Impact of Enhanced Recovery Pathway Application Outcomes on Nurses and Women Undergoing Cesarean Section

Hussien Ahmed Ismail, Nadia; Seif Ashour, Eman; Mohamed Elhomosy, Samah

doi:10.21608/ejhc.2021.200070

Impact of Enhanced Recovery Pathway Application Outcomes on Nurses and Women Undergoing Cesarean Section

Document Type : Original Article

Authors

¹ Assistant professor in obstetric and gynecological nursing, faculty of nursing, Assuit University

² Assistant Professors of Maternal & Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt

10.21608/ejhc.2021.200070

Abstract

Enhanced recovery after surgery is a structured, interdisciplinary strategy for caring for patients with the goal of reducing the length of time patients spend in the hospital and receiving care without compromising the quality of care they receive or the outcomes they experience. Aim: To investigate the impact of enhanced recovery pathway application outcomes on nurses and women undergoing cesarean sections. Design: A quasi-experimental design was used in this study (pre- and post-tests were given to maternity nurses and women undergoing caesarean sections). Settings: The obstetrics and gynecology units of University Hospital and Shebin El-Kom Teaching Hospital in the Egyptian province of Menoufia were used as the research settings for this study. Sample: A convenient sample of fifty maternity nurses who had worked in the previous settings and a purposive sample of two hundred and fifty women who had undergone caesarean deliveries were recruited in this study. Instruments: The data was gathered with the help of a structured interview questionnaire, a knowledge assessment instrument, an observation checklist, and a numeric pain intensity scale for the mothers. Results: There was an increase in the overall knowledge and practice scores achieved by the maternity nurses in relation to the adoption of the enhanced recovery pathway application. Also, its application following CS had a greater effect on relieving the women’s postoperative problems, especially pain, than those who received merely standard hospital care. Conclusion: The enhanced recovery pathway significantly reduces postoperative complications, especially pain and length of hospital stays, and improves the maternity nurses' knowledge and practice scores post-caesarean. Recommendation: An enhanced recovery pathway should be applied during cesarean section operations for better results and fewer complications.

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