Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

Mendes, Diana Arvelos; Ferrito, Cândida; Gonçalves, Isabel

doi:10.1590/0034-7167-2018-0436

Cited by 28 publications

(28 citation statements)

References 31 publications

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“…The ERAS protocol covers both preoperative, perio-perative and postoperative periods. This protocol includes practices such as preoperative patient education and counseling, prevention of prolonged hunger due to surgery through nutrition, standardized analgesic and anesthetic regimens and early mobilization (23,(39)(40)(41) .…”

Section: Discussionmentioning

confidence: 99%

“…Educating patients before the surgery about issues such as the surgical team, possible complications and their management, pain management, etc. is the most important component of the ERAS protocol (23,42) . Inci and Celebi (27) found that the knowledge of nurses on preoperative training and counseling was compatible with ERAS.…”

Section: Discussionmentioning

confidence: 99%

“…Understanding the role of nurses in the implementation of the ERAS protocol is important for future research. Although the global literature includes many studies on the ERAS protocol, there are only a limited number of studies on implementation involving the roles of nurses or its relationship with nursing (23) . There are also a limited number of reviews and researches by nurses on the ERAS protocol in Turkey (4,10,(24)(25)(26)(27)(28) .…”

Section: Introductionmentioning

confidence: 99%

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Examination of Knowledge Levels of Nurses Working in Surgical Clinics About ERAS Protocol

Ongun¹,

Ak²

2020

BMJ

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Objective: The aim of the study was to assess the knowledge levels of nurses working in surgical clinics about ERAS protocol. Method: The study was carried out as a descriptive study. The sample of the study consisted of 127 surgical unit nurses who were not on leave or sick leave during the study period and who were willing to participate. A data collection form consisting of two sections and 47 questions developed by the researchers was used to collect the data. The necessary ethical and institutional approvals were obtained before the study. Results: In the study 84.25% of the nurses stated that they did not know about the ERAS protocol, 88.97% indicated that the institution where they were working did not implement ERAS practices, 99.21% said that they did not follow any publication on the ERAS protocol,and 99.21% expressed that they did not receive any training on the ERAS protocol. Conclusion: It was determined that most of the surgical nurses in the study did not know about the ERAS protocol and that ERAS protocol were not implemented in the clinic where they were working. In line with these results, we can recommend that surgical nurses follow the current developments and evidence-based guidelines on the ERAS protocol. Organization of trainings for the implementation of ERAS practices and ensuring the participation of nurses can help increase their knowledge levels in this regard.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Examination of Knowledge Levels of Nurses Working in Surgical Clinics About ERAS Protocol

Ongun¹,

Ak²

2020

BMJ

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“…In this regard, there was high variation within and between studies with respect to rates and nature of complications (23). A number of these studies found that levels of postoperative complications were significantly associated with the type of nursing care (19,25,26). The principle goal of the critical pathway method is to reduce the length of hospital stay and disease complication and well as increasing the nursing care quality, and patient satisfaction in particular (27).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Critical Pathway Care in Patients With Colorectal Cancer, Randomized Control Trials

Abavi-Torghabeh¹,

Mahdizadeh²,

Mahdizadeh³

et al. 2020

ACTA

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Colorectal cancer and its treatment have short-term and long-term side effects for patients. One of the factors affecting these side effects is the nursing care method. This study was conducted to determine the effect of care based on the critical pathway on the duration of hospitalization, complications of the disease, and satisfaction with nursing care in patients with colorectal cancer. In a cluster-randomized controlled trial study, 70 patients with colorectal cancer were randomly selected from two hospitals of OMID (N=35) and GHAEM (N=35) in Mashhad, Iran. They were assigned to intervention and control groups. The data were collected using a characteristic of patients, and satisfaction questioner, a checklist of patient status and nursing performance, and analyzed by SPSS software version 18. There was a significant difference in the mean of satisfaction of patients from nursing care and length of hospital stay between pathway and routine care group (P<0.001). There were no significant differences between pathway and routine for the postoperative complications after 12 weeks of follow-up. Our study indicates that critical pathway care can increase the satisfaction of patients and decrease the duration of hospitalization. Future studies should investigate how to increase other clinical outcomes in the oncology wards.

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“…1-,3 Both domestic and international studies have shown that nurses play a critical role in the entire process of preoperative education, perioperative care, and follow-up after discharge. 4,5 The nursing staff members form a critical component in overcoming barriers to the implementation of and patient compliance in the ERAS process, and successful implementation of ERAS relies to a large extent on the daily care of patients by nurses throughout consultations. 6,7 The present center began the creation of ERAS standardized wards at the start of 2018 and, concurrently, initiated systematic ERAS-related theoretical and practical training for nursing staff.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Application of a Multi-Targeted Nursing Group for Enhanced Recovery After Surgery Using the LEER (“Less Pain”, “Early Movement”, “Early Return to a Normal Diet” and “Reassurance”) Model

Xie

Yang²,

Lei

et al. 2021

IJGM

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To explore the effects and value of establishing a multi-target nursing group (MTNG) for facilitating goal-oriented enhanced recovery after surgery (ERAS) using the LEER ("less pain", "early movement", "early return to a normal diet" and "reassurance") model. Methods:The clinical data of 198 patients with hepatobiliary and pancreatic malignancies were retrospectively analyzed. The patients were divided into two groups: 91 cases were collected in a traditional group, which adopted traditional perioperative care, and 107 cases were collected in an MTNG group, which adopted MTNG measures. The differences in the clinical data including postoperative recovery, unplanned readmission rate, the implementation rate of nursing measures, the degree of a patient's understanding of the disease, and patient compliance and satisfaction with nursing care during hospitalization were compared and analyzed between the two groups. Results:The MTNG group reflected a lower pain degree and hospitalization expenses (P < 0.05), earlier postoperative flatulence, earlier recommencing of a normal diet, and earlier postoperative ambulation (P < 0.05), together with a shorter postoperative indwelling catheter duration and length of hospital stay (P < 0.05). There were no significant differences in the incidence of postoperative complications and unplanned postoperative readmission rates between the two groups (P > 0.05). The implementation rate of nursing measures and the degree of patients understanding the disease, and patient compliance and satisfaction with nursing care were higher in the MTNG group (P < 0.05). Conclusion:The MTNG approach, based on ERAS with the LEER model, was conducive to the safe and rapid postoperative recovery of patients, the precise and efficient implementation of ERAS measures, the improvement of medical treatment satisfaction among patients.

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Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

Cited by 28 publications

References 31 publications

Examination of Knowledge Levels of Nurses Working in Surgical Clinics About ERAS Protocol

Examination of Knowledge Levels of Nurses Working in Surgical Clinics About ERAS Protocol

The Effect of Critical Pathway Care in Patients With Colorectal Cancer, Randomized Control Trials

Exploring the Application of a Multi-Targeted Nursing Group for Enhanced Recovery After Surgery Using the LEER (“Less Pain”, “Early Movement”, “Early Return to a Normal Diet” and “Reassurance”) Model

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