Akbuğa Gökçen Aydın, Yılmaz Kübra
Faculty of Health Sciences, Department of Nursing, Yozgat Bozok University, Yozgat, Türkiye.
Faculty of Health Sciences, Department of Nursing, Ankara Yıldırım Beyazıt University, Ankara, Türkiye.
J Perianesth Nurs. 2025 Apr;40(2):331-336. doi: 10.1016/j.jopan.2024.05.008. Epub 2024 Sep 5.
Enhanced Recovery After Surgery (ERAS) is a concept that covers evidence-based practices and requires multidisciplinary teamwork, and nurses play a key role in this team. This qualitative research is conducted to describe the experiences of nurses implementing ERAS and the obstacles they encounter in practice.
This research was conducted using the phenomenology pattern, one of the qualitative research designs.
The research study group was determined by criterion sampling, one of the purposeful sampling methods.The criterion for participation in this study is to follow at least one of the steps of the ERAS protocol and volunteer to participate in the study. In this context, 12 nurses who met the inclusion criteria participated in the study. Data were obtained from May 1 to May 31, 2023 using an introductory information form and a semistructured interview form. The introductory information form asked questions such as age, gender, marital status, working year, ERAS application time, and total working year. The semistructured interview form, developed by the authors based on the related literature, consisted of four open-ended questions 1The obtained data were analyzed using the seven-step Colaizzi method.
The study identified three themes: the importance of the ERAS protocol, the obstacles to the ERAS protocol, compliance with the ERAS protocol and applicability. Nine subthemes were found: reducing complications and accelerating the healing process, increasing the level of satisfaction, lack of knowledge, leader confusion, resistance to change, lack of team cooperation, policy, leadership, and education.
This study revealed the experiences of nurses who implement at least one component of ERAS protocols regarding the obstacles to the implementation of the protocol. As a result, nurses stated that lack of information and team cooperation, leader complexity, and resistance to change were obstacles to the protocol. Identifying the obstacles encountered in the implementation of the protocols is important for producing solution suggestions.
术后加速康复（ERAS）是一个涵盖循证实践且需要多学科团队协作的概念，护士在该团队中发挥着关键作用。本定性研究旨在描述护士实施ERAS的经验以及他们在实践中遇到的障碍。
本研究采用现象学模式，这是定性研究设计之一。
研究组通过目的抽样方法之一的标准抽样确定。参与本研究的标准是至少遵循ERAS方案的一个步骤并自愿参与研究。在此背景下，12名符合纳入标准的护士参与了研究。2023年5月1日至5月31日期间，使用一份介绍性信息表和一份半结构化访谈表获取数据。介绍性信息表询问了年龄、性别、婚姻状况、工作年限、ERAS应用时间和总工作年限等问题。作者根据相关文献编制的半结构化访谈表由四个开放式问题组成。所获数据采用七步Colaizzi法进行分析。
该研究确定了三个主题：ERAS方案的重要性、ERAS方案的障碍、对ERAS方案的依从性和适用性。发现了九个子主题：减少并发症和加速愈合过程、提高满意度、知识缺乏、领导困惑、变革阻力、缺乏团队合作、政策、领导力和教育。
本研究揭示了实施ERAS方案至少一个组成部分的护士在该方案实施障碍方面的经验。结果表明，护士们表示信息缺乏、团队合作不足、领导复杂性和变革阻力是该方案的障碍。识别方案实施中遇到的障碍对于提出解决方案建议很重要。
