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Medicina
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Nursing and Allied Health Professional Focused Research on Enhanced Recovery...
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Nursing and Allied Health Professional Focused Research on Enhanced Recovery after Surgery (ERAS)

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (31 August 2021) | Viewed by 10969

Special Issue Editors

Prof. Dr. Thomas W. Wainwright

E-Mail Website
Guest Editor
Orthopaedic Research Institute, Bournemouth University, Bournemouth, Dorset BH8 8EB, UK
Interests: rehabilitation after hip and knee arthroplasty; non-operative treatment of osteoarthritis; enhanced recovery after surgery; musculoskeletal
Dr. David McDonald

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Guest Editor
The Nursing, Midwifery and Allied Health Professions Research Unit (NMAHP RU), Glasgow Caledonian University, Glasgow, Lanarl, Scotland
Interests: surgery; orthopaedics; anaesthetics; physiotherapy; prehabilitation
Dr. Fiona J.C. Carter

E-Mail Website
Guest Editor
Southwest Surgical Training Network, Yeovil, UK
Interests: surgery; enhanced recovery after surgery; adult education; educational technology; teaching methods
Ms. Angie Balfour

E-Mail Website
Guest Editor
Western General Hospital NHS Lothian, Edinburgh, Scotland
Interests: ERAS; ERAS implementation; clinical research; nursing perspectives

Special Issue Information

Dear Colleagues,

Enhanced Recovery After Surgery (ERAS) is a multimodal, multidisciplinary approach to the care of the surgical patient. ERAS process implementation involves a multi-disciplinary team effort. This Special Issue aims to gather submissions that highlight the innovative work undertaken by nurses and allied health professionals within ERAS pathways across all surgical specialties.We welcome research led by or involving nurses, operating department practitioners, physiotherapists, occupational therapists, dieticians, pharmacists, radiographers, healthcare assistants, or any other non-medical professional involved in ERAS. Research from work conducted at the pre-operative, intra-operative, post-operative, and post-discharge stage is welcome.

Mr. Thomas W. Wainwright
Dr. David McDonald
Dr. Fiona J.C. Carter
Ms. Angie Balfour
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Enhanced Recovery after Surgery (ERAS)

Published Papers (3 papers)

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Research

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14 pages, 8842 KiB  
Article
The Pertinent Literature of Enhanced Recovery after Surgery Programs: A Bibliometric Approach
by Cheng Li, Yang Cheng, Zhao Li, Donara Margaryan, Carsten Perka and Andrej Trampuz
Medicina 2021, 57(2), 172; https://doi.org/10.3390/medicina57020172 - 17 Feb 2021
Cited by 8 | Viewed by 3340
Abstract
Background and Objectives: The programs of enhanced recovery after surgery are the new revolution in surgical departments; however, features of this concept have not been systematically explored. Therefore, the purpose of this study was to explore Enhanced recovery after surgery (ERAS)-related research using [...] Read more.
Background and Objectives: The programs of enhanced recovery after surgery are the new revolution in surgical departments; however, features of this concept have not been systematically explored. Therefore, the purpose of this study was to explore Enhanced recovery after surgery (ERAS)-related research using bibliometric analysis. Materials and Methods: The search strategy of ERAS programs was conducted in the Web of Science database. Bibliometric analysis was further performed by Excel and Bibliometrix software. The relationship between citation counts and Mendeley readers was assessed by linear regression analysis. Results: 8539 studies from 1994–2019 were included in the present research, with reporting studies originating from 91 countries using 18 languages. The United States (US) published the greatest number of articles. International cooperation was discovered in 82 countries, with the most cooperative country being the United Kingdom. Henrik Kehlet was found to have published the highest number of studies. The journal Anesthesia and Analgesia had the largest number of articles. Linear regression analysis presented a strong positive correlation between citations and Mendeley readers. Most research was related to gastrointestinal surgery in this field. Conclusion: This bibliometric analysis shows the current status of ERAS programs from multiple perspectives, and it provides reference and guidance to scholars for further research. Full article
(This article belongs to the Special Issue Nursing and Allied Health Professional Focused Research on Enhanced Recovery after Surgery (ERAS))
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5 pages, 256 KiB  
Perspective
Enhanced Recovery after Surgery (ERAS) for Hip and Knee Replacement—Why and How It Should Be Implemented Following the COVID-19 Pandemic
by Thomas W. Wainwright
Medicina 2021, 57(1), 81; https://doi.org/10.3390/medicina57010081 - 19 Jan 2021
Cited by 16 | Viewed by 4031
Abstract
The COVID-19 pandemic has led to a reduction in hip and knee replacement surgery across healthcare systems. When regular operating returns, there will be a large volume of patients and an emphasis on a short hospital stay. Patients will be keen to return [...] Read more.
The COVID-19 pandemic has led to a reduction in hip and knee replacement surgery across healthcare systems. When regular operating returns, there will be a large volume of patients and an emphasis on a short hospital stay. Patients will be keen to return home, and capacity will need to maximised. Strategies to reduce the associated risks of surgery and to accelerate recovery will be needed, and so Enhanced Recovery after Surgery (ERAS) should be promoted as the model of care. ERAS protocols are proven to reduce hospital stay safely; however, ERAS pathways may require adaption to ensure both patient and staff safety. The risk of exposure to possible sources of COVID-19 should be limited, and so hospital visits should be minimised. The use of technology such as smartphone apps to provide pre-operative education, wearable activity trackers to assist with rehabilitation, and the use of telemedicine to complete outpatient appointments may be utilised. Also, units should be reminded that ERAS protocols are multi-modal, and every component is vital to minimise the surgical stress response. The focus should be on providing better and not just faster care. Units should learn from the past in order to expedite the implementation of or adaption of existing ERAS protocols. Strong leadership will be required, along with a supportive organisational culture, an inter-professional approach, and a recognised QI method should be used to contextualize improvement efforts. Full article
(This article belongs to the Special Issue Nursing and Allied Health Professional Focused Research on Enhanced Recovery after Surgery (ERAS))
5 pages, 258 KiB  
Perspective
The Quality Improvement Challenge—How Nurses and Allied Health Professionals Can Solve the Knowing–Doing Gap in Enhanced Recovery after Surgery (ERAS)
by Thomas W. Wainwright
Medicina 2020, 56(12), 652; https://doi.org/10.3390/medicina56120652 - 27 Nov 2020
Cited by 5 | Viewed by 2543
Abstract
The English National Health Service (NHS), and all health services around the world, will continue to face economic and capacity challenges. Quality improvement (QI) interventions, such as Enhanced Recovery after Surgery (ERAS), that are proven to improve patient care and deliver operational benefits [...] Read more.
The English National Health Service (NHS), and all health services around the world, will continue to face economic and capacity challenges. Quality improvement (QI) interventions, such as Enhanced Recovery after Surgery (ERAS), that are proven to improve patient care and deliver operational benefits are therefore needed. However, widespread implementation remains a challenge. Implementation of ERAS within the NHS over the last 10 years is reviewed, with a focus on total hip arthroplasty (THA) and total knee arthroplasty (TKA). Difficulties with implementation are highlighted, and a recommendation for the future is presented. This perspective is novel in the ERAS literature, and centres around increasing the understanding of perioperative care teams on the need for utilising a recognised QI method (e.g., plan–do–study–act cycles, Lean, and Six Sigma) to implement ERAS protocols (which are a QI intervention) successfully. The importance of differentiating between a QI method and a QI intervention has value across all other ERAS surgical procedures. Full article
(This article belongs to the Special Issue Nursing and Allied Health Professional Focused Research on Enhanced Recovery after Surgery (ERAS))
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