Knowledge of perioperative care guidelines in cardiac surgery and the barriers to their adherence among cardiac nurses in a Middle Eastern country.

BACKGROUND: This study aimed to evaluate cardiac nurses' knowledge of clinical guidelines for perioperative care in cardiac surgery and barriers to adherence. MATERIALS AND METHODS: From July to December 2021, a cross-sectional survey was carried out using a purposive sampling consisting of 177 nurses working in cardiac surgical units in three different tertiary hospitals (Oman). A self-administered questionnaire, consisting of 23 multiple-choice questions, in addition to demographics and identification of barriers to adherence, was collected. RESULTS: The response rate for the survey was 98%. Most nurses were females (89.3%) and non-Omani (82.5%). In addition, 53.7% earned a bachelor's degree, and 68.9% had over 12 years of Oman experience in the cardiac surgical units. Overall, the respondents' knowledge of Enhanced Recovery After Surgery (ERAS) guidelines was low, with a mean of 8.16 (SD = 2.58). There were no differences in the mean scores based on demographic data. Shortage of nurses and over workload were the most common reasons for not seeking knowledge on guideline updates. Lack of training, unfamiliarity with guidelines, and lack of policy were also barriers. Nationality was the only determinant in the regression table (B = 1.21, P = .032). CONCLUSION: Nurses' overall knowledge of ERAS guidelines was low. Establishing a protocol for safe practice is vital for quality and safe care delivery to patients. Nurses have a professional responsibility to be involved in the initiation and implementation of evidence-based practices. Nurses must be empowered by adequate training, the use of internal protocols, and continuing educational programs.