Clinical decision-making process of healthcare workers when feeding critically ill adults in public sector ICUs in South Africa

This study contributes to the understanding of feeding practices for critically ill patients in South African public sector intensive care units (ICUs) by highlighting the absence of standardised feeding protocols and the inconsistent application of a multidisciplinary team (MDT) approach. It highlights how clinical decision-making is influenced not only by patient-related factors but also by environmental and contextual constraints. Importantly, the research draws attention to the impact of inconsistent terminology, such as varied interpretations of 'tolerance', on patient care and team collaboration. By documenting these challenges, the study provides evidence for the urgent need to strengthen interdisciplinary communication, establish clear protocols, and promote coordinated MDT practices to improve patient outcomes in ICU feeding decisions.