Skip to content
2000
Volume 5, Issue 1
  • ISSN: 0250-6882
  • E-ISSN: 0250-6882

Abstract

Objectives

The Enhanced Recovery After Surgery (ERAS) program is a multidisciplinary approach aimed at minimizing postoperative complications, shortening hospital stays, and improving clinical outcomes. The current study assesses the knowledge, attitudes, and practices (KAP) of nurses and anesthesia technicians regarding the ERAS program, which is essential for evaluating their understanding and readiness to implement the program, as well as identifying factors influencing the successful adoption of ERAS in clinical practice.

Methods

The cross-sectional study involved nurses and anesthesia technicians with at least two months of experience at the University Medical Center in Ho Chi Minh City, Vietnam. A validated questionnaire assessed their KAP regarding the ERAS program. Data were collected electronic surveys during ERAS group meetings and analyzed with Stata 16.0. The Wilcoxon and Kruskal-Wallis tests compared qualitative variables, while Spearman regression identified relationships between quantitative variables.

Results

Among the 193 nurses and anesthesia technicians, knowledge and attitude scores towards the ERAS program were highly rated, with mean scores of 7.66 ± 1.46 and 40.10 ± 5.24, respectively. Their mean practice score was 6.51 ± 1.26. Age, work experience, and educational level significantly influenced the participant's knowledge, attitudes, and practices. Additionally, there was a positive correlation between attitude and practice (p < 0.001).

Conclusion

This study shows that nurses and anesthesia technicians possess the knowledge and a positive attitude toward the ERAS program; however, their practices remain limited. These results highlight the importance of continuous training and professional development to enhance the effectiveness of ERAS implementation in clinical practice.

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Loading

Article metrics loading...

/content/journals/nemj/10.2174/0102506882353293241121094302
2024-01-01
2025-04-25
The full text of this item is not currently available.

References

  1. LjungqvistO. ScottM. FearonK.C. Enhanced recovery after surgery.JAMA Surg.2017152329229810.1001/jamasurg.2016.495228097305
    [Google Scholar]
  2. Tat BangH. ThuT.T.A. NghiaV.H. HuyenT.K. Thanh VyT. TapN.V. Efficacy of enhanced recovery after surgery program for patients undergoing lobectomy for lung cancer: A scoping review and single-center initial result in Vietnam.Cureus2023158e4408410.7759/cureus.4408437753048
    [Google Scholar]
  3. DimitropoulosK. PistersL.L. PapandreouC.N. DalianiD. KaratzasA. PetsitiA. TassoudisV. ArnaoutoglouE. VlachostergiosP.J. TzortzisV. The impact of enhanced recovery after surgery protocol implementation on postoperative pain management in the era of opioid crisis: The postchemotherapy open RPLND experience.Curr. Cancer Drug Targets2023231191091610.2174/156800962366623042609325537170984
    [Google Scholar]
  4. YangR TaoW ChenYY ZhangBH TangJM ZhongS Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy: A meta-analysis.Int J. Surg.20163627428210.1016/j.ijsu.2016.11.017
    [Google Scholar]
  5. KehletH. Multimodal approach to control postoperative pathophysiology and rehabilitation.Br. J. Anaesth.199778560661710.1093/bja/78.5.6069175983
    [Google Scholar]
  6. MithanyR.H. DanielN. ShahidM.H. AslamS. AbdelmaseehM. GergesF. GillM.U. AbdallahS.B. HannanA. SaeedM.T. ManassehM. MohamedM.S. Revolutionizing surgical care: The power of enhanced recovery after surgery (ERAS).Cureus20231511e4879510.7759/cureus.4879538024087
    [Google Scholar]
  7. Van HarenR.M. MehranR.J. MenaG.E. CorreaA.M. AntonoffM.B. BakerC.M. WoodardT.C. HofstetterW.L. RothJ.A. SepesiB. SwisherS.G. VaporciyanA.A. WalshG.L. RiceD.C. Enhanced recovery decreases pulmonary and cardiac complications after thoracotomy for lung cancer.Ann. Thorac. Surg.2018106127227910.1016/j.athoracsur.2018.01.08829530770
    [Google Scholar]
  8. DemirZ.A. MarczinN. ERAS in cardiac surgery: Wishful thinking or reality.Turk. J. Anaesthesiol. Reanim.202351537037310.4274/TJAR.2023.23123837876162
    [Google Scholar]
  9. WainwrightT.W. JakobsenD.H. KehletH. The current and future role of nurses within enhanced recovery after surgery pathways.Br. J. Nurs.2022311265665910.12968/bjon.2022.31.12.65635736850
    [Google Scholar]
  10. NelsonG. Nursing role central to successful implementation of enhanced recovery after surgery.Asia Pac. J. Oncol. Nurs.20229710011210.1016/j.apjon.2022.10011235937709
    [Google Scholar]
  11. HübnerM AddorV SliekerJ GriesserAC LécureuxE BlancC The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study.Int J. Surg201524455010.1016/j.ijsu.2015.10.025
    [Google Scholar]
  12. CohenR. Gooberman-HillR. Staff experiences of enhanced recovery after surgery: Systematic review of qualitative studies.BMJ Open201992e02225910.1136/bmjopen‑2018‑02225930760511
    [Google Scholar]
  13. WuX. LiangX. LiY. ZhengR. Development and testing of the knowledge–attitudes–practices questionnaire for nurses on the perioperative pulmonary rehabilitation of patients with lung cancer.Asia Pac. J. Oncol. Nurs.202411410038710.1016/j.apjon.2024.10038738495645
    [Google Scholar]
  14. DorukerNC OdenTN KorkmazFD Determination of knowledge and attitudes of cardiac surgery nurses regarding the enhanced recovery after surgery protocol.J. Perianesth Nurs202338571071610.1016/j.jopan.2022.11.005
    [Google Scholar]
  15. NguyenTHM TranTTT TranTBT NguyenTBN NguyenTTH NguyenTAN Validity and reliability of nurses’ knowledge, attitudes, and practices regarding enhanced recovery after surgery (ERAS) questionnaire. Vietnam J. Med.20235271
    [Google Scholar]
  16. LjungqvistO FrancisN UrmanR. Enhanced recovery after surgery a complete guide to optimizing outcomes: A complete guide to optimizing outcomes.Enhanced Recovery After SurgerySpringer2020
    [Google Scholar]
  17. KahokehrA SammourT Zargar-ShoshtariK ThompsonL HillAG Implementation of ERAS and how to overcome the barriers.Int J Surg.20097116910.1016/j.ijsu.2008.11.004
    [Google Scholar]
  18. LiuK.X. LvM. LiuX.S. WangH.Q. ChenZ.M. XuH.Z. Knowledge, attitudes and practices of enhanced recovery after surgery among paediatric surgical nurses in China: A Cross‐Sectional study.Nurs. Open20231031830183910.1002/nop2.144336314846
    [Google Scholar]
  19. ZhenzhenW. RuiZ. YanC. HongyanL. Current status and influencing factors of knowledge-attitudes-practice about pulmonary rehabilitation among respiratory nurses in tertiary medical institution of Ningxia.J. Ningxia Med. Univ.202143423428
    [Google Scholar]
  20. XueB. YuH. LuoX. Knowledge of enhanced recovery after surgery and influencing factors among abdominal surgical nurses: A multi-center cross-sectional study.Contemp. Nurse202258433034210.1080/10376178.2022.211272335965486
    [Google Scholar]
  21. AikenL.H. SloaneD.M. BruyneelL. Van den HeedeK. GriffithsP. BusseR. DiomidousM. KinnunenJ. KózkaM. LesaffreE. McHughM.D. Moreno-CasbasM.T. RaffertyA.M. SchwendimannR. ScottP.A. TishelmanC. van AchterbergT. SermeusW. RN4CAST consortium Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study.Lancet201438399311824183010.1016/S0140‑6736(13)62631‑824581683
    [Google Scholar]
  22. FrancisN.K. WalkerT. CarterF. HübnerM. BalfourA. JakobsenD.H. BurchJ. WasylakT. DemartinesN. LoboD.N. AddorV. LjungqvistO. Consensus on training and implementation of enhanced recovery after surgery: A delphi study.World J. Surg.20184271919192810.1007/s00268‑017‑4436‑229302724
    [Google Scholar]
  23. SalengerR. Morton-BaileyV. GrantM. GregoryA. WilliamsJ.B. EngelmanD.T. Cardiac enhanced recovery after surgery: A guide to team building and successful implementation.Semin. Thorac. Cardiovasc. Surg.202032218719610.1053/j.semtcvs.2020.02.02932120008
    [Google Scholar]
/content/journals/nemj/10.2174/0102506882353293241121094302
Loading
/content/journals/nemj/10.2174/0102506882353293241121094302
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test