Schmid Mona Elisabeth, König Helene, Stumm Jannik, Girdauskas Evaldas
Department of Cardiothoracic Surgery, University Hospital Augsburg, Augsburg, Germany.
Front Cardiovasc Med. 2025 Feb 21;12:1407284. doi: 10.3389/fcvm.2025.1407284. eCollection 2025.
ERAS protocols have revolutionized perioperative care by optimizing patient outcomes after major surgeries. Despite widespread recognition in various surgical specialties, the implementation of ERAS in cardiac surgery remains relatively novel.
This qualitative study employed semi-structured interviews to explore the perspectives and experiences of healthcare professionals involved in ERAS implementation, focusing on identifying facilitators and barriers. The data collected from the interviews was subjected to qualitative content analysis to identify emerging themes and patterns.
The emerged themes highlight the importance of effective communication, interprofessional collaboration, and clear guidelines in facilitating ERAS implementation. While healthcare professionals universally recognized the benefits of ERAS for patient outcomes, they also identified challenges such as time constraints and resource allocation.
The study emphasizes the need for effective communication, interprofessional collaboration, and clear guidelines to overcome the challenges of implementing ERAS. The importance of involving diverse healthcare professionals in ERAS development and implementation to enhance team spirit, motivation, and overall success is highlighted by our findings. These findings contribute to the ongoing refinement of ERAS protocols, ultimately improving patient outcomes in cardiac surgery and beyond. Future research should focus on longitudinal studies, collaboration across institutions, and exploration of implementation strategies.
加速康复外科（ERAS）方案通过优化大手术后的患者预后，彻底改变了围手术期护理。尽管在各个外科专科中得到了广泛认可，但ERAS在心脏外科手术中的应用仍相对较新。
本定性研究采用半结构化访谈，以探讨参与ERAS实施的医疗保健专业人员的观点和经验，重点是确定促进因素和障碍。对访谈收集的数据进行定性内容分析，以确定新出现的主题和模式。
出现的主题强调了有效沟通、跨专业协作和明确指南在促进ERAS实施方面的重要性。虽然医疗保健专业人员普遍认识到ERAS对患者预后的益处，但他们也确定了时间限制和资源分配等挑战。
该研究强调需要有效的沟通、跨专业协作和明确的指南来克服实施ERAS的挑战。我们的研究结果强调了让不同的医疗保健专业人员参与ERAS的开发和实施以增强团队精神、动力和整体成功率的重要性。这些研究结果有助于不断完善ERAS方案，最终改善心脏外科手术及其他领域的患者预后。未来的研究应侧重于纵向研究、机构间合作以及实施策略的探索。
