Date of Award

Spring 2024

Document Type

DNP Project

Project Team Faculty Member

Dr. Mary Zerlan

Project Team Faculty Member

Dr. Lauren Douglass

Keywords

enhanced recovery after surgery, ERAS, bariatric, surgery, protocol, recovery

Abstract

Bariatric surgery has been utilized in treating severe obesity and offers several benefits, such as sustainable weight loss, treatment of various metabolic comorbidities, and improved life expectancy (Sundbom et al., 2017). With these benefits and procedural improvements, there has been a marked increase in the demand for bariatric surgery and increased interest in shifting some of these procedures to an ambulatory care setting (Stenberg et al., 2022). However, postoperative complications such as pain, nausea, and inability to tolerate oral intake can cause patients to experience an increased length of stay in the hospital and suboptimal outcomes (King et al., 2018). To address this burden, enhanced recovery after surgery (ERAS) protocols have been implemented at institutions. These protocols are designed to improve surgical outcomes, decrease postoperative complications, decrease hospital length of stay, and reduce healthcare costs. The objectives of this quality improvement project were to research current evidence-based literature on ERAS protocol for bariatric surgery, synthesize the recommendations, and present the gathered information to perioperative team members. After viewing the presentation, participants completed a post-presentation survey. Results of the post-presentation survey demonstrated that nurse anesthetists strongly understood ERAS protocol. Participants also believed that a customized ERAS protocol could be implemented into practice at their facility. The evidence displayed the remarkable impact ERAS protocols can have on practice.

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Project supporting documents
Literature Review_kriburr.docx (45 kB)
Literature Review
Conceptual Framework_kriburr.docx (14 kB)
Conceptual Framework
Project Methods_kriburr.docx (19 kB)
Project Methods
Evaluation Process_kriburr.docx (15 kB)
Evaluation Process
Final Reference List_kriburr.docx (26 kB)
Final Reference List
DNP Final Project (PDF)

Project supporting documents below

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