3 years ago

Nursing role on rapid recovery programmes fast-track

Alfonso Sevillano-jiménez, Manuel Romero-saldaña, Guillermo Molina-recio

Publication date: July–August 2018

Source: Enfermería Clínica (English Edition), Volume 28, Issue 4

Author(s): Alfonso Sevillano-Jiménez, Manuel Romero-Saldaña, Guillermo Molina-Recio


Rapid recovery (RR) or fast-track programmes are aimed at reducing surgical stress, leading to a reduction in nurse workload, costs and hospital stay, greater patient empowerment, early post-surgical recovery and reduced morbidity and mortality. These new protocols require the coordinated participation of a multidisciplinary team.

Based on an integrative review of the literature, this paper aims to define the concept of a RR or fast track programme and show the existing evidence on the implementation of these programmes in nursing.

The benefits and low incidence of damage of RR programmes in nursing justify their implementation. The programmes require greater support and diffusion in order to develop, as well as more research to increase the evidence on the effectiveness and efficiency of the protocols.


Los programas de recuperación intensificada (PRI) o fast-track tienen por objetivo disminuir el estrés quirúrgico y conllevan una reducción de la carga laboral enfermera, de los costes y la estancia hospitalaria, un mayor empoderamiento del paciente, una recuperación posquirúrgica precoz y una reducción de las tasas de morbimortalidad. Para ello se requiere de la participación coordinada de un equipo multidisciplinar.

A partir de una revisión integrativa de la literatura, el presente trabajo pretende ofrecer una definición del concepto de PRI o fast-track, así como mostrar la evidencia existente sobre la implantación de dichos programas en el ámbito de la Enfermería.

Los beneficios y escasos perjuicios de los PRI en Enfermería justifican su implementación, que precisa un mayor apoyo y difusión para su desarrollo, así como mayor investigación que aumente la evidencia sobre la eficacia y eficiencia del protocolo.

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