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The importance of individualised care, good communication and trust for reducing nasogastric tube feeding under physical restraint: qualitative multi-informant study

Fuller, Sarah
Abstract
Background Nasogastric tube (NGT) feeding against a patient's consent is an intervention that clinicians working in specialist mental health in-patient units may need to implement from time to time. Little research has explored clinician, patient and carer perspectives on good practice. Aims To use qualitative data from people with lived experience (PWLE), parents/carers and clinicians, to identify components of best practice when this intervention is required. Method PWLE and parents/carers were recruited via BEAT UK's eating disorder charity. Clinicians were recruited via a post on The British Eating Disorders Society's research page. Semi-structured interviews were administered, transcribed and thematically analysed. Results Thirty-six interviews took place and overlapping themes were identified. Participants spoke in relation to three themes: first, the significance of individualised care; second, the importance of communication; third, the impact of staff relationships. Sub-themes were identified and explored. Conclusions Good care evolved around positive staff relationships and individualised care planning rather than standard processes. The centrality of trust as an important mediator of outcome was identified, and this should be acknowledged in any service that delivers this intervention.
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Date
2024
Type
Article
Subject
Feeding and Eating Disorders
 Feeding and Eating Disorders of Childhood
 Intubation, Gastrointestinal
 Restraint, physical
Collections
NHFT CAMHS
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Fuller 2024 e86.pdf
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Citation
Fuller S. J., Tan J., & Nicholls D. (2024) The importance of individualised care, good communication and trust for reducing nasogastric tube feeding under physical restraint: qualitative multi-informant study. BJPsych Open 10(3) e86. https://doi.org/10.1192/bjo.2024.28
Journal / Source Title
DOI
10.1192/bjo.2024.28
URI
https://mider.dspace7.openrepository.com/handle/20.500.12904/18855
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https://www.cambridge.org/core/journals/bjpsych-open/article/importance-of-individualised-care-good-communication-and-trust-for-reducing-nasogastric-tube-feeding-under-physical-restraint-qualitative-multiinformant-study/FC5E72AAB088C94049B921ECFCC090D1
Publisher’s statement
© The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/ licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
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