{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T16:35:08Z","timestamp":1781195708351,"version":"3.54.1"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Although the prevalence of swallowing difficulties in adults with mental health conditions has been highlighted in research, the relationship between swallowing difficulties and psychosocial aspects of mealtime experiences is not known. In the context of a need for person\u2010centred and holistic approaches to nursing and healthcare, the paucity of research relating to the impact of mealtimes on hospital wards on patient wellbeing and safety reveals a significant gap in knowledge. To understand patient views and experiences of mealtimes on inpatient mental health wards, including both positive and negative aspects affecting their wellbeing and safety, this ethically\u2010approved study was qualitative in design and involved collaboration with service\u2010user groups who co\u2010designed interview questions. Participants were 13 inpatients on mental health wards for working\u2010age adults. Interviews were conducted in person, de\u2010identified and analysed using thematic analysis. Themes were first constructed from transcripts and then verified with service\u2010user groups and the research team. The overarching theme of \u2018heightened emotions associated with mealtimes\u2019 encapsulated four themes: \u2018experiencing anxiety and stress, connecting with others at mealtimes, loss of autonomy and choice, and experiences of swallowing difficulty\u2019. Heightened emotions, anxiety and stress experienced during mental health ward mealtimes were counter to patients' wellbeing, which impacted on their wider recovery. Mealtime and swallowing safety, particularly when dysphagia is present, may be negatively affected by emotional pressures during mealtimes. These findings suggest a need to address barriers to wellbeing at mealtimes, and to raise awareness around integrating mealtimes into recovery pathways and person\u2010centred care.<\/jats:p>","DOI":"10.1111\/inm.70212","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T10:59:18Z","timestamp":1767610758000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient Perspectives on Inpatient Mealtimes: Insights on Swallowing, Mental Wellbeing and Recovery"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4154-2191","authenticated-orcid":false,"given":"Susan","family":"Guthrie","sequence":"first","affiliation":[{"name":"Leeds and York Partnership NHS Trust  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9985-9875","authenticated-orcid":false,"given":"John","family":"Baker","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3409-5864","authenticated-orcid":false,"given":"Jane","family":"Cahill","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6255-3140","authenticated-orcid":false,"given":"Bronwyn","family":"Hemsley","sequence":"additional","affiliation":[{"name":"Graduate School of Health, Faculty of Health University of Technology Sydney (UTS)  Ultimo Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-011-9378-5"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph22050796"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02503456"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15643"},{"key":"e_1_2_14_6_1","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V.","year":"2021"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2022.2161594"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNR.0000000000000060"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17512433.2019.1577134"},{"key":"e_1_2_14_10_1","doi-asserted-by":"crossref","unstructured":"Department of Health and Social Care.2025.\u201c10 Year Health Plan for England: Fit for the Future.\u201dhttps:\/\/www.gov.uk\/government\/publications\/10\u2010year\u2010health\u2010plan\u2010for\u2010england\u2010fit\u2010for\u2010the\u2010future.","DOI":"10.12968\/jokc.2025.10.5.212"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2007.02063.x"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.3148\/66.1.2005.5"},{"key":"e_1_2_14_13_1","unstructured":"Gilburt H. andS.Mallorie.2024.\u201cMental Health 360: Funding and Costs.\u201d The King's Fund.https:\/\/www.kingsfund.org.uk\/insight\u2010and\u2010analysis\/long\u2010reads\/mental\u2010health\u2010360\u2010funding\u2010costs."},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2021.2022633"},{"key":"e_1_2_14_15_1","unstructured":"Guthrie S.2025.\u201cMealtime Stories.\u201d YouTube.https:\/\/www.youtube.com\/watch?v=DIg2SLHk7vY."},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12116"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12218"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2022.07.011"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1044\/2018_AJSLP-18-0150"},{"key":"e_1_2_14_20_1","unstructured":"Kang C. 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