A Study on Assessment of Knowledge, Attitude and Practice of Enhanced Recovery After Surgery on Health Care Professionals at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia in 2021.
No Thumbnail Available
Date
2021-11
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Abstract
Introduction : ERAS ,first introduced in 2005 is a combination of various perioperative patient care methods based on a multimodal approach that integrates evidence based interventions to reduce surgical stress ,maintain post operative physiological function and accelerate recovery in patients undergoing major surgery, GI surgery ,Urological surgery ,Orthopedic surgery ,Gynecologic surgery ,thoracic and breast surgery.
Objective: To assess Knowledge attitude and practice of ERAS on HCPs at TASH, Addis Ababa, Ethiopia during data collection time.
Methodology: Institutional based quantitative cross sectional prospective observational study was employed .Anesthetists, Anesthesiologists, Surgeons, Surgical residents, Anesthesiology residents and nurses working at TASH surgical wards and OR during data collection period were included. Data was analyzed using SPSS version 25 statistical software.
Results of the Study: Almost all ACCPM has good knowledge (90.7%) on ERAS Protocols; on the other hand, only 21 % of nurses have good knowledge. Most of ACCPM (85%) and surgical team (83%) have good attitude about ERAS. On the contrary, only 15% of nurses have a positive
attitude about ERAS. Study participants with work experience of 1-5 years have the highest proportion of participants with positive attitude. The majority of ACCPM (70%) and surgical team (58%) have good practice of ERAS. However, only 36% of nurses have good practice about ERAS. Study participants with work experience of 1-5 years have the highest proportion
of participants with good practice.
Conclusion: Based on these findings more than half of study participants have good knowledge, positive attitude and good practice of ERAS protocol. However, nurses have shown the lowest score in knowledge attitude and practice of ERAS. Recommendation Clinicians should implement the ERAS protocol appropriately. In addition, training and continuous professional development activities on ERAS protocol should be designed and implemented particularly targeting those with work experience of greater than five years and nurses. Moreover, a multidisciplinary group approach should be taken when implementing the ERAS protocol to facilitate effectiveness and learning environment for those that didn’t achieve optimal knowledge attitude and practice of ERAS protocol.
Description
Keywords
Recovery,Surgery ,Health care professionals