From fast-track to enhanced recovery after surgery in radical cystectomy pathways: A nursing perspective

Bente Thoft Jensen, Nora Love Retinger, Susanne Vahr Lauridsen

Abstract

OBJECTIVE: The purpose of this narrative review is to summarize existing knowledge and evidence about the establishment of enhanced recovery after surgery (ERAS) pathways with emphasize on radical cystectomy (RC), and the emerging and prominent role of nursing within the ERAS pathway. The current status of implementation and adherence to ERAS protocol in RC is discussed and the impact on primary outcomes according to ERAS is summarized.

METHODS: The review was conducted based on a focused search in PubMed and CINAHL.

RESULTS: The goal of a modern RC enhanced recovery protocols (ERPs) anno 2022 is to have a positive impact on patient care from diagnosis throughout recovery with focus on the quality, rather than speed, of recovery. This may be more in alignment with the patient's needs and preferences.

CONCLUSIONS: Nursing has been in the forefront since the establishment of ERAS, and the nurse-coordinator must be skilled in evidence-based medicine and have excellent communicative competencies to support the patient journey. Implementation of ERAS have reduced hospitalization by improved minimal surgery, optimized anesthetic regimes without increasing readmission rates. It is not known which items can reduce post-operative complications. In the future, nurses should seek a more prominent and leading role during the implementation process and take responsibility for continued education of the staff. Likewise, future nursing interventions will focus on early identification of modifiable risk factors, and a deeper exploration of the patients personally needs and preferences to upcoming surgery could optimize adherence throughout the pathway, which may add to positive outcomes.

OriginalsprogEngelsk
Artikelnummer100048
TidsskriftAsia-Pacific journal of oncology nursing
Vol/bind9
Udgave nummer7
Sider (fra-til)1-5
Antal sider5
ISSN2347-5625
DOI
StatusUdgivet - jul. 2022

Fingeraftryk

Dyk ned i forskningsemnerne om 'From fast-track to enhanced recovery after surgery in radical cystectomy pathways: A nursing perspective'. Sammen danner de et unikt fingeraftryk.

Citationsformater