nursing care for italian culture

Their mission is to-. For example, possibilities exist for a nurse to have a managerial career. 1Center of Excellence for Nursing Scholarship, Rome, Italy, The Evolution of Professional Nursing Culture in Italy. We have no integrated system for nursing education, practice and research for us to come together in shared vision and advance nursing in the country. (Kittler et al., 2017), When counseling someone from the Italian culture there are a few things to keep in mind. Manojlovich M., Barnsteiner J., Bolton L. B., Disch J., Saint S. (2008). Italians favor emotionally laden verbal and reciprocal interactions in conversation, which intertwine cognitive and psychological overtones and use rich Italian vernacular. Sholom's Culture Of Care, Compassion, & CommunitySholom, in partnership with our communitySee this and similar jobs on LinkedIn. About Us. Specifically, study participants recommended that IPASVI-CoE (a) finance the continuous development of nursing, (b) sustain reforms to secure nursing as a health profession overtime, and (c) expand the CoEs role: We appreciate two key elements; first is the courage to set up a Center of Excellence, knowing that many nurses lack awareness of the true potentialities of nursing scholarship in Italy. Please don't misunderstand and assume I'm looking for stereotypes. 1 September. We used a qualitative focus group design. In Italy, the advancement of nursing scholarship catalyzed the professions cultural reform. IvyPanda. We werent taught reflective clinical decision-making so we have to rely on our own logical thinking. Nurse participants overwhelmingly affirmed that additional work was needed and that IPASVI-CoE was ideally suited to monitor the change process, provide support to nurses at all levels (students, clinical practice, nursing directors), produce guidelines and recommendations, and make resources accessible through ongoing policy imperatives. Study authors provided written assurance to participants for protection in confidentiality of the data. A discussion paper, Medical dominance in Italy: A partial decline, Autonomy, evidence, and intuition: Nurses and decision-making, Professional autonomy in 21st century healthcare: Nurses accounts of clinical decision-making. 2014 Jan-Dec; 1: 2333393614549372. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/, IvyPanda. Masters students reflected on coraggio as an Italian pathway: Change is very difficult, because even if I have got skills and Im aware of it, I have to put myself under discussion to change practice and I have to go against the team. Education and experience can model and transform students' attitudes. I can be very skillful but I have to be ready to greet this challenge and, in this way, my mind is changing too. What is the meaning of the culture of change that pertains to clinical nursing practice during the past 10 years in Italy? In 1995, Madeleine Leininger defined transcultural nursing as "a substantive area of study and practiced focused on comparative cultural care (caring) values, beliefs, and practices of individuals or groups of similar or different cultures to provide culture-specific and universal nursing care practices in promoting health or well-being or to . In contrast, cultural reforms for Italian nursing are largely compelled through public laws, which are enacted by the Italian Ministry of Health. It also reflected the absolute will and sheer determination of nurses to conquer obstacles and be resilient and courageous in the face of challenges. Second, is the economic courage to sustain changes for nursing reforms. Italian Culturally Competent Nursing Care. Ayala, Fealy, Vanderstraeten, & Bracke, 2014, Manojlovich, Barnsteiner, Bolton, Disch, & Saint, 2008, Stievano, De Marinis, Rocco, Russo, & Alvaro, 2012, Kinn, Holgersen, Ekeland, & Davidson, 2013, Destrebecq, Terzoni, Colosio, Neri, & Brambilla, 2009, Price, McGillis Hall, Angus, & Peter, 2013, Lindh, Barbosa da Silva, Berg, & Severinsson, 2010, http://www.creativecommons.org/licenses/by/3.0/, http://www.uk.sagepub.com/aboutus/openaccess.htm. This continues the deductive jungle. Nurses cited the need to change the model of health care delivery in Italy. Use of the leopard spots metaphor to illuminate the strength of old regimes (still prevalent within the Italian health system) revealed the true nature of obstinate, resistive forces to changes in health care system reform. IvyPanda. Modifications in social rules and regulations, discoveries of the latest remedial cures, enhancements in exceedingly complicated technological structures, and advances in pharmaceutical curing methods have assisted to figure out existing medical care customs. In conclusion, this study presented valuable information for program development that can continue to build and support the practice, education, and research directives of Italian nurses. The ePub format uses eBook readers, which have several "ease of reading" features Info: 1653 words (7 pages) Nursing Essay This in-depth analysis resulted in the development of a codebook. We explored the perceptions of Italian nurses regarding their developing culture as a health profession. In these circumstances, the necessity for culturally competent curing is prominently obvious. The vortex metaphor disclosed powerful images of conflict and struggle as encountered by nurses, particularly among clinical nurses at the hospital level, and by nurse leaders. Specifically, we leveraged the distinctive Italian style of focus group discussion (FGD), whereby metaphors are frequently used to communicate meaning and passion about a given topic (Carpenter, 2008; Sandelowski, 1998). already built in. Of what I have grown to think of the culture I admire the culture as a whole. IvyPanda. . Retrieved August 4, 2019, from https://www.obesity.org/about-us/. Medical care at an Italian Medical Facility is very much the same as in the United States despite some cultural differences that . Italian nurses from both the younger and older generations expressed a mixture of confusion and frustration about how to manage the implications of cultural changes in both practice and education. In 2010, IPASVI-Rome launched a Center of Excellence (CoE), first-of-its-kind, national infrastructure specifically designed to advance the field of nursing in Italy. This symbolism enhances interpretation and deeper understanding of sensitive and complex issues, including those presented in this article. The Decree of the Ministry of Health 739/1994 (called Professional Profile) (Destrebecq, Lusignani, & Terzoni, 2009; Stievano, De Marinis, Rocco, Russo, & Alvaro, 2012) provided the first recognition of professional autonomy for nurses in Italy (enacted in 1990). This entails that a conversational style that is animated, warm, and expressive (Kittler et al., 2017) should be used. Nurses are in a vortex where the only objective is to come to the end of the shift and then come out from that vortex. It's funny how similar they are to my own culture when it comes to family and food. Bryson, J., & Hosken, C. (2005). As a result of a series of week-long face-to-face meetings and critical analyses of data sets, the team reached consensus on inductively derived themes and decided to use the semantics and vernacular elucidated by nurse participants in articulating the themes. With a rise in obesity in the Italian culture this is an important factor to keep in mind when counseling. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. Nurses communicated the need for help in resolving paradoxical dilemmas via stronger advocacy and support. Yet, these decisions largely reside in socio-political and governmental forces as described below. The finding that Italian nurses described their professional evolution as akin to being in a deductive jungle warranted further study. Some believe in folk medicines. National health care reform initiatives are focused on improving access to quality care, integrating services across the continuum of care, managing costs, and building the long-term sustainability of the health care system as a whole. Though older immigrants fear that drafts (Kittler et al., 2017), hidden emotions and the supernatural might be the cause of illness. All work is written to order. Nursing practice and work environment issues in the 21st century: A leadership challenge, The professional identity of the nurse: Concept analysis and development. Managing professional change is viewed as an essential component of health care system reform in several countries ( Ayala, Fealy, Vanderstraeten, & Bracke, 2014 ). The questions used to stimulate group discussion were likely too numerous; this precluded a fuller in-depth discussion, which was the goal of conducting focus groups. Another program that improves the health of the Italian American culture would be the Obesity Society. (Kittler et al., 2017), With the use of garlic, parsley, basil, oregano, anise, cinnamon, nutmeg, and cloves the flavor notes of Italian foods tend to be mild to bold in flavor. The term way of life concerns their traditional practices, beliefs, organization, among other social factors that give a particular group a unique identity. You may switch to Article in classic view. 4.4/5 on reviews.co.uk. Eight focus groups were convened in different regions of Italy with the majority held in Rome between December 2012 and July 2013. It is an ethical dilemma for us nurses, especially when we know models of global nursing standards. Similarly, designating a patient safety officer and offering structured educational training on teamwork collaboration may also promote a safety culture in the hospital. Culture encompasses all aspects of people's life, including their social interaction as transferred from one generation to another. In this regard, IPASVIs annual national conferences and biennial international congresses will feature the metaphors, specific to their implications for innovations in patient care. Need a custom Essay sample written from scratch by Study authors convened to generate themes from the codes and categories. This article is distributed under the terms of the Creative Commons Attribution 3.0 License (, culture / cultural competence, Europe / Europeans, focus groups, health professionals, research, qualitative, nursing. This whole "cultural needs" is an ancient nursing concept that needs to just go away. Nursing Culture refers to the way of life of a given group. This is exemplified by several quotes of clinical nurses and nurse directors: We are seeking nursing autonomy for a better and more meaningful image of Italian nursing. We need to have modern models to increase our motivation and better manage the changes upon us. We strive for professionalism; its beginning now in Italy. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. *You can also browse our support articles here >, The Roman Catholic Church plays a major part in the way Italians walk through life and is the main religion in Italy. It contains thousands of paper examples on a wide variety of topics, all donated by helpful students. Cultural diversity in nursing care is an important aspect of providing quality healthcare to patients from a variety of backgrounds. But do we have the courage to do so?. Do you have a 2:1 degree or higher in nursing or healthcare? Unfortunately, we, in Italy, have unions that are not ready to value nursing competencies. Accordingly, study authors recommend that IPASVI-CoE takes the lead in advocating for change and additional nursing reforms at multiple levels including, but not limited to, the Italian Ministry of Health, the Unions and the National Board of Physicians. must. To help you decide which school you want to study nursing in . One of the key challenges of cultural diversity in nursing care is the need to . Professional development and university-based education are critical to establishing clinical competency, the foundation for professional autonomy and decision-making. Study for free with our range of nursing lectures! The Italian emphasis on how variability in nursing curricula and standards of practice fueled the deductive jungle might inform teams collaborative initiatives specific to decision making that involve teams composed of clinical nurses, students, and nurse educators. This research provides, for the first time, a report on Italian nurses' levels of cultural competence, and strengthens the current literature underlining the need for continuous education to enhance cultural competence among nurses. Cultural competence is the ability to understand and appreciate different cultures, customs, and beliefs, and to apply that understanding to provide appropriate and effective care to patients from . Prompt questions to stimulate group discussion were as follows: Focus groups were 60 to 90 min in duration, facilitated by an Italian nurse investigator (fourth author), and conducted in Italian. Always greet the client with a smile and a hand shake. The National Federation of IPASVI Colleges is a nonprofit body by public law established in 1954 to represent the nursing profession on a national basis. Courage and nursing practice: A theoretical analysis, Abductive reasoning and qualitative research, Workplace violence against nursing students and nurses: An Italian experience, In search of salience: Phenomenological analysis of moral distress. The food alone is warm and comforting. Patient-centered care as a core in health care quality is well known and valued globally (Kunyk & Austin, 2012). However the average family size is similar. . "Shaking hands with everyone in the room in greeting and leaving is appropriate" (Kittler et al., 2017). Retrieved from https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Nurses must be able to understand and respect the cultural differences of their patients in order to provide the best possible care. If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! This limitation, however, enabled two strengths of the study. American nurses may not understand patients and make wrong conclusions. An exemplar is demonstrated in Latin countries where the juxtaposition of relational dimensions to quality care is manifested through expressive communicative styles that characterize strong relationships between patients and health care teams (Manara, Villa, & Moranda, 2014). The fourth paradox was the contradiction of distinctively different standards of quality of work offered by private institutions versus public institutions even if nurses were accountable to providing parity in patient care. Leopard spots are highly visible: They are innate to who the leopard is, and cannot be removed. In this context, nurse participants discussed how most nurses are entrenched in who they are, how they want to be perceived, and how they practice their profession. (Kittler et al., 2017), Less pasta and more meat are consumed meaning that the amount of saturated fats in the diet is increased and the carbohydrates might decrease from that of the Italian culture. IvyPanda. By being sensitive to reactions the patient is exhibiting you will know how effective your actions are. Dietary restrictions should be carefully explained as restriction recommendations may be disregarded when they dont fit into normal social activity. Nurse participants noted how difficult it was to build a career as clinical nurse leaders because they were likely to be penalized in their actual work, as sometimes seen when nurse administrators in powerful positions engaged in clinical bullying in the workplace (Magnavita & Heponiemi, 2011). Different content standards create confusion. Clinical nurse participants stressed the need for guidance on how to navigate the deductive jungle to practice competently. Healthcare providers need to be adequately trained to provide culturally competent care. The research team made a contribution to the field by making salient the significance of metaphors that enrich group dynamics in qualitative research. Its difficult to make change on the units. Wine is served during the meal and coffee after wards. As I know it they have close families, great food, great food traditions, and a positive view of life. Marshak (1993) noted that the use of metaphor as a form of symbolic, rather than a literal expression, has been shown to be an effective medium for describing an experience or a perception, which allows for understanding and presenting ideas, insights and intuitions not always available to analytic reasoning and discourse (p. 45). This metaphor could lend insights into understanding health professionalism. This trans-formation is most evident in the higher status of the nursing profession country-wide. Dyanne D. Affonso, PhD, FAAN, is honorary president, Center of Excellence for Nursing ScholarshipIPASVI in Rome, Italy. Mrs. S compared American-Italian patients perception of Type 2 Diabetes Mellitus and urinary tract infections and corresponding medical care actions throughout the patients admittances to the rigorous medication and care unit. Focus groups were based on educational background or professional role/work setting of participants. Cultural diversity is important in nursing for a number of reasons. (2013). Frequent and quick eye contact with elders and steady eye contact with younger Italians is preferred. Nurses still suffered from a lack of recognition and low levels of autonomy and responsibility. Boston, MA: Cengage Learning. Noteworthy, partnerships between IPASVI, the Italian Ministries of Health and that of Education, and other key nursing organizations were discussed as future possibilities based on strong relational commitments. How are we to give quality standards of care? Villa Carital is an eighty bed Seniors Care Community located in East Vancouver, British Columbia. Its sufficient to read the didactic set of rules, its full of biomedicine. Laura Sabatino, PhD student, MScN, RN, is a lecturer at Tor Vergata University in Rome, Italy. A primary outcome of these efforts was critical academic nursing changes: a 3-year university degree in 2001 (Dante, Petrucci, & Lancia, 2013; Davies, 2008), masters degree in nursing science in 2004, and the first doctoral programs in nursing offered at four universities in Italy in 20062007. We sought to understand the ongoing evolution of the nursing profession and the changes that were central to it becoming an intellectual discipline on par with the other health professions in Italy. Nurse directors emphasized the need for new strategies and systems: Many nurses perceive no supportive environment to cope with changes in nursing. Gennaro Rocco, MScN, RN, is director of the Center of Excellence for Nursing ScholarshipIPASVI in Rome, Italy. Because multitude of changes occurred in a relatively short period of time (19922006), they incurred instability and sometimes chaos in patient care settings. These two things have interested me in researching and doing a cultural analysis on the Italian culture. student. Older generation [of nurses] may not see value of ethical and psychological preparation. Even today undergraduates are coming out of universities that have the famous leopard spot; their educational teaching drives them to a task-oriented work and hence [these new nurses] dont have any enthusiasm. Doctoral students elaborated on other dimensions of the leopard spot metaphor: Its impossible to regress; we must go forward but the gap between older and younger nurses gets deeper, so going forward is harder.. This entails that a conversational style that is "animated, warm, and expressive" (Kittler et al., 2017) should be used. Professional cultural evolutions or reformations in Italy have sparked in the field of nursing since 1992 and has resulted in major changes in the profession. For dietary restrictions I would carefully educate and motivate the client to make healthier choices and if they interfere with their normal social activities. Trying to adjust your nursing practice on the assumed cultural needs of a patient will only get you in trouble. Keep steady eye contact and listen to all that they are concerned about health wise. . In fact, nursing education was not completely autonomous in the Italian universities, as expressed below. This transformation is motivated by the need to provide quality, affordable, and sustainable health care. The main course a dish with fish or meat served with a starchy or green vegetable, followed by salad (Kittler et al., 2017). For Italian nursing students, the experience with dying patients is formative. Retrieved August 4, 2019, from https://twu.blackboard.com/bbcswebdav/pid-4576076-dt-content-rid-117317307_1/courses/17FANFS317351/HP2020_brochure_with_LHI_508_FNL.pdf. Beliefs and Health Practices Italians often complain of all of their symptoms and require an immediate medical response. The need for transcultural nursing is undeniable. Clinical nurse leaders, community nurses in Rome, and the undergraduate students at Istituto Dermopatico dellImmacolata school of nursing are also recognized for their important contributions to the project. Introduction Judging by the salaries of nurses globally - if you plan to work as a nurse - Italy is one of the best countries to do so. Written transcripts of tape recordings created by Excel program were used as worksheets for coding. Pertinent ethical committees in nursing schools involved in the study, where the different nurse participants gathered on a voluntary basis, approved the research and assured the study was conducted in an ethical manner. Italian patients in the study supposed that physical and mental energy reduced during a Diabetes stage and that uninterrupted mental abilities to go on studying language and attain courses. Study participants suggested there might be a need to create new alliances and stakeholders to sustain IPASVI-CoE, with some suggesting that an infrastructure separate and apart from IPASVI be established to support nursing research as part of the Italian Ministry of Health. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Updated: 02/18/2022 Because the unions fear that nurses with competencies can create difficulties for nurses who dont have up-to-date skillsets . The second aim, specific to registered nurses in Italy, sustains professionalism by (a) supporting equitable treatment, (b) ensuring that the deontological code is respected, (c) endorsing the professional cultural growth of registered nurses, and (d) institutionalizing good professional practice. Nurses described the evolutionary process, using terms such as searching for meaningfulness; striving to manage changes at all levels of physical, psychosocial, ethical and legal ramifications; hoping for new standards of practice congruent with international nursing protocols; and struggling with autonomy to evoke a new image of professional nursing in Italy. Learn about Top Italian Nursing Schools. since 2003, Your NursingAnswers.net purchase is secure and we're rated Coraggio was communicated to underscore the importance of nurses psychological well-being when enduring the difficulties associated with change (Kidder, 2005). 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