Skip to content
2000
  1. Home
  2. A-Z Publications
  3. New Emirates Medical Journal
  4. Fast Track Articles
  5. Fast Track Article
image of Knowledge, Attitudes, and Practices of Nurses and Anesthetic Technicians Regarding the Enhanced Recovery After Surgery (ERAS) Program
file format pdf download PDF

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.

© 2024 The Author(s). Published by Bentham Science.
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
2024-12-17
2025-04-05

  • From This Site

    /content/journals/nemj/10.2174/0102506882353293241121094302
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
The full text of this item is not currently available.

References

  1. Ljungqvist O. Scott M. Fearon K.C. Enhanced recovery after surgery. JAMA Surg. 2017 152 3 292 298 10.1001/jamasurg.2016.4952 28097305
    [Google Scholar]
  2. Tat Bang H. Thu T.T.A. Nghia V.H. Huyen T.K. Thanh Vy T. Tap N.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. Cureus 2023 15 8 e44084 10.7759/cureus.44084 37753048
    [Google Scholar]
  3. Dimitropoulos K. Pisters L.L. Papandreou C.N. Daliani D. Karatzas A. Petsiti A. Tassoudis V. Arnaoutoglou E. Vlachostergios P.J. Tzortzis V. 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 Targets 2023 23 11 910 916 10.2174/1568009623666230426093255 37170984
    [Google Scholar]
  4. Yang R Tao W Chen YY Zhang BH Tang JM Zhong S Enhanced recovery after surgery programs versus traditional perioperative care in laparoscopic hepatectomy: A meta-analysis. Int J. Surg. 2016 36 274 282 10.1016/j.ijsu.2016.11.017
    [Google Scholar]
  5. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br. J. Anaesth. 1997 78 5 606 617 10.1093/bja/78.5.606 9175983
    [Google Scholar]
  6. Mithany R.H. Daniel N. Shahid M.H. Aslam S. Abdelmaseeh M. Gerges F. Gill M.U. Abdallah S.B. Hannan A. Saeed M.T. Manasseh M. Mohamed M.S. Revolutionizing surgical care: The power of enhanced recovery after surgery (ERAS). Cureus 2023 15 11 e48795 10.7759/cureus.48795 38024087
    [Google Scholar]
  7. Van Haren R.M. Mehran R.J. Mena G.E. Correa A.M. Antonoff M.B. Baker C.M. Woodard T.C. Hofstetter W.L. Roth J.A. Sepesi B. Swisher S.G. Vaporciyan A.A. Walsh G.L. Rice D.C. Enhanced recovery decreases pulmonary and cardiac complications after thoracotomy for lung cancer. Ann. Thorac. Surg. 2018 106 1 272 279 10.1016/j.athoracsur.2018.01.088 29530770
    [Google Scholar]
  8. Demir Z.A. Marczin N. ERAS in cardiac surgery: Wishful thinking or reality. Turk. J. Anaesthesiol. Reanim. 2023 51 5 370 373 10.4274/TJAR.2023.231238 37876162
    [Google Scholar]
  9. Wainwright T.W. Jakobsen D.H. Kehlet H. The current and future role of nurses within enhanced recovery after surgery pathways. Br. J. Nurs. 2022 31 12 656 659 10.12968/bjon.2022.31.12.656 35736850
    [Google Scholar]
  10. Nelson G. Nursing role central to successful implementation of enhanced recovery after surgery. Asia Pac. J. Oncol. Nurs. 2022 9 7 100112 10.1016/j.apjon.2022.100112 35937709
    [Google Scholar]
  11. Hübner M Addor V Slieker J Griesser AC Lécureux E Blanc C The impact of an enhanced recovery pathway on nursing workload: A retrospective cohort study. Int J. Surg 2015 24 45 50 10.1016/j.ijsu.2015.10.025
    [Google Scholar]
  12. Cohen R. Gooberman-Hill R. Staff experiences of enhanced recovery after surgery: Systematic review of qualitative studies. BMJ Open 2019 9 2 e022259 10.1136/bmjopen‑2018‑022259 30760511
    [Google Scholar]
  13. Wu X. Liang X. Li Y. Zheng R. 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. 2024 11 4 100387 10.1016/j.apjon.2024.100387 38495645
    [Google Scholar]
  14. Doruker NC Oden TN Korkmaz FD Determination of knowledge and attitudes of cardiac surgery nurses regarding the enhanced recovery after surgery protocol. J. Perianesth Nurs 2023 38 5 710 716 10.1016/j.jopan.2022.11.005
    [Google Scholar]
  15. Nguyen THM Tran TTT Tran TBT Nguyen TBN Nguyen TTH Nguyen TAN Validity and reliability of nurses’ knowledge, attitudes, and practices regarding enhanced recovery after surgery (ERAS) questionnaire. Vietnam J. Med. 2023 527 1
    [Google Scholar]
  16. Ljungqvist O Francis N Urman R. Enhanced recovery after surgery a complete guide to optimizing outcomes: A complete guide to optimizing outcomes. Enhanced Recovery After Surgery Springer 2020
    [Google Scholar]
  17. Kahokehr A Sammour T Zargar-Shoshtari K Thompson L Hill AG Implementation of ERAS and how to overcome the barriers. Int J Surg. 2009 7 1 16 9 10.1016/j.ijsu.2008.11.004
    [Google Scholar]
  18. Liu K.X. Lv M. Liu X.S. Wang H.Q. Chen Z.M. Xu H.Z. Knowledge, attitudes and practices of enhanced recovery after surgery among paediatric surgical nurses in China: A Cross‐Sectional study. Nurs. Open 2023 10 3 1830 1839 10.1002/nop2.1443 36314846
    [Google Scholar]
  19. Zhenzhen W. Rui Z. Yan C. Hongyan L. 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. 2021 43 423 428
    [Google Scholar]
  20. Xue B. Yu H. Luo X. Knowledge of enhanced recovery after surgery and influencing factors among abdominal surgical nurses: A multi-center cross-sectional study. Contemp. Nurse 2022 58 4 330 342 10.1080/10376178.2022.2112723 35965486
    [Google Scholar]
  21. Aiken L.H. Sloane D.M. Bruyneel L. Van den Heede K. Griffiths P. Busse R. Diomidous M. Kinnunen J. Kózka M. Lesaffre E. McHugh M.D. Moreno-Casbas M.T. Rafferty A.M. Schwendimann R. Scott P.A. Tishelman C. van Achterberg T. Sermeus W. RN4CAST consortium Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. Lancet 2014 383 9931 1824 1830 10.1016/S0140‑6736(13)62631‑8 24581683
    [Google Scholar]
  22. Francis N.K. Walker T. Carter F. Hübner M. Balfour A. Jakobsen D.H. Burch J. Wasylak T. Demartines N. Lobo D.N. Addor V. Ljungqvist O. Consensus on training and implementation of enhanced recovery after surgery: A delphi study. World J. Surg. 2018 42 7 1919 1928 10.1007/s00268‑017‑4436‑2 29302724
    [Google Scholar]
  23. Salenger R. Morton-Bailey V. Grant M. Gregory A. Williams J.B. Engelman D.T. Cardiac enhanced recovery after surgery: A guide to team building and successful implementation. Semin. Thorac. Cardiovasc. Surg. 2020 32 2 187 196 10.1053/j.semtcvs.2020.02.029 32120008
    [Google Scholar]
/content/journals/nemj/10.2174/0102506882353293241121094302
Loading
Knowledge, Attitudes, and Practices of Nurses and Anesthetic Technicians Regarding the Enhanced Recovery After Surgery (ERAS) Program
Bentham Science Publishers ; https://doi.org/10.2174/0102506882353293241121094302
/content/journals/nemj/10.2174/0102506882353293241121094302
/content/journals/nemj/10.2174/0102506882353293241121094302
Loading

Data & Media loading...


  • Article Type:     Research Article
Keywords: Practices ; Anesthetic technicians ; Attitudes ; Knowledge ; Nurse ; Electronic surveys ; Enhanced Recovery After Surgery

Most Cited Most Cited RSS feed

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