Force-feeding and coercion: no physician complicity.

Virtual Mentor

Medical coordinator of the Health in Detention program for the International Red Cross in Geneva, Switzerland.

Published: October 2007

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http://dx.doi.org/10.1001/virtualmentor.2007.9.10.pfor1-0710DOI Listing

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Article Synopsis
  • Anorexia nervosa is a severe mental disorder leading to complex care needs, with nasogastric tube feeding under restraint being a critical yet ethically challenging nursing task in hospitals.
  • The study involved twelve registered nurses from a Norwegian psychiatric hospital, using narrative interviews and reflexive thematic analysis to explore their experiences related to this care practice.
  • Findings revealed themes of providing effective care under coercion, expressing ethical concerns when patients are not in immediate danger, and the complications of involving external personnel in the treatment process.
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Conflicts in the clinical setting can spiral downward with remarkable speed, as parties become ever more incensed and entrenched in their positions. Productive conversations seem unlikely at best. Nevertheless, such situations can sometimes be turned into collaborative problem solving with equally remarkable speed.

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