Abstract

Problem: Enhanced Recovery After Surgery (ERAS) protocols aim to minimize surgical stress, improve patient outcomes, and shorten hospital stays. While ERAS has shown benefits in various surgical disciplines, challenges were faced in implementing and customizing these protocols for specific populations. This project evaluated how ERAS interventions impact recovery metrics, including hospital length of stay, bowel recovery, and cardiac rehabilitation outcomes.

Intervention: ERAS-based perioperative care strategies were implemented focusing on early mobilization, optimized pain management, reduced opioid use, and timely enteral nutrition. The patients were monitored for compliance and adherence to protocol components to assess their effect on recovery.

Measures: Primary outcome measures were defined as hospital stay duration, bowel movement improvement, and completion of cardiac rehabilitation step 5. The pre-intervention and post-intervention groups were compared to determine effectiveness.

Results: The findings did not demonstrate improvement in hospital length of stay, enhanced bowel movement, or cardiac rehabilitation step 5 in the post-intervention group. Factors potentially influencing the findings include the low number of participants in the post-intervention group and the co-morbidity factors of the participants. These results highlight the need to investigate adaptations of ERAS for specific patient populations.

Conclusions: Due to the low number of participants in the post-intervention group, it is recommended that further study be done in a longer time frame. These findings underscore the importance of tailored interventions and the continued refinement of ERAS strategies to maximize patient benefits while mitigating unintended consequences.

Author Details

Jennifer Smith, BSN, DNP-FNP-Student, Advisor: Christina Vejnovich, DNP, APRN-CNS, AGCNS-BC, CDP, CADDCT, PCCN-K

Sigma Membership

Tau

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Clinical Practice Guideline(s)

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Enhanced Recovery After Surgery, Perioperative Care, Hospital Stay

Advisor

Christina Vejnovich

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Full Text of Presentation

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Available for download on Friday, August 21, 2026

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