Aimee K Gardner, Paula Costa
Predicting Surgical Resident Performance With Situational Judgment Tests
Academic medicine : journal of the Association of American Medical Colleges
navajo din american indian children affected overweight obesity us counterparts descriptive study authors combined socioecological navajo cultural framework analyze various factors influence food choices available children schools healthy hungerfree kids act 2010 updated nutrition standards school meals foods beverages sold schools studies shown improved nutrition standards favorably received students school food programs better understand broader trends navajo context researcher administered inperson surveys 6 principals 14 food service workers sample 6 schools performed onsite observations two schools data analyzed using combination descriptive statistics matrix analysis thematic analysis techniques results showed schools offering healthy food options school lunches schools still serving unhealthy foods pizza tater tots french fries classroom fundraising events provided sources lownutrient foods beverages participants mixed responses updated nutrition standards food waste healthy foods major concern study proposes opportunities nurses engage research advance stronger policies increase healthy food options limit access less healthy foods