ArticleBMC medical ethics2024
Nurses' experience of nasogastric tube feeding under restraint for Anorexia Nervosa in a psychiatric hospital.
Article in BMC medical ethics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The Use of Peripheral Parenteral Nutrition in Hospitalized Patients: A Clinical Case Series.Healthcare (Basel, Switzerland) · 2026Article
- More Than Their Bodies. Aesthetic Dimensions of Nursing Care to People With Eating Disorders.Scandinavian journal of caring sciences · 2026Article
- Clinical guidance for the use of nasogastric tube feeding under restraint in eating disorders care: a systematic scoping review.Journal of eating disorders · 2026Review
- A Deleuzian Examination of Anorexia & Recovery: Opening up Possibilities for Conceptualizing Care.Nursing philosophy : an international journal for healthcare professionals · 2026Article
- Updated Dietetic Prescribing Guidelines When Naso-Gastric Tube Feeding Under Physical Restraint Is Required: A Modified Nominal Group Technique Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- "It gave me a sense of control in a treatment where I felt I had none": the use of social stories and preferences to reduce the use of restraint during nasogastric tube feeding in young people with anorexia nervosa.Frontiers in psychiatry · 2026Article
- "New types of stories": a narrative view of good nursing care of severely ill adult patients suffering an eating disorder.Journal of eating disorders · 2025Article
- "Holding the line"-relationship building and challenges when nursing adults with a severe eating disorder.Journal of eating disorders · 2024Article
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Authors and funding
3 authors.
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Abstract
backgroundAnorexia nervosa is a complex mental disorder that has severe physical and psychological consequences, often requiring hospitalisation, and in the most severe cases, patients receive coercive treatment. Among the various nursing tasks associated with encountering these patients, the administration of nasogastric tube feeding under restraint stands out. It is crucial to recognise and address the unique practical and ethical challenges nurses face when caring for adults struggling with severe anorexia nervosa. The aim of the study was to gain a deeper understanding of registered nurses' experience of nasogastric tube feeding under restraint in hospitalised patients with severe anorexia nervosa.
methodsA naturalistic design guided this study. Narrative interview data were analysed using reflexive thematic analysis. The participants were twelve registered nurses recruited from an inpatient ward for adult patients with an eating disorder in a Norwegian psychiatric hospital.
resultsThree main themes were developed: providing good nursing care during coercive treatment; having ethical concerns about nasogastric tube feeding under restraint when the patient reaches a body mass index that is not immediately life-threatening; and having concerns about involving personnel from another ward in the nasogastric tube feeding under restraint procedure.
conclusionsNurses find nasogastric tube feeding under restraint to be part of life-saving nursing for patients with severe anorexia nervosa. It raises ethical concerns, especially with patients with a body mass index that is no longer life-threatening. Our results demonstrate the vulnerability of nurses as well as the difficulties and ethical dilemmas of nursing during nasogastric tube feeding under restraint.
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