# Establishing an implementation framework for clinical nursing guidelines in hepatobiliary and accelerated rehabilitation surgery: based on the Ottawa research application model

## TL;DR

This paper develops a framework for implementing clinical nursing guidelines in hepatobiliary surgery using the Ottawa model, focusing on overcoming barriers and optimizing resources.

## Contribution

A novel implementation framework for ERAS nursing guidelines using the Ottawa model, identifying barriers and proposing multi-dimensional strategies.

## Key findings

- Identified 10 barrier factors across evidence, adopters, and environment.
- Developed strategies including a nursing manual, telemedicine platform, and multidisciplinary collaboration.
- Highlighted leadership and technology integration as critical for successful implementation.

## Abstract

To establish a clinical nursing practice guideline for Accelerated Rehabilitation in Hepatobiliary Surgery (ERAS) based on the Ottawa research application model.

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.

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.

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.