Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence
Objective To explore patients’ experiences of enhanced recovery after surgery (ERAS) and to identify issues in the implementation of ERAS from the patient’s perspective.Design The systematic review and qualitative analysis were based on the Joanna Briggs Institute’s methodology for conducting synthe...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e068910.full |
| _version_ | 1797900358670876672 |
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| author | Kai Liu Dan Wang Zhenmi Liu Xinrong Chen Ka Li Jiankun Hu Yanjie Hu Liujiao Cao Weihan Zhang |
| author_facet | Kai Liu Dan Wang Zhenmi Liu Xinrong Chen Ka Li Jiankun Hu Yanjie Hu Liujiao Cao Weihan Zhang |
| author_sort | Kai Liu |
| collection | DOAJ |
| description | Objective To explore patients’ experiences of enhanced recovery after surgery (ERAS) and to identify issues in the implementation of ERAS from the patient’s perspective.Design The systematic review and qualitative analysis were based on the Joanna Briggs Institute’s methodology for conducting synthesis.Data sources Relevant studies published in four databases, that is, Web of Science, PubMed, Ovid Embase and the Cochrane Library, were systematically searched, and some studies were supplemented by key authors and reference lists.Study selection Thirty-one studies were identified, involving 1069 surgical patients enrolled in the ERAS programme. The inclusion and exclusion criteria were formulated based on the Population, Interest of phenomena, Context, Study design criteria recommended by the Joanna Briggs Institute to determine the scope of article retrieval. The inclusion criteria were as follows: ERAS patients’ experiences; qualitative data; English language and published from January 1990 to August 2021.Data extraction Data were extracted from relevant studies using the standardised data extraction tool from Joanna Briggs Institute Qualitative Assessment and Review Instrument for qualitative research.Data synthesis The themes in the structure dimension are as follows: (1) patients cared about the timeliness of healthcare professionals’ help; (2) patients cared about the professionalism of family care; and (3) patients misunderstood and worried about the safety of ERAS. The themes in the process dimension are as follows: (1) patients needed adequate and accurate information from healthcare professionals; (2) patients needed to communicate adequately with healthcare professionals; (3) patients hoped to develop a personalised treatment plan and (4) patients required ongoing follow-up services. The theme in the outcome dimension is as follows: patients wanted to effectively improve severe postoperative symptoms.Conclusions Evaluating ERAS from the patient’s perspective can reveal the omissions and deficiencies of healthcare professionals in clinical care so that problems in patients’ recovery process can be solved in a timely manner, reducing potential barriers to the implementation of ERAS.PROSPERO registration number CRD42021278631. |
| first_indexed | 2024-04-10T08:43:38Z |
| format | Article |
| id | doaj.art-5b84d1e1c29547169a86a3a24d4fc644 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-10T08:43:38Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-5b84d1e1c29547169a86a3a24d4fc6442023-02-22T12:30:12ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-068910Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidenceKai Liu0Dan Wang1Zhenmi Liu2Xinrong Chen3Ka Li4Jiankun Hu5Yanjie Hu6Liujiao Cao7Weihan Zhang8Gastric Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaPost-doctoral Mobile Research Station of Public Health and Preventive Medicine, School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, ChinaWest China School of Nursing/West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Nursing/West China Hospital, Sichuan University, Chengdu, ChinaGastric Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaWest China School of Nursing/West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Nursing/West China Hospital, Sichuan University, Chengdu, ChinaGastric Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaObjective To explore patients’ experiences of enhanced recovery after surgery (ERAS) and to identify issues in the implementation of ERAS from the patient’s perspective.Design The systematic review and qualitative analysis were based on the Joanna Briggs Institute’s methodology for conducting synthesis.Data sources Relevant studies published in four databases, that is, Web of Science, PubMed, Ovid Embase and the Cochrane Library, were systematically searched, and some studies were supplemented by key authors and reference lists.Study selection Thirty-one studies were identified, involving 1069 surgical patients enrolled in the ERAS programme. The inclusion and exclusion criteria were formulated based on the Population, Interest of phenomena, Context, Study design criteria recommended by the Joanna Briggs Institute to determine the scope of article retrieval. The inclusion criteria were as follows: ERAS patients’ experiences; qualitative data; English language and published from January 1990 to August 2021.Data extraction Data were extracted from relevant studies using the standardised data extraction tool from Joanna Briggs Institute Qualitative Assessment and Review Instrument for qualitative research.Data synthesis The themes in the structure dimension are as follows: (1) patients cared about the timeliness of healthcare professionals’ help; (2) patients cared about the professionalism of family care; and (3) patients misunderstood and worried about the safety of ERAS. The themes in the process dimension are as follows: (1) patients needed adequate and accurate information from healthcare professionals; (2) patients needed to communicate adequately with healthcare professionals; (3) patients hoped to develop a personalised treatment plan and (4) patients required ongoing follow-up services. The theme in the outcome dimension is as follows: patients wanted to effectively improve severe postoperative symptoms.Conclusions Evaluating ERAS from the patient’s perspective can reveal the omissions and deficiencies of healthcare professionals in clinical care so that problems in patients’ recovery process can be solved in a timely manner, reducing potential barriers to the implementation of ERAS.PROSPERO registration number CRD42021278631.https://bmjopen.bmj.com/content/13/2/e068910.full |
| spellingShingle | Kai Liu Dan Wang Zhenmi Liu Xinrong Chen Ka Li Jiankun Hu Yanjie Hu Liujiao Cao Weihan Zhang Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence BMJ Open |
| title | Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence |
| title_full | Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence |
| title_fullStr | Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence |
| title_full_unstemmed | Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence |
| title_short | Issues in patients’ experiences of enhanced recovery after surgery (ERAS) : a systematic review of qualitative evidence |
| title_sort | issues in patients experiences of enhanced recovery after surgery eras a systematic review of qualitative evidence |
| url | https://bmjopen.bmj.com/content/13/2/e068910.full |
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