Key result
Among 640 surgical medical staff, the mean ERAS knowledge score was low (39.13±14.23), with significant differences across departments, occupations, and working experience (P<0.01).
Cross-Sectional (n=640)
No
Surgical medical staff demonstrate low knowledge scores regarding ERAS despite positive attitudes, indicating a need for targeted multidisciplinary training programs.
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Survey reveals ERAS knowledge gaps among surgical staff; leaves open need for targeted training before practice change.
Objective To explore the status of knowledge, attitude and practice in enhanced recovery after surgery (ERAS) among surgical medical staff, and analyze its influencing factors, so as to provide basic information for the multidisciplinary training and education program. Methods A self-designed questionnaire was used to survey 640 surgical medical staff of 17 surgical departments such as osteopathic department, gastrointestinal surgery and neurosurgery in West China Hospital of Sichuan province. The questionnaire included three parts: knowledge, attitude and practice. The SPSS 17.0 statistical software was applied for data analysis and processing. Results The score of ERAS knowledge among medical staff was (39.13±14.23). The score of reducing hospitalization time and costs was (3.30±1.30), which was the highest, while the score of anesthesia was (2.47±1.15), which was the lowest. The score of neurosurgery department was the lowest and was (25.35±12.82), while the score of general surgery was the highest and was (46.12±12.83). As for the ERAS attitude and practice of medical staff, 93.91% of medical staff agreed that ERAS could enhance patients′ recovery after surgery. 99.06% and 98.13% of the medical staff were willing to participate in the related study and research. 41.41% of staff recently had access to relevant knowledge within one month. The most important way of acquiring knowledge was communication between colleagues and lectures. Single factor analysis showed that: there were significant difference in ERAS knowledge score among medical staff with different departments, occupation, age, job title, highest education and working experience (P<0.01). Conclusions The ERAS knowledge score of surgical medical staff is low, and their clinical practice doesn′t match their attitude. Departemnts should organize targeted ERAS training according to different characteristics of medical staff among medical staff. The ERAS should be applied into the clinical practice and better the service for patients.
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Zhang et al. (2016) conducted a cross-sectional in Knowledge, attitude and practice in ERAS (n=640). Surgical medical staff characteristics was evaluated on ERAS knowledge score (p=<0.01). Among 640 surgical medical staff, the mean ERAS knowledge score was low (39.13±14.23), with significant differences across departments, occupations, and working experience (P<0.01).
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