In Italy, professional cultural reforms connote different perspectives among the health professions. The first paradox pertained to the contradiction that amid the momentum and advances in nursing education, there is the reality of what was described as a lack of innovation throughout the Italian health system: The change that has occurred at the educational level and at the health professional level, has not been realized at the practical level; it never ever passed into practice to make any difference.. 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. It addresses two primary aims: the first is protection of the person which established the right of the individual, as sanctioned by the Italian Constitution, to receive health care services by qualified personnel who hold a specific fitness-to-practice title. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. 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. With an average annual salary of . Camerino D., Estryn-Bhar M., Conway P. M., van Der Heijden B. I., Hasselhorn H. M. (2008). Info: 1653 words (7 pages) Nursing Essay Cultural competency is known to improve the attitudes and knowledge of nursing staff, which makes patients feel more at ease, leading to greater patient satisfaction scores. . Credibility was demonstrated through ongoing, interactive engagement in the data. 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 . 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. IvyPanda. In conjunction with the need for courage, we found that younger Italian nurses were particularly concerned about maintaining a firm focus on the relational aspects of patient care. Because the unions fear that nurses with competencies can create difficulties for nurses who dont have up-to-date skillsets . must. Get Access Related Better Essays Nursing Culture refers to the way of life of a given group. As Italian culture differs greatly to that of Australian culture, their beliefs and attitudes towards healthand the way they approach treatment can be very diverse and they may need additional community resources to help them access appropriate care and understand the services available to them. Focus groups data were transcribed verbatim within 2 days of the group session. As part of its work, IPASVI-CoE seeks to identify and mitigate challenges that could potentially destabilize ongoing efforts to elevate the identity of nursing as a self-regulated health profession. American nurses may not understand patients and make wrong conclusions. Used by several groups to communicate how courage underpins change, the Italian expression of coraggio is deeply valued and practiced by nurses: It is an ethical value often associated with the exposition of social phenomena in Italy. How are we to give quality standards of care? 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). The Italian culture is as complexed as any other culture. Eight focus groups were convened in different regions of Italy with the majority held in Rome between December 2012 and July 2013. Bread normally accompanies the meal. There was a culture of silence around talking about death and terminal illness (Heyse-Moore 2009). 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. Education and experience can model and transform students' attitudes. Retrieved August 4, 2019, from https://www.obesity.org/about-us/. 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. Because multitude of changes occurred in a relatively short period of time (19922006), they incurred instability and sometimes chaos in patient care settings. A healthcare provider should use respectful communication practices that are warm and empathetic. Keep steady eye contact and listen to all that they are concerned about health wise. Professional development and university-based education are critical to establishing clinical competency, the foundation for professional autonomy and decision-making. Furthermore, these metaphors shed insights into understanding system changes, such as that of the Italian health care system. 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 . professional specifically for you? Lack of consciousness of these anxieties amongst the concentrated care nurses may outline in some confuses, based upon language barrier. ensure the integrity of our platform while keeping your private information safe. Lindh I. The second paradox related to the contradiction that whereas unions organize nurses and unite them through contracts that include more benefits and protections, they continue to sanction old roles of the nurse not recognizing advanced nursing practice roles as valid for union contracts in Italy. We used a qualitative focus group design. Social benefits include fostering mutual respect, understanding, and trust; promoting inclusion and patient and family responsibilities for their health; and increasing community participation and involvement in health issues. A convenience, purposive sample of 66 nurses (22 males and 44 females) enrolled in the study. Clinical nurses focus group expressed that: Nurses have lots of fears; fear of changes; fear of losing autonomy; fear we are not competent . The capability to offer culturally capable care is particularly significant for critical care nurses, who act in high-perception, high-pressure healthcare surroundings. Although these changes were largely seen as progressive (Barazzetti, Radaelli, & Sala, 2007; Sala & Manara, 1999; Sala & Usai, 1997), Italian nurses perceived them to be controversial. 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. *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. 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. Study participants also recommended consideration of strategies to strengthen the smaller, localized branches of IPASVI at the provincial level throughout Italy. Thus, elementary language courses are necessary to arrange, with obligatory studying of all the terminology on particular deceases. 1 September. Job satisfaction of Italian nurses: An exploratory study, Nursing roles and levels of practice: A framework for differentiating between elementary, specialist, and advancing nursing practice, European nursing students academic success or failure: A post-Bologna Declaration systematic review, The Bologna Process: The quiet revolution in nursing higher education. IvyPanda. The inclusion of three generational levels of nurses (ranging from young students, novices, experienced clinical nurses, and seasoned head nurses) provided a broad lens through which to examine the meaning of change. What are the perceptions of professional nursing cultural change in Italy by patients? 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. The American Nurses Association recognized the necessity to offer culturally competent care and established in the associations code that nurses, in all qualified relations, are required to practice with care and respect for the intrinsic dignity, significance, and individuality of every person. In other words, metaphors underscore depth of meaning and passion with topical content. Italian moms are known for their warm, involved mothering, which can border on over protectiveness. Many clinical settings were still rooted in archaic mind-sets that relied on old models of care. Ariel, S. (1999). Three other themes highlighted the complexity of Italian nurses experiences. Published: 22nd Jun 2020. Destrebecq A., Lusignani M., Terzoni S. (2009). This whole "cultural needs" is an ancient nursing concept that needs to just go away. Their vision is for a better understand, prevent and treat obesity to improve the lives of those affected through research, education and advocacy (obesity.org). "Italian Culturally Competent Nursing Care." Italian nursing students have more positive attitudes than those of other countries. The finding that Italian nurses described their professional evolution as akin to being in a deductive jungle warranted further study. (2021, September 1). The doctoral student focus group emphasized a unique dimension of coraggio, namely, that of social change and public policy changes when they commented on the need for courage to push policy forward and sustain policy for professional development. A team of selected nurse participant representatives checked the research findings to ensure that they were true to nurse participants perceptions (Saldaa, 2013). Transcription and content verification enabled (a) retrieval of key words and phrases, and (b) detection of nonverbal communication, gestures, and behaviors. This trans-formation is most evident in the higher status of the nursing profession country-wide. This is a cause of concern for multiple chronic conditions such as diabetes. All work is written to order. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/, IvyPanda. Cultural diversity is important in nursing for a number of reasons. By being sensitive to reactions the patient is exhibiting you will know how effective your actions are. The medical and biomedical culture is still strong in Italy, especially in the center-south of the country and in rural areas as it is in most of the Southern European countries (Palese et al., 2013). Focus group sessions took place in a private conference room. 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. If you are the copyright owner of this paper and no longer wish to have your work published on IvyPanda. Study authors used a semi-structured focus group format. In this study, focus groupsinvolving 66 nurse participants from various educational, clinical, and administrative backgroundswere utilized to better ascertain how the profession has changed. Head nurses, physicians and hospital units, and even the universities were singled out as having leopard spots by the nursing directors group as illustrated by the following quotes: Leopard spots dont change; some nurses, even head nurses, and physicians cant change, dont want change and deter change. FGDs were the primary method of data collection. . We are doing very little to control classes of head nurses.. This facilitated and enabled full participation by all study authors, including those who did not speak Italian. (Kittler et al., 2017), Not much will change as everything is easily found in America, but some American staples might be added. However, there is pressure within Italian families to eat as part of social occasions, and not eating can be seen as rejection of the Italian culture. Experience exchange conferences would also be rather helpful. 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). 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. The young Meal patterns might change to have the larger meal at dinner time instead of lunch. If you are registered with the Italian National Healthcare Service (SSN - Servizio Sanitario Nazionale), you have also selected your public Primary Care Physician ( medico di base ), the general practitioner who is in charge of your health. Community Nursing, Physiology, General Pathology, Intensive care, Healthcare Management, Healthcare Law, and many more. Qualitative content analysis: A focus on trustworthiness, The evolution of health-policy making in Italy, Journal of Health Politics, Policy and Law, Qualitative content analysis in nursing research: Concepts, procedures, and measures to achieve trustworthiness, Paradigmatic contro-versies, contradictions, and emerging confluences, The SAGE handbook of quail-tative research, Three approaches to qualitative content analysis, Historical analysis of professionalism in Western societies: Implications for inter-professional education and collaborative practice, Moral courage: Taking action when your values are put to the test. This in-depth analysis resulted in the development of a codebook. A Delphi survey of Health Education System and Interprofessional nurse' role,. At the outset, the group facilitator addressed group dynamics, including issues such as censoring and conformity. Other statutory changes solidified the elevation of nursing as a credentialed and recognized autonomous health profession in Italy, which gave way to increased professional development opportunities. The American Nurses Association recognized the necessity to offer culturally competent care and established in the association's code that nurses, in all qualified relations, are required to practice with care and respect for the intrinsic dignity, significance, and individuality of every person. (Kittler et al., 2017), The flavor notes in the traditional foods stay the same. Medical care at an Italian Medical Facility is very much the same as in the United States despite some cultural differences that . Dietary restrictions should be carefully explained as restriction recommendations may be disregarded when they dont fit into normal social activity. (Kittler et al., 2017), Common to American health beliefs Italians view their well-being is defined as the ability to pursue normal, daily activities (Kittler et al., 2017). You can use them for inspiration, an insight into a particular topic, a handy source of reference, or even just as a template of a certain type of paper. Some religious holidays are still celebrated. Reflections and decision making emerged via investigative team discussions (face-to-face and by Skype) to increase credibility of the interpreted data. The fourth and the fifth authors of the study, assisted by a group of trained undergraduate nursing students, then developed categories, based on the codebook, which reflected topics, issues, and other concerns of importance to the group. But one structure is not enough. 2014 Jan-Dec; 1: 2333393614549372. . Different content standards create confusion. Clinical nurse participants stressed the need for guidance on how to navigate the deductive jungle to practice competently. Explore Italian customs and traditions while learning about Italian culture. Aside from its rich cultural heritage, taking a nursing program here can offer many work and learning opportunities. Written transcripts of tape recordings created by Excel program were used as worksheets for coding. Breakfast normally includes coffee with milk, tea, or a chocolate drink, with bread and jam (Kittler et al., 2017). If possible I would try and educate the family as well as the client because family tends to play a big role in an Italians life. If a ward, department doesnt work, it is [the] responsibility of the nurse manager to raise problems and try to solve them, through life-long learning. This metaphor could lend insights into understanding health professionalism. Young women There is social/peer pressure from outside the Italian community for young women to be slim. The food alone is warm and comforting. specializes in NICU. Although partial decline has occurred over the past two decades (Tousijn, 2002) and some aspects of innovation are visible (France & Taroni, 2005), the Italian old regime remains stalwart. The research team made a contribution to the field by making salient the significance of metaphors that enrich group dynamics in qualitative research. Italian Culturally Competent Nursing Care. This entails that a conversational style that is "animated, warm, and expressive" (Kittler et al., 2017) should be used. You can go visit this doctor within the official working hours he or she has declared. It also has to be in the mindset or conscience of the nurse. Gennaro Rocco, Dyanne D. Affonso, [], and Laura Sabatino. The substance is present, but we have to give it visibility, said a study participant. . Meal wise lunch consists of an appetizer course to start, such as ham, sausages, pickled vegetables, and olives, or crostini (Kittler et al., 2017). Italian - Cultural Approaches to Pediatric Palliative Care in Central Health (9 days ago) People also askWhat is the healthcare system like in Italy?The Italian healthcare system is ranked second in the world by the World Health Organization, just after the French healthcare system. Barriers, dangers, risks, and lack of solutions to persistent clinical problems were cited as factors that powered the deductive jungle. Variations of this theme ran across the eight focus groups. This entails that a conversational style that is animated, warm, and expressive (Kittler et al., 2017) should be used. This impacts multiple areas, including education of the young., Other quotes included the following: Leopard spots are in the territory of evolutionary changes. Lahtinen P., Leino-Kilpi H., Salminen L. (2014). What is the connection between the nursing cultural change and the advent of evidence-based practice in Italy? Study participants noted that the changes are destabilizing and creating turmoil individually and collectively: In ten years, there have been many changes but these sudden changes created great confusion. One of the participants noted that Old systems are [still] dominant in Italy. 2021. Clinical nurses also emphasized that because health care is very difficult to change in Italy, coraggio had to be not only at the individual nurse level, but an ethical commitment for all health professionals to comply with the deepest values of their conscience and their professional identity: Courage is not merely to help us in difficult situations of our practice. 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