The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study.

Details

Serval ID
serval:BIB_30210E3A7748
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study.
Journal
International Journal of Surgery
Author(s)
Hübner M., Addor V., Slieker J., Griesser A.C., Lécureux E., Blanc C., Demartines N.
ISSN
1743-9159 (Electronic)
ISSN-L
1743-9159
Publication state
Published
Issued date
2015
Volume
24
Number
Pt A
Pages
45-50
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
BACKGROUND & AIMS: The importance of nursing for surgical patients has been frequently underestimated. The success of enhanced recovery programs after surgery (ERAS) depends on preferably complete fulfilment of the protocol and nurses are an important part of it. Due to the additional nursing action required, such protocols are suspected to increase the nursing workload. The aim of the present study was to observe and measure objectively nursing workload before, during and after systematic implementation of a comprehensive enhanced recovery pathway in colorectal surgery.
METHODS: The program ERAS was introduced systematically in our tertiary academic centre 2011, since then our experience is based on more than 1500 ERAS patients. Nursing workload was prospectively assessed for all patients on a routine basis by means of a standardized and validated point system (PRN). In a retrospective cohort study, we compared nursing workload based on prospective data before, during and after ERAS implementation and correlated nursing workload to the compliance with the ERAS protocol.
RESULTS: The study cohort included 50 patients before ERAS implementation (2010) and 69 (2011) and 148 (2012) consecutive patients after implementation; the baseline characteristics of the 3 groups were similar. Mean PRN values were 61.2 ± 19.7 per day in 2010 and decreased to 52.3 ± 13.7 (P = 0.005) and 51.6 ± 18.6 (P < 0.002) in 2011 and 2012, respectively. Increasing compliance with the ERAS protocol was significantly correlated to decreasing nursing workload (ρ = -0.42; P < 0.001).
CONCLUSIONS: Nursing workload is - against a common belief - decreased by systematic implementation of enhance recovery protocol. The higher the compliance with the pathway, the lower the burden for the nurses!
Pubmed
Web of science
Open Access
Yes
Create date
31/12/2015 11:14
Last modification date
20/08/2019 13:14
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