Date of Award

Spring 5-10-2019

Document Type

DNP Project

Project Team Faculty Member

Andy Griffin

Project Team Faculty Member

Kevin Stein


Enhanced recovery after surgery, ERAS, Critical access hospital, ERP, Enhanced Recovery Program, Opioid-free


Enhanced recovery after surgery (ERAS) protocols provide numerous benefits for patients undergoing colorectal surgery. The goal of the protocol is to decrease surgical complications, patient’s length of hospital stay, recovery time, and increase patient satisfaction. The purpose of this doctoral project was to create and implement an ERAS protocol for a 25-bed critical access hospital. The findings obtained from the literature review were presented to the multi-disciplinary team. The specific needs of the surgical team were identified, and the ERAS protocol was created. Lastly, the ERAS protocol was finalized and implemented in the institution. The outcome measures examined were the patient’s length of stay and opioid use. In addition, a blinded survey was provided to clinical staff to examine perceptions of the ERAS protocol. The findings seem to indicate a positive trend toward decreased length of stay and lower opioid consumption. The survey suggested that providers perceived patients had a better recovery, pain control, improved activity tolerance, and increased patient satisfaction. Limitations of this project are relative to the low numbers of procedures at this institution. However, institutional outcome measures were compared with national ERAS data. The findings showed that this institution met or exceeded the national outcome-measure data.

Download Full Text Above

Literature Review_jgrazai.docx (28 kB)
Literature Review

Conceptual Framework_jgrazai.docx (12 kB)
Conceptual Framework

Project Methods_jgrazai.docx (12 kB)
Project Methods

Evaluation Process_instruments_jgrazai.docx (27 kB)
Evaluation Process

final references_jgrazai.docx (18 kB)
Final Reference List

Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.