Nursing process and therapeutic care in surgical area Single channel

Chair (Coordinator) and Rapporteur: Eleonora Moraca

Module 1: General Surgery

Activity type
Interdisciplinari e cliniche
SSD
MED/21
Year
N/D
Semester
N/D
CFU
1
Hours distribution
12 classroom hours
Lecturers
MOHSEN IBRAHIM

Module 2: Thoracic surgery

Activity type
Scienze medico - chirurgiche
SSD
MED/33
Year
N/D
Semester
N/D
CFU
1
Hours distribution
12 classroom hours
Lecturers
NICOLA MAFFULLI

Module 3: Orthopedics and traumatology

Activity type
Scienze infermieristiche
SSD
MED/45
Year
N/D
Semester
N/D
CFU
2
Hours distribution
24 classroom hours
Lecturers
Eleonora Moraca

Module 4: Urology

Activity type
Interdisciplinari e cliniche
SSD
MED/24
Year
N/D
Semester
N/D
CFU
1
Hours distribution
12 classroom hours
Lecturers
ANDREA TUBARO

Module 5: Nursing in the surgery area

Activity type
Interdisciplinari e cliniche
SSD
MED/18
Year
N/D
Semester
N/D
CFU
1
Hours distribution
12 classroom hours
Lecturers
FRANCESCO D'ANGELO

Learning outcomes

General Course Objective
The course aims to provide students with a thorough understanding of the main pathologies relevant in the surgical field, the different surgical specialties, and their associated therapeutic approaches. It seeks to develop the ability to plan and manage nursing care for patients in the surgical area by identifying fundamental patient needs as well as the main surgical, anesthesiological, and nursing issues. The goal is to ensure the correct application of prescribed diagnostic and therapeutic procedures, promoting targeted and safe interventions that appropriately address the physical, psychological, and relational needs of patients in the perioperative context.

Specific Objectives
Knowledge and Understanding
• Describe the main surgical pathologies and the different surgical specialties, highlighting diagnostic and therapeutic approaches.
• Understand the nursing process applied to surgical patients and the related diagnostic and therapeutic procedures.
Applying Knowledge and Understanding
• Plan and implement nursing interventions tailored to the needs of patients in the surgical area.
• Perform care and therapeutic procedures safely, preventing postoperative complications and promoting recovery.
Making Judgment
• Identify the main nursing, surgical, and anesthesiological problems of perioperative patients.
• Evaluate the effectiveness of nursing interventions and make clinical decisions based on scientific evidence and ethical principles.
Communication Skills
• Communicate effectively with patients, families, and the interdisciplinary team, providing clear information and educational support.
• Accurately and professionally document care activities and clinical observations.
Learning Skilss
• Research and integrate scientific evidence and guidelines into nursing practice in the surgical area.
• Reflect critically on professional experience to improve the quality of care and promote continuous skills development.

Prerequisites

The students are expected to have a solid foundational knowledge of anatomy, physiology, and the main pathologies related to common surgical conditions. Additionally, a thorough understanding of the nursing process—comprising assessment, nursing diagnosis, planning, implementation, and outcome evaluation—is required.
Effective communication and interpersonal skills are also essential, enabling students to interact appropriately with patients and the multidisciplinary healthcare team, in accordance with ethical and professional standards of nursing practice.

Programme

Module: General Surgery
N/D
Module: Thoracic surgery
N/D
Module: Orthopedics and traumatology
Perioperative nursing care
Structural features of the operating theatre, and roles and responsibilities of the surgical team
Management of blood transfusions and blood products
Wound care and management of passive and active drains
Nursing care for patients with a stoma
Sterilization process



Module: Urology
Anatomy of the genito-urinary tract. Urethral catheters. Urinary lithiasis. Urinalysis. Infections of the urinary tract. Urine culture and antibiogram. Kidney tumours, Bladder tumours. Prostate cancer. Testis tumours. Urinary incontinence. Micturition physiology and urinary incontinence.


Module: Nursing in the surgery area
Preoperatory exams

The shock

Postoperative care of the surgical patient

ERAS Enhanced Recovery After Surgery

Management of chronic wound

Enteral and Parenteral Nutrition

Atls – Advance Trauma Life Support

Deep venous thrombosis prevention

Pulmonary embolism

Basic Life Support




Books

Module: General Surgery
N/D
Module: Thoracic surgery
N/D
Module: Orthopedics and traumatology
Brady AM et al Fundamentals of medical and surgical nursing 2014 Wiley
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 12th edition
Berman TA, Snyder SJ & Frandsen G. Kozier & Erb's Fundamentals of Nursing, 11th edition


Module: Urology
Smith and Tanagho's general urology - Eighteenth Edition. Jack W. McAninch and Tom F. Lue. Mc Graw Hill LANGE


Module: Nursing in the surgery area
Schwartz's Principles of Surgery - ed: McGraw-Hill

Bibliography

Module: General Surgery
N/D
Module: Thoracic surgery
N/D
Module: Orthopedics and traumatology
N/D
Module: Urology
N/D
Module: Nursing in the surgery area
N/D

Lessons mode

Mandatory In-class instruction according to the syllabus and the CFU credits of the individual modules

Frequency

Mandatory in-person attendance

Exam mode

The assessment will be conducted through a written examination, aimed at evaluating the student’s theoretical knowledge and ability to apply the nursing process in the surgical area.
The final grade, expressed in thirtieths, will be calculated as the average of the grades obtained in the individual modules that compose the integrated course.

Example exam questions

Eg. “Describe the preoperative phase in the surgical patient.”

Arguments

Module: General Surgery



Module: Thoracic surgery
N/D
Module: Orthopedics and traumatology

  • Brady et al.,
    • Books: Medical and Surgical Nursing



Module: Urology
  • UROLOGY: Embryology and anatomy of the urogenital system. Urethral catheters and continuous bladder irrigation. Urinalysis and urine culture. Kidney tumors. Urothelial cancer of the upper and lower urinary tract. Prostatic carcinoma. Testicular tumors. Urinary lithiasis. Urinary incontinence. Urethral stenosis, hydrocele, testicular torsion, epididymitis and orchitis. Benign prostatic hyperplasia and acute prostatitis. 
    • Books: Medical-surgical Nursing: Assessment and Management of clinical Problems. 12th Edition. Harding, Kwong, Hagler, Reinish.Elsevier,Brunner and Suddarth's Textbook of Medical-Surgical Nursing. 15th Edition. Hinkle, Cheever, Overbaugh. Wolters Kluver



Module: Nursing in the surgery area
  • Preoperatory examsThe shockPostoperative care of the surgical patientERAS  Enhanced Recovery After SurgeryManagement of chronic woundEnteral and Parenteral NutritionAtls – Advance Trauma Life SupportDeep venous thrombosis preventionPulmonary embolismBasic Life Support
    • Books: Schwartz's Principles of Surgery, ed McGraw- Hill


Sustainability goals

  • Goal3
  • Goal4
  • Goal5
  • Academic year2026/2027
  • Degree program to which the course belongsNursing - Roma Azienda Ospedaliera Sant’Andrea
  • Mandatory presenceNo
  • Languageita
  • CFU6 CFU, distributed among 5 integrated didactic modules
  • Total duration72 hours