ORIGINAL RESEARCH article
Front. Surg.
Sec. Visceral Surgery
Establishing an Implementation Framework for Clinical Nursing Guidelines in Hepatobiliary and Accelerated Rehabilitation Surgery: Based on the Ottawa Research Application Model
Provisionally accepted
- Hunan Provincial People's Hospital (Hunan Normal University First Affiliated Hospital), Changsha, China
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Objective To establish a clinical nursing practice guideline for Accelerated Rehabilitation in Hepatobiliary Surgery (ERAS) based on the Ottawa research application model. Methods Using the Ottawa research application model as the guide, the obstacle factors were analyzed through focus group interview, and the comprehensive intervention strategy was developed by expert consultation. Results 10 barrier factors were identified from three aspects: evidence, adopters and practice environment, and multi-dimensional intervention strategies were constructed, including the Manual of ERAS Nursing Management in Hepatobiliary Surgery, telemedicine platform and multidisciplinary collaboration process. Conclusion The Ottawa model provides a systematic framework for the application of guidelines, and leadership support and technology integration are the keys to practice. This study provides reference for standardization of ERAS nursing practice and resource optimization.
Keywords: Clinical nursing practice guideline, Hepatological surgery department, Implementation of guideline, Ottawa Model of Research Use, Ottawa Research Application Model
Received: 28 Sep 2025; Accepted: 21 Jan 2026.
Copyright: © 2026 Dai, Zhang and Xiao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Honghui Zhang
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