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Cardiac Surgery ERACS Pathway: A Program Evaluation
Cardiac Surgery ERACS Pathway: A Program Evaluation
Cardiac Surgery ERACS Pathway: A Program Evaluation

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202105137
ISBN  
9798270297596
DDC  
610.73
저자명  
Funez, Milleny.
서명/저자  
Cardiac Surgery ERACS Pathway: A Program Evaluation
발행사항  
[Sl] : The University of North Carolina at Chapel Hill, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
115 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-07, Section: B.
주기사항  
Advisor: Baker, Maureen.
학위논문주기  
Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2025.
초록/해제  
요약Enhanced Recovery After Surgery (ERAS) pathways have demonstrated improvements in surgical outcomes across specialties, yet limited evidence exists on their sustained implementation in cardiac surgery (Engelman et al., 2019). ERAS in cardiac surgery first emerged in 2017 with the establishment of the ERAS Cardiac Society, a nonprofit organization dedicated to developing evidence-based pathways to optimize patient care in cardiac surgery. This society-composed of cardiac surgeons, anesthesiologists, and intensivists-created a series of interventions aimed at improving outcomes across the continuum of care. These interventions are organized into preoperative, intraoperative, and postoperative phases of recovery (Engelman et al., 2019).This project aimed to evaluate the ERACS program at a large academic center in North Carolina and was implemented in 2023. The evaluation assessed adherence to ERACS protocol elements, evaluated patient and staff experiences, and identified barriers and facilitators to pathway sustainability. This project used the Centers for Disease Control and Prevention's Program Evaluation Framework (Centers for Disease Control and Prevention, 2024; Kidder et al., 2024).This program evaluation demonstrated that ERACS contributes to improved postoperative outcomes but requires targeted strategies for consistent adoption. Strengthening staff education, redesigning workflows, and utilizing real-time dashboards may improve adherence and sustainability. These findings contribute to the growing evidence that ERAS pathways in cardiac surgery enhance recovery and reduce complications.
일반주제명  
Nursing
일반주제명  
Medicine
일반주제명  
Surgery
키워드  
Enhanced Recovery After Surgery
키워드  
Cardiac surgery
키워드  
Patient care
키워드  
Large academic center
기타저자  
The University of North Carolina at Chapel Hill Nursing
기본자료저록  
Dissertations Abstracts International. 87-07B.
전자적 위치 및 접속  
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■1001  ▼aFunez,  Milleny.
■24510▼aCardiac  Surgery  ERACS  Pathway:  A  Program  Evaluation
■260    ▼a[Sl]▼bThe  University  of  North  Carolina  at  Chapel  Hill▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a115  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-07,  Section:  B.
■500    ▼aAdvisor:  Baker,  Maureen.
■5021  ▼aThesis  (D.N.P.)--The  University  of  North  Carolina  at  Chapel  Hill,  2025.
■520    ▼aEnhanced  Recovery  After  Surgery  (ERAS)  pathways  have  demonstrated  improvements  in  surgical  outcomes  across  specialties,  yet  limited  evidence  exists  on  their  sustained  implementation  in  cardiac  surgery  (Engelman  et  al.,  2019).  ERAS  in  cardiac  surgery  first  emerged  in  2017  with  the  establishment  of  the  ERAS  Cardiac  Society,  a  nonprofit  organization  dedicated  to  developing  evidence-based  pathways  to  optimize  patient  care  in  cardiac  surgery.  This  society-composed  of  cardiac  surgeons,  anesthesiologists,  and  intensivists-created  a  series  of  interventions  aimed  at  improving  outcomes  across  the  continuum  of  care.  These  interventions  are  organized  into  preoperative,  intraoperative,  and  postoperative  phases  of  recovery  (Engelman  et  al.,  2019).This  project  aimed  to  evaluate  the  ERACS  program  at  a  large  academic  center  in  North  Carolina  and  was  implemented  in  2023.  The  evaluation  assessed  adherence  to  ERACS  protocol  elements,  evaluated  patient  and  staff  experiences,  and  identified  barriers  and  facilitators  to  pathway  sustainability.  This  project  used  the  Centers  for  Disease  Control  and  Prevention's  Program  Evaluation  Framework  (Centers  for  Disease  Control  and  Prevention,  2024;  Kidder  et  al.,  2024).This  program  evaluation  demonstrated  that  ERACS  contributes  to  improved  postoperative  outcomes  but  requires  targeted  strategies  for  consistent  adoption.  Strengthening  staff  education,  redesigning  workflows,  and  utilizing  real-time  dashboards  may  improve  adherence  and  sustainability.  These  findings  contribute  to  the  growing  evidence  that  ERAS  pathways  in  cardiac  surgery  enhance  recovery  and  reduce  complications.
■590    ▼aSchool  code:  0153.
■650  4▼aNursing
■650  4▼aMedicine
■650  4▼aSurgery
■653    ▼aEnhanced  Recovery  After  Surgery
■653    ▼aCardiac  surgery
■653    ▼aPatient  care
■653    ▼aLarge  academic  center
■690    ▼a0569
■690    ▼a0576
■690    ▼a0564
■690    ▼a0769
■71020▼aThe  University  of  North  Carolina  at  Chapel  Hill▼bNursing.
■7730  ▼tDissertations  Abstracts  International▼g87-07B.
■790    ▼a0153
■791    ▼aD.N.P.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17359557▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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