Knowledge, Attitude and Practice of Surgical Nurses on Enhanced Recovery after Surgery (ERAS) protocols: Multicentre Cross-sectional study

Abstract Introduction: Enhanced Recovery after Surgery (ERAS) protocols have been widely adopted in surgical practice to improve patient outcomes and optimize recovery. These protocols are evidence-based and focus on minimizing the physiological stress of surgery, promoting postoperative recovery, and reducing the length of hospital stays Objective The primary aim of this study was to assess knowledge, attitude and practice of surgical nurses on Enhanced Recovery after Surgery (ERAS) protocols. Methods A multicentre cross-sectional study was conducted from May 05/2024 to August 20/2024. Result A total of 462 surgical nurses were participated in the study. The study found that most participants (64.1%) had a strong understanding of ERAS protocols. Among participants, 51.9% showed positive attitudes towards ERAS protocol. However, when it came to actually applying the protocols, only 30.1% engaged in good practices. Level of education (AOR = 32.748, AOR = 5.023, AOR = 4.070), work experience (AOR = 6.408, AOR = 8.086), hospital type (AOR = 16.545, AOR = 2.121, AOR = 2.637), and on-the-job training (AOR = 6.525, 2.474, 1.974) were found to be highly associated with surgical nurses' knowledge, attitudes and practice of ERAS protocols with respective AOR. Conclusion The result this study emphasizes that age, education, work experience, hospital type, and on-the-job training play key roles in shaping surgical nurses' knowledge and attitudes towards ERAS protocols. It highlights the need for specialized educational and training programs designed for various nursing groups to improve their understanding and application of ERAS. Moreover, these factors also impact the effectiveness of ERAS protocol implementation in clinical settings.