{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T08:16:07Z","timestamp":1784448967878,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T00:00:00Z","timestamp":1655164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale, Aims and Objectives<\/jats:title><jats:p>Nasogastric feeding is becoming commonly used to support patients with medically compromised eating disorders. Previous research has demonstrated the safety of this approach, however there is limited evidence as to how adult patients and staff perceive this feeding method. This study aimed to describe the acceptability of a nasogastric refeeding protocol with adult patients with medically unstable eating disorders and the staff involved in their treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a qualitative exploratory study using semi\u2010structured interviews conducted in acute medical wards of a tertiary hospital where nasogastric nutrition is the sole source of nutrition for the first 7\u00a0days of the eating disorder admission. Data were\u00a0analysed using the Framework method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight patients (100% female, median: 22 years old, <jats:italic>n<\/jats:italic>\u2009=\u20096 diagnosed with anorexia nervosa) and 12 staff members (medical <jats:italic>n<\/jats:italic>\u2009=\u20095, nursing <jats:italic>n<\/jats:italic>\u2009=\u20095, dietitians <jats:italic>n<\/jats:italic>\u2009=\u20092; median: 8.5 years clinical experience) were interviewed. Patients reported that nasogastric feeding was tolerable, however concerns were raised regarding communication and the desire for concurrent oral feeding. Acceptability from staff was influenced by perceived competence, confidence, tensions around patient\u2010centred care,\u00a0and working with stigma and ambivalence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Consideration needs to be given as to whether a \u2018nil by mouth\u2019 status during nasogastric feeding further impacts recommencing an oral diet to progress treatment. Improvements are required within the current service, including improved communication, additional educational resources for patients,\u00a0and allowing patients to partake in decision\u2010making as able.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.13718","type":"journal-article","created":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T17:39:26Z","timestamp":1655228366000},"page":"49-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Acceptability of using a nasogastric refeeding protocol with adult patients with medically unstable eating disorders"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7158-3301","authenticated-orcid":false,"given":"Kylie","family":"Matthews\u2010Rensch","sequence":"first","affiliation":[{"name":"Nutrition and Dietetics Royal Brisbane Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne","family":"Young","sequence":"additional","affiliation":[{"name":"Nutrition and Dietetics Royal Brisbane Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Cutmore","sequence":"additional","affiliation":[{"name":"Nutrition and Dietetics Royal Brisbane Women's Hospital  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Davis","sequence":"additional","affiliation":[{"name":"Queensland Eating Disorder Service  Metro North Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane","family":"Jeffrey","sequence":"additional","affiliation":[{"name":"Metro North Mental Health Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Patterson","sequence":"additional","affiliation":[{"name":"Metro North Mental Health Metro North Hospital and Health Service  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0141076815617651"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-009-0092-7"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0070"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.01.023"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414555814"},{"key":"e_1_2_10_7_1","unstructured":"Metro North Hospital and Health Service. QuEDS:\u00a0A guide to admission and inpatient treatment for people with eating disorders in Queensland.2019. Accessed April 4 2019.https:\/\/metronorth.health.qld.gov.au\/rbwh\/wp-content\/uploads\/sites\/2\/2017\/07\/guide-to-admission-and-inpatient-treatment-eating-disorder.pdf"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22482"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-017-0134-6"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.1723"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/2050-2974-1-36"},{"key":"e_1_2_10_12_1","unstructured":"The Royal Colleges of Psychiatrists.\u00a0MARISPAN: management of really sick patients with anorexia nervosa. 2014."},{"key":"e_1_2_10_13_1","unstructured":"National Institute for Health and Care Excellence.\u00a0Eating disorders: recognition and treatment United Kingdom.\u00a02017. 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