Enhanced Recovery After Surgery: A Narrative Review of Barriers and Facilitators Perceived by Nurses

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary program designed to improve perioperative outcomes and quality of care, with nurses playing a central role throughout the perioperative pathway. This article aimed to explore the main barriers and facilitators perceived by nurses in the implementation of ERAS programs.

Narrative literature review.

A literature search was conducted in PubMed, CINAHL, and Scopus. Studies exploring nurses' perceptions of ERAS implementation were included.

Barriers to ERAS implementation included limited resources, time constraints, insufficient training, organizational challenges, resistance to change, and patient-related complexity. Key facilitators included ongoing education, managerial support, active leadership, effective multidisciplinary collaboration, patient involvement, and structured implementation strategies.

ERAS implementation is influenced by multiple interconnected factors. Addressing organizational and educational barriers and promoting multidisciplinary collaboration may support more effective and sustainable implementation of ERAS programs in clinical practice.