Title
Authors
Affiliation
ıDepartment of Urology, Royal Cornwall Hospital NHS Trust, Cornwall, United Kingdom; ²Department of Orthopedic, NKP Salve Institute of Medical Sciences & Research Centre and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India; *Corresponding author
Varsha Raja Ayyanar - E-mail:
varsha.rajaayyanar@nhs.net; Phone: +44 7778099469
Prajin Kishore Pushparaj Virgin Rani - E-mail: prajinkisz@gmail.com;
Phone: +44 7352678622
Sushil Mankar - E-mail: drshmankar@gmail.com
Article Type
Research Article
Date
Abstract
Enhanced Recovery After Surgery (ERAS) protocols improve post-operative recovery, yet their implementation remains inconsistent due to multiple barriers. Therefore, it is of interest to evaluate the surgeon attitudes, institutional factors and patient perspectives influencing ERAS protocol implementation using a mixed-methods approach. Quantitative data were collected through structured questionnaires, while qualitative insights were obtained from interviews and focus group discussions involving healthcare professionals and post-operative patients. The study identified resistance to change, inadequate institutional support, limited resources, insufficient training, communication gaps and poor patient awareness as the major barriers, although most patients expressed willingness to follow ERAS after appropriate education. Thus, data shows that addressing these barriers through targeted training, organizational support, multidisciplinary collaboration and patient education may improve ERAS adoption and surgical outcomes.
Keywords
Enhanced recovery after surgery (ERAS), surgical safety, perioperative care, implementation barriers, surgeon attitudes, institutional factors, patient perspectives, healthcare quality improvement, multidisciplinary care, mixed methods study
Citation
Ayyanar et al. Bioinformation 22(8): 4900-4904 (2026)
Edited by
A Prashanth
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
