Table 4 Knowledge of and future planning for ERAS
Knowledge of ERAS protocols | Overall n = 178 (100%) | Anaesthetists n = 26 (14.6%) | Surgeons n = 36 (20.2%) | Nurses n = 116 (65.2%) | p value | ||
|---|---|---|---|---|---|---|---|
ERAS protocols are primarily designed to*n(%) | a. Reduce the patient’s response to surgical stress to improve length of stay and reduce postoperative complications and mortality | 26 (16.9%) | 4 (16.0%) | 8 (25.0%) | 14 (14.4%) | 0.619 | |
b. Enhance the hospital’s efficiency and result in better financial outcomes for the hospital | 6 (3.9%) | 1 (4.0%) | 1 (3.1%) | 4 (4.1%) | |||
c. Address patient expectations preoperatively to lead to improved patient satisfaction | 6 (3.9%) | 0 (0.0%) | 0 (0.0%) | 6 (6.2%) | |||
d. All the above | 116 (75.3%) | 20 (80.0%) | 23 (71.9%) | 73 (75.3%) | |||
I am most interested in learning more about…n(%) | Fluid Management* | 1: Most interested | 17 (13.4%) | 2 (10.0%) | 4 (15.4%) | 11 (13.6%) | 0.001a |
2 | 28 (22%) | 12 (60.0%) | 7 (26.9%) | 9 (11.1%) | |||
3 | 37 (29.1%) | 4 (20.0%) | 10 (38.5%) | 23 (28.4%) | |||
4: Least interested | 45 (35.4%) | 2 (10.0%) | 5 (19.2%) | 38 (46.9%) | |||
Multimodal Pain Management* | 1: Most interested | 36 (27.9%) | 11 (55.0%) | 6 (25.0%) | 19 (22.4%) | 0.208 | |
2 | 37 (28.7%) | 2 (10.0%) | 6 (25.0%) | 29 (34.1%) | |||
3 | 40 (31.0%) | 4 (20.0%) | 7 (29.2%) | ||||
4: Least interested | 16 (12.4%) | 3 (15.0%) | 5 (20.8%) | 29 (34.1%) | |||
8 (9.4%) | |||||||
Minimising Perioperative Complications* | 1: Most interested | 48 (37.5%) | 3 (13.0%) | 9 (36.0%) | 36 (45.0%) | 0.001a | |
2 | 38 (29.7%) | 5 (21.7%) | 6 (24.0%) | 27 (33.8%) | |||
3 | 29 (22.7%) | 12 (52.2%) | 5 (20.0%) | ||||
4: Least interested | 13 (10.2%) | 3 (13.0%) | 5 (20.0%) | 12 (15.0%) | |||
5 (6.3%) | |||||||
Improving Perioperative Efficiency* | 1: Most interested | 23 (16.3%) | 3 (13.0%) | 4 (13.8%) | 16 (18.0%) | 0.375 | |
2 | 30 (21.3%) | 4 (17.4%) | 8 (27.6%) | 18 (20.2%) | |||
3 | 26 (18.4%) | 2 (8.7%) | 5 (17.2%) | ||||
4: Least interested | 62 (44.0%) | 14 (60.9%) | 12 (41.4%) | 19 (21.3%) | |||
36 (40.4%) | |||||||
My preferred method to learn about ERAS is*n(%) | a. Direct participation in institutional protocols | 32 (22.4%) | 3 (13.6%) | 8 (26.7%) | 21 (23.1%) | 0.031 | |
b. Reviewing journal articles or textbooks | 18 (12.6%) | 5 (22.7%) | 8 (26.7%) | 5 (5.5%) | |||
c. Seminars or lectures on the topic from leaders at national or international levels | 59 (41.3%) | 9 (40.9%) | 10 (33.3%) | 40 (44.0%) | |||
d. Seminars or lectures on the topic from leaders within my hospital or unit | 34 (23.8%) | 5 (22.7%) | 4 (13.3%) | 25 (27.5%) | |||
I think formal education about ERAS should be part of training for upcoming…n(%) | Anaesthetists* | 126 (87.5%) | 14 (70.0%) | 24 (82.8%) | 88 (92.6%) | 0.012 | |
Surgeons* | 133 (93.0%) | 19 (95.0%) | 26 (89.7%) | 88 (93.6%) | 0.705 | ||
Nurses* | 143 (99.3%) | 20 (100%) | 29 (100%) | 94 (98.9%) | 1.0 | ||
I think barriers to gaining knowledge about ERAS include*n(%) | Lack of information provided | 97 (62.6%) | 14 (56.0%) | 13 (40.6%) | 70 (71.4%) | 0.006 | |
Lack of interest from providers | 77 (49.7%) | 14 (56.0%) | 17 (53.1%) | 46 (46.9%) | 0.677 | ||
Lack of time | 76 (49.0%) | 12 (48.0%) | 11 (34.4%) | 53 (54.1%) | 0.156 | ||
Lack of resources | 72 (46.5%) | 12 (48.0%) | 15 (46.9%) | 45 (45.9%) | 1.00 | ||
Lack of research | 19 (12.3%) | 1 (4.0%) | 2 (6.3%) | 16 (16.3%) | 0.157 | ||
Lack of interest from patients | 18 (11.6%) | 2 (8.0%) | 3 (9.4%) | 13 (13.3%) | 0.817 | ||