title: "Time's up" - staff's management of mealtimes on inpatient eating disorder units.
abstract: BACKGROUND
  Refeeding and normalizing eating behaviour are main treatment aims for individuals admitted to inpatient eating disorder units. Consequently, mealtime activities are specific, everyday activities, serving a clear therapeutic purpose, despite numerous challenges for both staff and patients. Few studies have specifically addressed staff involvement, interactions, and management activities to structure mealtimes. In this study, we investigated the structure of mealtime activities on inpatient eating disorder units, and identified associated staff behaviour.
  
  
  METHODS
  Descriptive and exploratory qualitative study using video observations to investigate the structure of mealtimes and staff management of mealtime activities. Forty main meals were video recorded and the observational data were analysed using interaction analysis.
  
  
  RESULTS
  An initial analysis during data screening identified three main parts of the meal: 'pre-eating', 'eating', and 'meal completion'. For each part, a regular pattern of activities occurred which were associated with staff behaviour.
  
  
  CONCLUSIONS
  Increased awareness amongst staff regarding how they manage the meal and act through a clear internal structure can help staff members to further explore their behaviours and collaboration during mealtimes, and also contribute to improved interaction with patients during the various phases of the meal.
authors: Institute for Health and Society, University of Oslo, Oslo, Norway ; Regional Department of Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
authors: Trine Wiig
authors: TW
authors: Hage
authors: Regional Department of Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway ; Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
authors: Øyvind
authors: Ø
authors: Rø
authors: Institute for Health and Society, University of Oslo, Oslo, Norway.
authors: Anne
authors: A
authors: Moen
keywords: Eating disorders; Mealtimes; Practice based studies; Qualitative methodology; Script theory