ArticleBMC health services research2017
Healthcare professionals' views of the enhanced recovery after surgery programme: a qualitative investigation.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Early enteral nutrition within 24 hours of lower gastrointestinal surgery versus later commencement for length of hospital stay and postoperative complications.The Cochrane database of systematic reviews · 2019Pooled it
- Early enteral nutrition within 24 hours of lower gastrointestinal surgery versus later commencement for length of hospital stay and postoperative complications.The Cochrane database of systematic reviews · 2018Pooled it
- Managerial leadership for research use in nursing and allied health care professions: a systematic review.Implementation science : IS · 2018Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Healthcare Workers' Acceptance and Willingness to Implement a Pragmatic Triple-Component Enhanced Recovery After Surgery Strategy (T-ERAS): A Cross-Sectional Study in Ethiopian Public Hospitals.World journal of surgery · 2026Article
- Knowledge, attitudes, and practices of Sudanese doctors regarding enhanced recovery after surgery protocols in elective abdominal and pelvic surgery: a cross-sectional study.Annals of medicine and surgery (2012) · 2026Article
- Enhanced recovery after liver transplantation-a prospective analysis focusing on quality assessment.Hepatobiliary surgery and nutrition · 2025Article
- Article
- Perceptions and experiences of healthcare professionals in implementing an ERAS protocol for minimally invasive heart valve surgery: a qualitative analysis.Frontiers in cardiovascular medicine · 2025Article
- Enhanced recovery after surgery in Pakistan: a qualitative descriptive analysis of current practices and future directions.BMC health services research · 2024Article
- Postoperative rehabilitation exercise experiences of geriatric patients with femoral neck fractures based on the perspective of medical staff: a qualitative study.BMC geriatrics · 2024Article
- Views and experiences of healthcare professionals and patients on the implementation of a 23-hour accelerated enhanced recovery programme: a mixed-method study.BMC health services research · 2024Article
- A clinical study on gastric cancer patients administered EN and PN versus PN alone in enhanced recovery after surgery.Annals of medicine and surgery (2012) · 2024Article
- Moving the needle: a narrative review of enhanced recovery protocols in breast reconstruction.Annals of translational medicine · 2023Review
- Article
- Stakeholders barriers and facilitators for the implementation of a personalised digital care pathway: a qualitative study.BMJ open · 2022Article
- Enhanced recovery after surgery in liver transplantation: Challenges and feasibility.World journal of transplantation · 2022Article
- Limited impact of a top-down approach to improve enhanced recovery programme in French university hospitals: a before-after retrospective survey.Perioperative medicine (London, England) · 2021Article
- A qualitative study of nurse-patient communication and information provision during surgical pre-admission clinics.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- A mixed methods multiple case study to evaluate the implementation of a care pathway for colorectal cancer surgery using extended normalization process theory.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Enhanced Recovery After Surgery (ERAS) programme is an approach to the perioperative care of patients which aims to improve outcomes and speed up recovery after surgery. Although the evidence base appears strong for this programme, the implementation of ERAS has been slow. This study aimed to gain an understanding of the facilitating factors and challenges of implementing the programme with a view to providing additional contextual information to aid implementation. The study had a particular focus on the nutritional elements as these have been highlighted as important.
methodsThe study employed qualitative research methods, guided by the Normalisation Process Theory (NPT) to explore the experiences and opinions of 26 healthcare professionals from a range of disciplines implementing the programme.
resultsThis study identified facilitating factors to the implementation of ERAS: alignment with evidence based practice, standardising practice, drawing on the evidence base of other specialties, leadership, teamwork, ERAS meetings, patient involvement and education, a pre-operative assessment unit, staff education, resources attached to obtaining The Commissioning for Quality and Innovation (CQUIN) money, the ward layout, data collection and feedback, and adapting the care pathway. A number of implementation challenges were also identified: resistance to change, standardisation affecting personalised patient care, the buy-in of relevant stakeholders, keeping ERAS visible, information provision to patients, resources, palatability of nutritional drinks, aligning different ward cultures, patients going to non-ERAS departments, spreading the programme within the hospital, differences in health issue, and utilising a segmental approach.
conclusionsThe findings presented here provide useful contextual information from diverse surgical specialties to inform healthcare providers when implementing ERAS in practice. Addressing the challenges and utilising the facilitating factors identified in this study, could speed up the rate at which ERAS is adopted, implemented and embedded.
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