Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire-based cross-sectional study

Yasmine Ibrahim; Sara Qasim; Manar Mufleh; Bashaer Alassaf; Weam Sheariya; Alaa Magdy

doi:10.24911/IJMDC.51-1770012145

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Original Article
Online Published: 27 Apr 2026

IJMDC. 2026; 10(5): 1340-1349

doi: 10.24911/IJMDC.51-1770012145

Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study

Yasmine Ibrahim, Sara Qasim, Manar Mufleh, Bashaer Alassaf, Weam Sheariya, Alaa Magdy.

Abstract
Objective: This study aimed to measure the knowledge, attitude, and self-reported practices of healthcare providers in Jeddah in relation to the enhanced recovery after surgery (ERAS) to determine the gaps in implementation as relevant to pathway fidelity.
Methods: The study was a cross-sectional observational study, which was conducted in Jeddah between January and September 2024 and involved an English-language, self-administered online survey distributed through snowball sampling via email and social media. The tool measured the level of awareness/adoption of ERAS, level of knowledge (0-8), level of attitude (16-48), and practice (20-100).
Results: There were 146 providers who participated; 75.3% indicated that they were aware of ERAS, and 65.1% of the participants indicated that they adhered to ERAS in the workplace. The level of knowledge was moderate (mean = 4.36 ± 1.78; median 5 [IQR 3-6]) with severe gaps in bowel preparation (14.4% correct) and carbohydrate loading time (17.1% correct). The average attitude score was 41.77 ± 3.54 (α = 0.67), and the average practice score was 76.45 ± 11.64 (α = 0.82). Optimization of comorbidities (93.2%) had the highest uptake rates. ERAS followers had better knowledge (4.61 ± 1.67 vs. 3.88 ± 1.91; p = 0.024) and higher compli ance with the principles of ERAS (80.33 ± 8.87 vs. 69.24 ± 12.78; p < 0.001). Also, the compliance with ERAS was associated with previous awareness of ERAS (p < 0.001) and the level of knowledge (p = 0.035).
Conclusion: The awareness and positive attitude of providers toward ERAS were significant, and the practices were generally ERAS-oriented, yet there was a lack of consistency in the knowledge of the protocols and pre-operative aspects.

Key words: Enhanced recovery after surgery, ERAS, knowledge, attitude, practice, healthcare providers, perioperative care, implementation, cross-sectional survey, Jeddah

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How to Cite this Article

Pubmed Style

Ibrahim Y, Qasim S, Mufleh M, Alassaf B, Sheariya W, Magdy A. Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study. IJMDC. 2026; 10(5): 1340-1349. doi:10.24911/IJMDC.51-1770012145

Web Style

Ibrahim Y, Qasim S, Mufleh M, Alassaf B, Sheariya W, Magdy A. Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study. https://www.ijmdc.com/?mno=308918 [Access: May 07, 2026]. doi:10.24911/IJMDC.51-1770012145

AMA (American Medical Association) Style

Ibrahim Y, Qasim S, Mufleh M, Alassaf B, Sheariya W, Magdy A. Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study. IJMDC. 2026; 10(5): 1340-1349. doi:10.24911/IJMDC.51-1770012145

Vancouver/ICMJE Style

Ibrahim Y, Qasim S, Mufleh M, Alassaf B, Sheariya W, Magdy A. Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study. IJMDC. (2026), [cited May 07, 2026]; 10(5): 1340-1349. doi:10.24911/IJMDC.51-1770012145

Harvard Style

Ibrahim, Y., Qasim, . S., Mufleh, . M., Alassaf, . B., Sheariya, . W. & Magdy, . A. (2026) Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study. IJMDC, 10 (5), 1340-1349. doi:10.24911/IJMDC.51-1770012145

Turabian Style

Ibrahim, Yasmine, Sara Qasim, Manar Mufleh, Bashaer Alassaf, Weam Sheariya, and Alaa Magdy. 2026. Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study. International Journal of Medicine in Developing Countries, 10 (5), 1340-1349. doi:10.24911/IJMDC.51-1770012145

Chicago Style

Ibrahim, Yasmine, Sara Qasim, Manar Mufleh, Bashaer Alassaf, Weam Sheariya, and Alaa Magdy. "Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study." International Journal of Medicine in Developing Countries 10 (2026), 1340-1349. doi:10.24911/IJMDC.51-1770012145

MLA (The Modern Language Association) Style

Ibrahim, Yasmine, Sara Qasim, Manar Mufleh, Bashaer Alassaf, Weam Sheariya, and Alaa Magdy. "Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study." International Journal of Medicine in Developing Countries 10.5 (2026), 1340-1349. Print. doi:10.24911/IJMDC.51-1770012145

APA (American Psychological Association) Style

Ibrahim, Y., Qasim, . S., Mufleh, . M., Alassaf, . B., Sheariya, . W. & Magdy, . A. (2026) Assessment of knowledge, attitude, and practice regarding enhanced recovery after surgery protocols among healthcare providers in Jeddah: a questionnaire based cross-sectional study. International Journal of Medicine in Developing Countries, 10 (5), 1340-1349. doi:10.24911/IJMDC.51-1770012145

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