What are stakeholders' perspectives on the role of barriers and enablers to implementing eras protocols in colorectal surgery?

What are stakeholders' perspectives on the role of barriers and enablers to implementing eras protocols in colorectal surgery?

Enhanced Recovery After Surgery (ERAS) has emerged as a multidisciplinary approach to optimise patient outcomes and reduce healthcare costs in colorectal surgery. This study explores the diverse perspectives of stakeholders involved in colorectal surgery to uncover the barriers and enablers affecting the successful implementation of ERAS protocols. Using a qualitative research design, data were collected through interviews involving key stakeholders, including healthcare providers, nurses, and anaesthetists. Thematic analysis revealed a complex interplay of factors influencing ERAS adoption. Barriers identified include resistance to change, scepticism regarding the evidence base, safety concerns, and the need for additional training and resources. Conversely, enablers encompassed the recognition of ERAS benefits, including faster recovery, reduced pain, shorter hospital stays, and improved long-term outcomes. This study illuminates’ stakeholders' complex range of viewpoints about ERAS in colorectal surgery. It emphasises the significance of overcoming obstacles and utilising facilitators to improve the acceptance and effective execution of ERAS protocols in clinical settings.

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