Table 4 Staff reported barriers, enablers suggestions for improving patient care (in order of most frequently reported)
Enablers | Skilled dietitian, nutrition provision/meal plans, support from dietetic assistants, availability of good care plans, adherence to the QuEDS guideline, multidisciplinary team communication, nursing monitoring, medical monitoring, attitudes of staff, QuEDS support, foodservice |
Barriers | Guidelines not consistently followed, lack of knowledge and experience in the team, inadequate psychological management, lack of consistency in care, 1:1 CPO process not followed, multidisciplinary team management, understaffed, lack of meal time support, lack of out of hours service, medically cleared too fast, feeding protocols, poor team communication, lack of awareness of QuEDS guideline among staff |
Suggestions for improvement | Education and training for staff, specialised eating disorder team, increased nursing time/availability, local protocol/procedure/guideline to inform treatment, nasogastric feeding commencement protocol, increased specialist support from QuEDS, mandatory training, increased mental health support for patients, care commencement in emergency department, specialised ward, bridle NGT |