Assessment of Knowledge, Attitude, and Practice towards Enhanced Recovery after Surgery among Healthcare Professionals At Tertiary Care Hospitals: A Cross-sectional Study

Abstract

Background: Enhanced Recovery After Surgery (ERAS) protocols are evidence-based approaches that improve postoperative outcomes, reduce complications, and shorten hospital stays. The success of ERAS implementation largely depends on healthcare professionals’ knowledge, attitude, and practice (KAP). This study aimed to assess the KAP of healthcare professionals toward ERAS in tertiary care hospitals.

Methods: A cross-sectional study was conducted among 196 healthcare professionals, including surgeons, anesthetists, nurses, and physiotherapists. Data were collected using a structured, self-administered questionnaire assessing socio-demographic characteristics, knowledge, attitude, and practice toward ERAS. Descriptive statistics were used for participant characteristics, and logistic regression analysis identified factors associated with good practice.

Results: Among 196 participants, 52% were male, and the mean age was 38.5 ± 9.6 years. Good knowledge of ERAS was observed in 61.2% of participants, while 68.9% exhibited a positive attitude. Overall, 53.6% demonstrated good practice toward ERAS protocols. Logistic regression revealed that good knowledge (OR = 3.00, 95% CI: 1.50–6.01, p = 0.001), positive attitude (OR = 2.34, 95% CI: 1.23–4.45, p = 0.010), being a doctor (OR = 2.46, 95% CI: 1.22–4.95, p = 0.010), and age ≥40 years (OR = 1.92, 95% CI: 1.02–3.62, p = 0.042) were significantly associated with good practice.

Conclusion: While most healthcare professionals demonstrated moderate to good knowledge and a positive attitude toward ERAS, practice levels were comparatively lower. Targeted educational interventions and training programs are recommended to enhance the practical implementation of ERAS protocols in tertiary care settings.