Impact of a Nurse-Led Enhanced Recovery Pathway on Perioperative Patient Satisfaction in Hepato-Pancreato-Biliary Surgery

Document Type : Original Article

Authors

1 Specialist Nurse at Alrajhy Liver Hospital, The Main Investigator and Data Collector, Egypt.

2 Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt.

3 Professor of Anesthesia and Intensive care, Faculty of Medicine, Assiut University, Egypt.

Abstract

Background: The most desired result is patient satisfaction, which every hospital should aim for. Improved postoperative recovery maximizes care prior to, during, and following surgery by lowering perioperative stress, determining patient needs, and advancing clinical practice. Aim: Evaluate the impact of a nurse-led enhanced recovery pathway on perioperative patient satisfaction in hepato-pancreato-biliary surgery. Design: Quasi-experimental study. Setting: The study was conducted at surgical department, operation unit and intensive care Unit at Alrajhy Liver Hospital. Sample: Sixty patient undergoing hepatobiliary pancreatic surgeries. The sample was divided into two groups; control and study group (30 patients each). Tools: Patientsatisfactions assessment questionnaire tool. It included three parts: Patient assessment, postoperative outcomes evaluation, and patient satisfactions questionnaire. Results: About 56.7% of the studied patients in the study and the control groups were more than 50 years old. 43.3% in the control group and 93.3% of the study group were satisfied, with highly statistically significant difference between the both groups at p-value <0.01. Conclusions: In hepato-pancreato-biliary surgery, implementing a nurse-led enhanced recovery pathway helps reduce postoperative complications and improves perioperative patient satisfaction. Recommendations: A nurse-led enhanced recovery pathway should be integrated as a standard practice in hepato-pancreato-biliary surgery. Further research with a larger sample size is recommended to confirm these findings.

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