıkları görülmektedir. Yapılan korelasyon analizinde yaş ile BKİ değeri arasında pozitif yönde orta düzeyde r=0,314 (% 31) bir ilişki olduğunu göstermektedir. Bu durumda; Yaş ile Beden Kütle İndeksi (BKİ) değerleri arasında pozitif yönde bir ilişki vardır. Personelin günlük aldığı enerji ve harcadığı enerji arasındaki farkın anlamlılığı için yapılan analiz sonucunda alınan enerji ile harcanan enerji arasında anlamlı bir fark olduğu bulunmuştur. Alınan enerji 1.640,9 ortalamaya sahipken, harcanan enerji ortalaması ise 1.897 olarak gerçekleşmiştir. Buna göre; Alınan enerji ile harcanan enerji arasında anlamlı bir ilişki vardır. Yetersiz ve dengesiz beslenme ile sonuçlanan besin tüketimi personelin hastalıklara karşı direncini olumsuz yönde etkilemektedir.

The Drivers of Environmentally Sustainable Hospital Foodservices.

Background: Hospital foodservices have the potential to positively contribute to the local food system and planetary healthcare. Understanding the factors contributing to the success of “exemplar hospitals” with environmentally sustainable foodservices gives an opportunity to reimagine foodservices and guide strategic planning. The aim of this study was to identify the drivers of sustainable hospital foodservices.Methods: For this qualitative multiple case study, purposive sampling was used to identify exemplar hospitals internationally. Semi-structured interviews were conducted with staff with extensive knowledge of their foodservices to explore the drivers of sustainable practices. Relevant documents provided background on the case. These documents and interview data were analyzed using the framework and thematic analysis.Findings: There were 21 participants from 14 hospitals recruited across nine countries. Sustainable foodservice practices included local and organic food procurement, gardens onsite, vegetarian menus, re-serving unopened portion-controlled items, traditional foods, and food waste composting. Four themes were identified: initiating drivers, supporting enablers, challenges, and influence. Initiating drivers that “sparked” sustainable practices included the values of individuals or the hospital (e.g., community, environmental, or religious values), logical solutions to a problem, or government requirements. Enablers that facilitated success included motivated individuals, dedicated personnel, supportive leadership, internal protocols, and perceived benefits. External enablers included being part of member organizations, government requirements, and learning from other hospitals. Exemplar hospitals had broader influence, including educating the hospital community, supporting other hospitals, and influencing government policies/targets. Common challenges were staff resistance and inadequate policy directive.Interpretation: These findings examine the successful international cases of sustainable hospital foodservices to provide a global overview to assist with strategic planning both within hospitals and within governing bodies.