Rosemary Callingham, Jane M Watson
Measuring statistical literacy
Journal of applied measurement
definitive guidelines clinical decisions children cerebral palsy cp requiring enteral feeds traditionally medical doctors made enteral feeding decisions patients essentially treated passively within paternalistic doctor knows best approach although collaborative approach decisionmaking promoted globally favoured model among healthcare professionals little known decisions currently made practically study aimed identify significant individuals factors views involved enteral feeding decisionmaking process caregivers children cp within south african public healthcare sector singlecase research design used qualitative explorative study data collected using semistructured interviews analysed using reflexive thematic analysis four primary individuals identified caregivers decisionmaking process doctors speech therapists caregivers families god four factors identified extrinsically motivating 1 physiological factors 2 nutritional factors 3 financial factors 4 environmental factors two views identified intrinsically motivating personal beliefs regarding enteral feeding tubes feelings fear isolation enteral feeding decisionmaking within south african public healthcare sector currently still dominated paternalistic approach endorsed lack caregiver knowledge distinct patienthealthcare provider power imbalances prescriptive multidisciplinary healthcare dialoguescontribution study implications clinical practice curriculum development higher education training facilities institutional policy changes development thereby contributing current knowledge clinical gaps area