Inclusion Criteria:  For the patient;  Patients with gastrostomy over the age of 18 who receive treatment and care in the brain and neurosurgery intensive care unit, For the nurse; Nurses working in the brain and neurosurgery intensive care unit,  Exclusion Criteria:  For the patient; Patients who are treated in the brain and neurosurgery intensive care unit but do not have gastrostomy, Patients under the age of 18, Not giving consent to the study. For the nurse; Leaving the brain and neurosurgery intensive care unit before the work process is completed, Not filling out data collection forms at any stage of the study, Not participating in the semi-structured in-depth individual interview, Not giving consent to the study.