Key result
An integrative review of 42 articles revealed that the transition from hospital to home after ERAS colorectal surgery is complex, identifying multiple categories, conditions, and indicators.
Why the study?
The study aimed to investigate the transition from hospital to home after elective colorectal surgery performed in an Enhanced Recovery After Surgery (ERAS) programme.
The transition from hospital to home after ERAS colorectal surgery is complex, and a holistic understanding can help nurses optimize in-home recovery.
Supports holistic nursing assessment for complex post-ERAS transitions; leaves open validation of specific interventions in prospective trials.
AIM: This study aimed to investigate the transition from hospital to home after elective colorectal surgery performed in an Enhanced Recovery After Surgery (ERAS) programme. DESIGN: An integrative review. METHODS: A search of ten electronic databases was conducted. Data extraction and quality assessment were performed independently by two authors. Data analysis and synthesis were based on Meleis' Transitions Theory (2010). RESULTS: Forty-two articles were included, and most (N = 27) were of good or very good quality. The researchers identified five categories to document the nature of transition postsurgery, three conditions affecting such transition, eleven indicators informing about the quality of the transition and several nursing interventions. Overall, this review revealed that the transition from hospital to home after ERAS colorectal surgery is complex. A holistic understanding of this phenomenon may help nurses to recognize what they need to do to optimize the in-home recovery of this clientele.
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Ruel et al. (2020) conducted a review in Elective colorectal surgery in an Enhanced Recovery After Surgery (ERAS) programme (n=42). Transition from hospital to home after ERAS colorectal surgery was evaluated on Nature of transition postsurgery, conditions affecting transition, indicators informing quality, and nursing interventions. An integrative review of 42 articles revealed that the transition from hospital to home after ERAS colorectal surgery is complex, identifying multiple categories, conditions, and indicators.