Date of Graduation

Fall 12-14-2018

Document Type

Project/Capstone

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Elena Capella

Second Advisor

Susan Mortell

Abstract

Enhanced recovery after surgery (ERAS) has evolved over the past 30 years through evidence-based interventions. Enhanced recovery after surgery uses a multidisciplinary and multimodal evidence-based approach to maximize patient recovery. Perianesthesia nurses are critical to its success and have an obligation to understand and participate in the process to optimize patient outcomes. Despite proving to decrease complications and duration of stay in colorectal surgery patients without following colorectal surgery, the implementation of ERAS in colorectal pathways have been met with barriers (Alawadi et al., 2015). Subramaniam & Horgan (2016) describe ERAS pathways as evidence-based interventions that eliminate dated practices based in tradition that hinder patient recovery.

This project is designed to address the identification of barriers in the implementation of ERAS in colorectal populations at specific perioperative identified levels for provider and patient crucial to quality and improvement practices.

The Clinical Nurse Leader (CNL) is optimally suited for identification of perioperative barriers for the implementation of ERAS as a clinician while focusing on complex nature of ERAS in the increasingly complex and diverse patient populations in multiple environments. Functioning in the role of systems analyst/risk anticipator, the CNL is able to review systems in place to improve quality of client care delivery while focusing on individual patient care to evaluate and anticipate risks to safety with the goal of prevention of medical error (AACN, 2007).

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