Balfour Angie, Burch Jennie, Fecher-Jones Imogen, Carter Fiona Jill
Surgical Services, NHS Lothian, Edinburgh, Scotland.
Academic Institute, St Mark's Hospital, London, England.
Nurs Stand. 2019 Nov 11. doi: 10.7748/ns.2019.e11437.
Enhanced Recovery After Surgery (ERAS) is a multimodal, multidisciplinary programme that aims to limit surgical stress during the perioperative period. The importance of a facilitator to improve patients' compliance with the ERAS pathway and ensure its successful implementation is described in the literature. This role is commonly undertaken by a nurse, but it is unclear what their role entails in practice.
To investigate the common aspects of the role of the ERAS nurse, and similar roles.
A modified Delphi technique was used to explore the opinions of ERAS nurses, facilitators and their colleagues in the UK. A series of consensus statements on the role of the ERAS nurse were produced that were voted on and agreed via an online survey, then subsequently voted on at the seventh ERAS UK conference.
Six consensus statements were proposed and agreed in the second round of voting. In the final round of voting, consensus was reached on four of the six statements related to data collection, patient education, staff education and patient support throughout the pathway. The two statements that did not reach consensus were related to leadership and project management.
It is hoped that by producing these consensus statements, the role of the ERAS nurse will be better understood by all members of multidisciplinary ERAS teams, particularly managers and decision-makers, and can be supported in the future.
术后加速康复（ERAS）是一个多模式、多学科的项目，旨在限制围手术期的手术应激。文献中描述了促进者对于提高患者对ERAS路径的依从性并确保其成功实施的重要性。这一角色通常由护士担任，但在实践中其职责尚不明确。
探讨ERAS护士角色以及类似角色的共同方面。
采用改良的德尔菲技术，征求英国ERAS护士、促进者及其同事的意见。就ERAS护士的角色形成了一系列共识声明，并通过在线调查进行投票表决并获得认可，随后在第七届英国ERAS会议上再次进行投票表决。
在第二轮投票中提出并认可了六项共识声明。在最后一轮投票中，就六项声明中的四项达成了共识，这四项声明涉及整个路径中的数据收集、患者教育、员工教育和患者支持。未达成共识的两项声明与领导力和项目管理有关。
希望通过制定这些共识声明，多学科ERAS团队的所有成员，尤其是管理人员和决策者，能够更好地理解ERAS护士的角色，并在未来给予支持。
