Evidence map›Paper›PMID 41564217›Full record

ArticleNutrition and health2026

Investigating the integration of sustainable food initiatives in healthcare institutions in Ontario, Canada: A grey literature scoping review protocol.

Lisa L Blank, Alyssa D Milano, Lesley Andrade, Sharon I Kirkpatrick

Abstract read
In one paragraph

Article in Nutrition and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lisa L BlankSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.ORCID 0009-0003-8555-9419
Alyssa D MilanoSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.ORCID 0000-0002-7667-0065
Lesley AndradeSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.ORCID 0000-0001-6629-8055
Sharon I KirkpatrickSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.ORCID 0000-0001-9896-5975

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and AimsThe climate emergency and other sustainability challenges interact to threaten human and planetary health. Efforts to improve the sustainability of food initiatives within healthcare institutions could mitigate these threats by addressing the four pillars of sustainability: health, social, economic, and environmental. Understanding current initiatives to incorporate sustainability into food programs and the sustainability pillars that guide those initiatives is important to inform priorities for action. This scoping review will investigate the extent to which major healthcare institutions in Ontario, Canada, have publicly committed to, discussed, planned, and/or implemented sustainable food initiatives.MethodsThe protocol follows guidance from the Joanna Briggs Institute and Arksey & O'Malley. The current strategic plans of 57 healthcare institutions in Ontario, Canada, will be retrieved from their websites and used to examine any commitments to or discussion, planning, and/or implementation of sustainability initiatives. The healthcare institution websites, along with those of selected sustainability organizations, will be searched for grey literature from 2015 to 2024 describing sustainable food initiatives within these institutions. Documents will be screened for eligibility by two researchers. Data concerning the incorporation of sustainable food into institutional food programs, and the sustainability pillars addressed, will be extracted by one researcher, with 10% of entries verified by a second researcher. Data will be shared with stakeholders in sustainability to augment findings. The data will be synthesized narratively.SummaryThis grey literature scoping review will summarize publicly available progress toward integrating sustainable food into healthcare institutions in Ontario, Canada, informing efforts to address climate and other sustainability challenges.

Indexed as

Conservation of Natural ResourcesFood SupplyHealth FacilitiesSustainable DevelopmentHumansOntarioScoping Reviews as Topicclimate-resilient healthcaremalnutritionplanetary healthprotocolSustainable foodsystems thinking

Identifiers

PMID41564217
PMCPMC13096609

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.