"Pressure and responsibility. Six of the eight nursing assistants voiced feeling pressured and responsible for their colleagues and themselves while applying manual restraint for CNF. These participants appeared to attribute these feelings to their manual restraint performance, which could have a direct impact on their colleagues’ ability to effectively restrain, and the overall success of the nasogastric feeding procedure: You know in every restraint that if you lose your grip and they get a hand through or a leg through, the whole thing’s going to go wrong, so you feel responsible . . . If you lose their hand, they’ll grab the tube out and then the whole process has to start again . . . you feel the responsibility from all the other staff as well. (Participant 7) Failure to execute or maintain restraint positions could result in feelings of frustration and failure, and this was explicitly expressed in four nursing assistants’ interviews. It appeared that these participants placed a great deal of pressure and responsibility on themselves to execute their designated manual restraint positions."