COURSE INTRODUCTION AND APPLICATION INFORMATION


Course Name
Surgical Diseases Nursing
Code
Semester
Theory
(hour/week)
Application/Lab
(hour/week)
Local Credits
ECTS
HEM 553
Fall
3
0
3
7.5
Prerequisites
None
Course Language
Turkish
Course Type
Required
Course Level
Second Cycle
Mode of Delivery -
Teaching Methods and Techniques of the Course Discussion
Group Work
Lecturing / Presentation
Course Coordinator
Course Lecturer(s)
Assistant(s) -
Course Objectives At the end of the course, students are aimed to learn hypovolemic shock,wound healing, prevention and management of surgical site infections,enteral and parenteral nutrition and nursing approaches, respiratory system, gastrointestinal system, cardiovascular system, nervous system, trauma musculoskeletal system, urinary system diseases and organ transplantation which require surgical intervention with a evidence - based holistic approach. It is aimed to analyze and synthesize information through information integration, to determine the problem correctly and to apply correct nursing interventions by examining the cases.
Learning Outcomes The students who succeeded in this course;
  • Will be able to describe enteral and paranteral nutrition and evidence-based nursing approaches.
  • Will be able to explain comprehensive nursing interventions in respiratory system diseases requiring surgical intervention.
  • Will be able to comprehend comprehensive nursing interventions in gastrointestinal system diseases requiring surgical intervention.
  • Will be able to plan comprehensive nursing interventions in cardiovascular system diseases requiring surgical intervention.
  • Will be able to explain comprehensive nursing interventions in nervous system diseases requiring surgical intervention.
  • Will be able to decide comprehensive nursing interventions in traumas and musculoskeletal system diseases requiring surgical intervention.
  • Will be able to describe comprehensive nursing interventions in urinary system diseases requiring surgical intervention.
  • Will be able to explain oncologic surgery, breast cancer surgery and care management.
Course Description This course includes hypovolemic shock, wound healing, prevention and management of surgical site infections,enteral and parenteral nutrition and nursing approaches, respiratory system, gastrointestinal system, cardiovascular system, nervous system, trauma musculoskeletal system, urinary system diseases and organ transplantation which require surgical intervention and associated with the clinic.
Related Sustainable Development Goals

 



Course Category

Core Courses
Major Area Courses
Supportive Courses
Media and Managment Skills Courses
Transferable Skill Courses

 

WEEKLY SUBJECTS AND RELATED PREPARATION STUDIES

Week Subjects Required Materials
1 Course and hospital orientation Guidelines
2 Evidence-based applications in the perioperative process & Evidence-based practices in pain management in surgical patients Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ss:1- 956. ISBN: 9786059354394Aksoy G., Kanan N., Akyolcu N. Cerrahi Hastalıkları Hemşireliği I, Geliştirilmiş 2. Nobel Tıp Kitabevleri, 2017, ss:257-367 Sü, S., & Şahin, D. A. (2014). Cerrahi Servislerde Çalışan Hemşirelerin Lüzum Halinde Analjezik Istemini Kullanma Durumlarının Belirlenmesi. Genel Tıp Derg, 4(24), 93-98. https://app.trdizin.gov.tr/publication/paper/detail/TVRrek9EZzFOUT09 Şenyüz, K. Y., & Koçaşlı, S. (2017). Cerrahi Sonrası Ağrıda Multimodal Analjezi Ve Hemşirelik Yaklaşımı. Sağ Aka Derg, 4(2), 90-95. https://arastirmax.com/en/system/files/dergiler/260443/makaleler/4/2/arastirmax-cerrahi-sonrasi-agrida-multimodal-analjezi-hemsirelik-yaklasimi.pdf
3 Surgical wound, wound healing and nursing approaches Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394. ss:1- 956. Aksoy G., Kanan N., Akyolcu N. Cerrahi Hastalıkları Hemşireliği I, Geliştirilmiş 2. Nobel Tıp Kitabevleri, 2017, ss:257-367. ISBN : 9786053354789 Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:125-143. ISBN-ISSN 978-1-4511-7732-9.
4 Evidence-based practices in enteral / parenteral nutrition ESPEN guideline: Clinical nutrition in surgery. (2017). https://pubmed.ncbi.nlm.nih.gov/28385477/ Cederholm T, et all. Diagnostic Criteria for malnutrition - an ESPEN consensus statement. Clin nutr 2015; 34: 335- 340. https://pubmed.ncbi.nlm.nih.gov/25799486/
5 Breast cancer surgery and care management Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394, ss:85-115 Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp: 109-125; 222-235. ISBN-ISSN 978-1-4511-7732-9. Ö Karayut. (2019). Meme Kanseri. Onkoloji Hemşireliği. Gülbeyaz Can (Ed). İçinde (ss:787-825). Nobel Tıp Kitapevi, İstanbul. ISBN: 9786053355052
6 Evidence-based practices in the prevention and management of surgical site infections Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Çilingir D, Candaş B. Cerrahi Sonrası Hızlandırılmış İyileşme Protokolü ve Hemşirenin Rolü, Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2017;20(2);137-143. https://dergipark.org.tr/tr/pub/ataunihem/issue/31359/342629 Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection (2017). JAMA Surgery. https://jamanetwork.com/journals/jamasurgery/fullarticle/2623725 European Centre for Disease Prevention and Control. 2016. https://www.ecdc.europa.eu/en CDC/NHSN Surveillance Definitions for Specific Types of Infections ; 2021. https://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf
7 Midterm
8 Nursing approaches in respiratory system diseases requiring surgical intervention Lung CA, Empyema-emphysema brongiectasis, chest trauma Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394 Pascoal L.M., Pereira J., Emiile V., et al. (2016). Ineffective airway clearance in adult patients after thoracic and upper abdominal surgery’, Applied Nursing https://pubmed.ncbi.nlm.nih.gov/27397814/ Topçu, S.Y. (2016). Hastaların Solunum Egzersizi Uygulamalarını Etkileyen Faktörler ve Hemşirelerin Rolü, İzmir Göğüs Hastanesi Dergisi, Cilt XXX Sayı 2, igh.dergisi.org https://jag.journalagent.com/igh/pdfs/IGHH_30_2_89_96.pdf
9 Nursing approaches in gastrointestinal system diseases requiring surgical intervention Morbid obesity, Pancreatic Ca, Colon Ca Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394 ,ss:531-583 Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:257-331. ISBN-ISSN 978-1-4511-7732-9.
10 Nursing approaches in cardiovascular system diseases requiring surgical intervention KAH, KABG; MVY- MVR, DVT Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394 , ss:471-513 Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:699-815. ISBN-ISSN 978-1-4511-7732-9. Aksoy G., Kanan N., Akyolcu N. Cerrahi Hastalıkları Hemşireliği II, Geliştirilmiş 2. Nobel Tıp Kitabevleri, 2017. ISBN : 9786053354789 Kankaya EA ve Bilik Ö. Kalp Kapak Ameliyatı Sonrası Güncel Hemşirelik Yaklaşımları: Bakım Neden Önemli? Balikesir Saglik Bil Derg Cilt:7 Sayı:2 Ağustos 2018. https://dergipark.org.tr/tr/download/article-file/544855
11 Nursing approaches in nervous system diseases requiring surgical intervention Craniocerabral traumas, Brain Tumors, Intracerebral Aneurysms KIBAS Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394 , ss:699-813. Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:331-463. ISBN-ISSN 978-1-4511-7732-9. SARIKAYA, A., & ŞİMŞEK, A. B. (2015). Beyin Cerrahisi Hastalarında Kafa İçi Basınç Artışı ve Hemşirelik Bakımı. Turkiye Klinikleri, 1(2), 8-21. https://www.turkiyeklinikleri.com/article/tr-beyin-cerrahisi-hastalarinda-kafa-ici-basinc-artisi-ve-hemsirelik-bakimi-72215.html Varghese R, Chakrabarty R, Menon G. Nursing Management of Adults with Severe Traumatic Brain Injury: A Narrative Review. Indian J Crit Care Med. 2017 Oct; 21(10): 684–697. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5672675/
12 Traumas - nursing approaches to musculoskeletal diseases requiring surgical intervention, Neuro-vascular evaluation Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394, ss:651-699. Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:555-653. ISBN-ISSN 978-1-4511-7732-9. Tanrıkulu S, Gönen E. Kırık iyileşmesi. TOTBİD Dergisi. 2017;16:455-75. http://dergi.totbid.org.tr/20176/totbid.dergisi.2017.62.pdf Damar HT, Bilik Ö. Buzdağının Görünmeyen Yüzünü Keşfetmek: Ortopedi Hastalarında Kompartman Sendromu ve Hemşirelik Yaklaşımları. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi. 2014;7(3):223-9. https://dergipark.org.tr/tr/pub/deuhfed/issue/46807/586979 Total diz artroplastisi klinik protokolü 2018. https://klinikkalite.saglik.gov.tr/TR,40298/total-diz-artroplastisi-klinik-protokolu.html Bilik Ö. Hemşirelik Bakımında Bütünün Bir Parçası Nörovasküler Tanılama. DEUHYO ED 2012,5 (4), 175-179. https://acikerisim.deu.edu.tr/xmlui/bitstream/handle/20.500.12397/4624/bilik.pdf?sequence=1&isAllowed=y
13 Nursing approaches in urinary system diseases requiring surgical intervention Bladder Ca-diversions, Urinary System Stones Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394, ss:871-911 Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:1041-1107. ISBN-ISSN 978-1-4511-7732-9. European Association of Urology 2017 edition Guidelines. https://uroweb.org/wp-content/uploads/Guidelines_WebVersion_Complete-1.pdf
14 Organ transplantation, legal and ethical dimensions of organ transplantation Nursing approaches before / during and after Kidney / Liver transplantation Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN: 9786052585290. Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ISBN: 9786059354394, ss:813-871 Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:979-1041. ISBN-ISSN 978-1-4511-7732-9. Karayurt, Ö., Ordin, Y.S., Pekin İşeri, Ö. (2016). Organ ve Doku Nakli. İçinde: Eti Aslan, F. (Ed.), Cerrahi Bakım Vaka Analizleri ile Birlikte. Ankara: Akademisyen Kitabevi; ISBN: 9786059354394. 911-956. Murray K,Carithers RL,AASLD, AASLD practice guidelines: Evaluation of the patient for liver transplantation. Hepatology. 2005 Jun;41(6):1407-32. https://pubmed.ncbi.nlm.nih.gov/15880505/
15 Course review
16 Final Exam
Course Notes/Textbooks

-Karadakovan A, Eti Aslan F. (2020). Dahili ve Cerrahi Hastalıklarda Bakım I-II. 4. Baskı, Akademisyen Kitapevi, 5. Basım, Ankara, Cilt 1,2; ss: 1-1414. ISBN:  9786052585290.

- Eti Aslan F. (2016). Cerrahi bakım vaka analizleri ile birlikte. Ankara, Akademisyen Kitabevi, ss:1- 956. ISBN: 9786059354394.

- Sharon L. Lewis , Shannon Ruff Dirksen, Margaret McLean Heitkemper, Linda Bucher. (2014). Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 9th Edition.ISBN-ISSN 978-0-323-10089-2.

- Çelik S., Usta Yeşilbalkan Ö. (2015). Hogan A. C. Dentlinger, Ramdin V,  Dahili ve cerrahi hastalıklar hemşireliği. ss:1-660.  ISBN-ISSN 978-605-320-101-4.

-Bruner & Suddarth’s textbook of medical-surgical nursing / Janice L. Hinkle.  9th Edition.  Baltimore : Wolters Kluwer, 2014.  ISBN-ISSN: 978-1-4511-4665-3

-Timby, B.K., & Smith, N.E. (2014). Introductory Medical-Surgical Nursing, 11thed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, pp:1- 1303. ISBN-ISSN 978-1-4511-7732-9.

 

Suggested Readings/Materials

·       Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations.

https://www.tandfonline.com/doi/pdf/10.1080/17453674.2019.1683790?needAccess=true

·       Guidelines for Perioperative Care in Cardiac Surgery, 2019.  https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 

·       Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018.  https://link.springer.com/content/pdf/10.1007/s00268-018-4844-y.pdf    

·       Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERASVR ) Society and the European Society of Thoracic Surgeons (ESTS). 2018. https://academic.oup.com/ejcts/article/55/1/91/5124324

·       Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERASÒ) Society Recommendations. 2019. https://pubmed.ncbi.nlm.nih.gov/30276441/

·       Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations.2016.https://pubmed.ncbi.nlm.nih.gov/27549599/

·       Guidelines for Perioperative Care in Bariatric Surgery. 2016. https://link.springer.com/content/pdf/10.1007/s00268-016-3492-3.pdf

·       Bariyatrik Cerrahi Kılavuzu. Türkiye Endokrinoloji ve Metabolizma Derneği • 2018. http://www.temd.org.tr/admin/uploads/tbl_gruplar/20180618095001-2018tbl_gruplar1b2cd981a1.pdf

·       DSÖ 2018- GLOBAL GUIDELINES FOR THE PREVENTION OF SURGICAL SITE INFECTION. https://www.who.int/gpsc/ssi-guidelines/en/

·       NICE 2019- Surgical site infections: prevention and treatment. https://www.nice.org.uk/guidance/ng125

·       CDC 2017- Centers for Disease Control and Prevention Guideline

                  for the Prevention of Surgical Site Infection.      https://jamanetwork.com/journals/jamasurgery/fullarticle/2623725

·       NPIAP 2019. Prevention and Treatment of Pressure Ulcers/Injuries. https://internationalguideline.com/guideline

·       Periferik Arter Ve Ven Hastalıkları Ulusal Tedavi Kılavuzu 2016. http://www.e-bem.com/public/uploads/files/pdf/Periferik_Arter_ve_Ven_Hastaliklari_Ulusal_Tedavi_Kilavuzu.pdf

·       2016. CHEST Guideline for Antithrombotic Therapy in VTE. https://www.cercp.org/images/stories/recursos/articulos_docs_interes/guia_tto_antitrombotico_tv_2016.pdf

·       2016. Management of Postoperative Pain: A Clinical Practice Guideline. American Society of Regional Anesthesia and Pain Medicine. https://www.asra.com/advisory-guidelines/article/7/management-of-postoperative-pain-a-clinical-practice-guideline

·       2017. ESPEN guideline: Clinical nutrition in surgery.  https://www.espen.org/files/ESPEN-guideline_Clinical-nutrition-in-surgery.pdf

·       KEPAN 2019- http://www.kepan.org.tr/icerik.php?id=311

·       2016. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) . https://onlinelibrary.wiley.com/doi/epdf/10.1177/0148607115621863

 

 

EVALUATION SYSTEM

Semester Activities Number Weigthing
Participation
Laboratory / Application
Field Work
Quizzes / Studio Critiques
Portfolio
Homework / Assignments
1
10
Presentation / Jury
1
25
Project
Seminar / Workshop
Oral Exam
Midterm
1
25
Final Exam
1
40
Total

Weighting of Semester Activities on the Final Grade
3
60
Weighting of End-of-Semester Activities on the Final Grade
1
40
Total

ECTS / WORKLOAD TABLE

Semester Activities Number Duration (Hours) Workload
Course Hours
(Including exam week: 16 x total hours)
16
3
48
Laboratory / Application Hours
(Including exam week: 16 x total hours)
16
Study Hours Out of Class
14
3
42
Field Work
Quizzes / Studio Critiques
Portfolio
Homework / Assignments
1
36
Presentation / Jury
1
32
Project
Seminar / Workshop
Oral Exam
Midterms
1
25
Final Exams
1
42
    Total
225

 

COURSE LEARNING OUTCOMES AND PROGRAM QUALIFICATIONS RELATIONSHIP

#
Program Competencies/Outcomes
* Contribution Level
1
2
3
4
5
1

Develops and deepen up-to-date knowledge and skills related to the field of specialization based on nursing graduate level competencies.

X
2

Creates new knowledge by integrating expertise knowledge with information from different disciplines.

X
3

Follows technological developments at the level required by the field of expertise and to use those at advanced level.

X
4

Evidence-based theoretical and practical knowledge gained in the field of specialization can be used to determine and solve health needs of individual, family and society.

X
5

Evaluates acquired knowledge and skills at the level of expertise with the problem solving and critical thinking approach and demonstrate lifelong learning attitude.

X
6

Demonstrates leadership approach in problem solving related to the field of specialization as aware of their legal rights and responsibilities.

X
7

Transfers current developments and scientific / educational studies in the field with written and verbal and visual data to colleagues and different disciplines with quantitative and qualitative data.

X
8

Applies multidisciplinary and interdisciplinary team collaboration using appropriate communication techniques.

X
9

Observes social, scientific, cultural and ethical values to identify, analyze and synthesize health needs. 

X
10

Conducts multidisciplinary and interdisciplinary research projects.

X
11

Monitors and evaluate national and international health policies for protection and development of health, and contributing to works.

X
12

Conducts health care practices within the framework of basic concepts of nursing (human, health, environment and nursing).

X
13

İndependently conducts a research for specification and resolution of problems in the field of health.

X

*1 Lowest, 2 Low, 3 Average, 4 High, 5 Highest