"Enhanced Recovery Protocols in Cardiac Surgery: Implications for Nursing Practice"

Abstract: Enhanced Recovery Protocols (ERPs) have emerged as innovative, evidence-based strategies to improve surgical outcomes, shorten hospital stays, and enhance patient satisfaction. While first introduced in colorectal surgery, these structured care pathways are now being increasingly adapted for cardiac surgery, an area historically associated with complex recovery and prolonged hospitalization. The implementation of ERPs in cardiac surgery focuses on minimizing the stress response, optimizing perioperative care, and promoting early return to baseline function. Nurses are pivotal in all stages of this process, from patient education and risk assessment to intraoperative collaboration, postoperative mobilization, and psychosocial support. This article examines the principles of ERPs in cardiac surgery, elaborates on the roles and responsibilities of nurses in implementing these protocols, and discusses the benefits, challenges, and future directions. By embracing ERPs, nursing practice can transform the landscape of cardiac surgical recovery, ensuring safe, cost-effective, and patient-centered care.