Date of Award

Spring 4-28-2024

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Dr. Kacy Ballard

First Committee Member

Dr. Chai Sribanditmongol

Second Committee Member

Dr. Amy Bishop


Enhanced Recovery After Surgery (ERAS), ERAS Guideline, Length of Stay, Total Hip Arthroplasty, Total Knee Arthroplasty, Total Joint Arthroplasty

Subject Categories

Medicine and Health Sciences


Enhanced recovery after surgery (ERAS) is a comprehensive guideline that guides patients' care throughout their surgical journey. ERAS is intended to reduce the body’s response to the many stressors of surgery. ERAS is proven effective in various specialty surgical areas, including orthopedics. Orthopedic surgery rates increase parallel with the patient population ages, indicating a need for more joint replacements. Implementing an ERAS guideline reduces healthcare costs to the patient and hospital facility by reducing the length of stay (LOS) and complications postoperatively. The investigation revealed a lack of consistent direction of care, and the developed approach for patients undergoing joint arthroplasty has led to the research and recommendation of an ERAS guideline. The primary goal of this scholarly project is to recommend an evidence-based ERAS guideline for patients undergoing total joint arthroplasty to decrease the LOS at the hospital facility of interest. This educational project utilizes the Edward Deming Plan-Do-Study-Act (PDSA) cycle model, commonly called the Deming Cycle. The team then identified a focal point of the ERAS guideline to assess the effectiveness of the recommended guideline. The recommended ERAS guideline emphasizes patients receiving regional anesthesia before their total joint arthroplasty for its benefits of decreasing surgical stress on the body. It is a multimodal analgesic technique reducing opioid requirements and decreases postoperative pain to allow early ambulation. This project can be seen as a significant cost-saving guideline for the hospital and the patients. The outcomes from this scholarly project can be vital to recommending an ERAS guideline to other surgical specialty areas.

Acknowledgement 1


Acknowledgement 2


Licensing Permission

Copyright, all rights reserved. Fair Use



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