Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting

Objective: Where swallowing difficulties are chronic or progressive, or a patient is palliative, tube feeding is often not deemed appropriate. Instead, patients continue to eat and drink despite the risks of pneumonia and death. There is currently little evidence to guide clinical practice in this f...

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Autores principales: Miles, Anna, Watt, Tanya, Wong, Wei-Yuen, McHutchison, Louise, Friary, Philippa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486486/
https://www.ncbi.nlm.nih.gov/pubmed/28680937
http://dx.doi.org/10.1177/2333721416665523
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author Miles, Anna
Watt, Tanya
Wong, Wei-Yuen
McHutchison, Louise
Friary, Philippa
author_facet Miles, Anna
Watt, Tanya
Wong, Wei-Yuen
McHutchison, Louise
Friary, Philippa
author_sort Miles, Anna
collection PubMed
description Objective: Where swallowing difficulties are chronic or progressive, or a patient is palliative, tube feeding is often not deemed appropriate. Instead, patients continue to eat and drink despite the risks of pneumonia and death. There is currently little evidence to guide clinical practice in this field often termed “risk feeding.” This qualitative study investigated staff, patient, and family member perceptions of risk feeding practices in one New Zealand hospital. Method: Twenty-nine staff members and six patients and/or their family were interviewed. Results: Thematic analysis revealed four global themes: supporting practice, communication, complexity of feeding decisions, and patient and family-centered care. Staff described limited education and organizational policy around risk feeding decisions. Communication was considered a major factor in the success. Conclusion: Feeding decisions are complex in the hospital environment. The themes identified in this study provide a foundation for hospital guideline development and implementation.
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spelling pubmed-54864862017-07-05 Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting Miles, Anna Watt, Tanya Wong, Wei-Yuen McHutchison, Louise Friary, Philippa Gerontol Geriatr Med Article Objective: Where swallowing difficulties are chronic or progressive, or a patient is palliative, tube feeding is often not deemed appropriate. Instead, patients continue to eat and drink despite the risks of pneumonia and death. There is currently little evidence to guide clinical practice in this field often termed “risk feeding.” This qualitative study investigated staff, patient, and family member perceptions of risk feeding practices in one New Zealand hospital. Method: Twenty-nine staff members and six patients and/or their family were interviewed. Results: Thematic analysis revealed four global themes: supporting practice, communication, complexity of feeding decisions, and patient and family-centered care. Staff described limited education and organizational policy around risk feeding decisions. Communication was considered a major factor in the success. Conclusion: Feeding decisions are complex in the hospital environment. The themes identified in this study provide a foundation for hospital guideline development and implementation. SAGE Publications 2016-08-22 /pmc/articles/PMC5486486/ /pubmed/28680937 http://dx.doi.org/10.1177/2333721416665523 Text en © The Author(s) 2016 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Miles, Anna
Watt, Tanya
Wong, Wei-Yuen
McHutchison, Louise
Friary, Philippa
Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting
title Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting
title_full Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting
title_fullStr Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting
title_full_unstemmed Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting
title_short Complex Feeding Decisions: Perceptions of Staff, Patients, and Their Families in the Inpatient Hospital Setting
title_sort complex feeding decisions: perceptions of staff, patients, and their families in the inpatient hospital setting
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486486/
https://www.ncbi.nlm.nih.gov/pubmed/28680937
http://dx.doi.org/10.1177/2333721416665523
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