Nursing Culture refers to the way of life of a given group. 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. (Kittler et al., 2017), Pasta, eggs, meats, cheese, vegetables (eggplant, artichokes, bell peppers, and tomatoes), butter, dairy products, rice, olive oil, fish, beans, garlic, and spices (parsley, basil, oregano, anise, cinnamon, nutmeg, and cloves) are all staple ingredients in Italian foods. B., Barbosa da Silva A., Berg A., Severinsson E. (2010). Metaphors in qualitative research: Shedding light or casting shadows? With an average annual salary of . Focus groups were based on educational background or professional role/work setting of participants. In the past, it may have been acceptable for doctors not to tell a patient they had cancer. So the care is different. The social context of career choice among millennial nurses: Implications for interprofessional practice, The regulation of autonomy in nursing: The Italian situation, Industrial action by nurses: The Italian situation, The coding manual for qualitative research-hers, Writing a good read: Strategies for re-presenting qualitative data. Sholom's Culture Of Care, Compassion, & CommunitySholom, in partnership with our communitySee this and similar jobs on LinkedIn. Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. 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. This continues the deductive jungle. Study participants also noted that IPASVI has a pivotal role in promoting nursing as an ethical profession, demonstrating value of the cultural evolution processes of nursing and portrays a normative view point of nursing as equally important to other health professions in Italy. Some nurse directors, however, declared that IPASVI has to be present effectively in all regions of Italy and not only at leopard spot. Different visions of the various IPASVI Regulatory Boards were noted as an obstacle to achieving a shared vision that could guide the profession. Basic education is not enough. 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 table below compares and contrasts the Italian culture as it is viewed in Italy and in the United States. 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. Aside from its rich cultural heritage, taking a nursing program here can offer many work and learning opportunities. 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. These included coraggio (Italian semantics, meaning courage), signifying nurses resilience and fortitude to traverse negative forces; investment in nursing infrastructure development; and paradoxical dilemmas permeating changes in Italian nursing culture. Different content standards create confusion. Clinical nurse participants stressed the need for guidance on how to navigate the deductive jungle to practice competently. specializes in NICU. In contrast, cultural reforms for Italian nursing are largely compelled through public laws, They expressed awareness and also concern that other resources were urgently needed to sustain the IPASVI-CoEs infrastructure: IPASVI-CoE is the rock of salvation for nurses in Italy; it [is] the major support system to promote professionalism of nursing in Italy. Another participant noted that IPASVI-CoE gives opportunity for us to reflect practice, talk of changes, and have a path to a better future in nursing. Moreover, nurse directors added. (2010, November). already built in. I have to speak with him/her [the patient] but I have to comprehend his/her deep reasons . Autonomy, responsibility, and the Italian code of deontology for nurses, From novice to expert. The ePub format is best viewed in the iBooks reader. Hospitalized people and their families are undergoing abundant strains. Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. Kittler, P. G., Sucher, K. P., & Nahikian-Nelms, M. (2017). Study participants included a cross-section of nurses between 22 and 65 years of age (mean of 42.1 years), with varying levels of education and clinical experience. With a rise in obesity in the Italian culture this is an important factor to keep in mind when counseling. This whole "cultural needs" is an ancient nursing concept that needs to just go away. I want to say theres a contradiction that a real sense of nursing is lacking in our nursing science. It also reflected the absolute will and sheer determination of nurses to conquer obstacles and be resilient and courageous in the face of challenges. 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. When nurses are knowledgeable about the cultural practices, values, and beliefs of their patients, they are better able to understand and address . Nurses cited the need to change the model of health care delivery in Italy. "Italian Culturally Competent Nursing Care." 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 moms are known for their warm, involved mothering, which can border on over protectiveness. Families may want to take dying member home to care for. IvyPanda. (Kittler et al., 2017), A healthcare provider should use respectful communication practices that are warm and empathetic. (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. Masters students also made reference to head nurses as part of the deductive jungle: Today the head nurses job is very bureaucratic and their competencies are not updated. 2021. Metaphor is used as a primary vehicle to enhance understanding of the scientific and artistic approaches investigating a phenomenon (Kinn, Holgersen, Ekeland, & Davidson, 2013; Sharoff, 2013). Italians favor emotionally laden verbal and reciprocal interactions in conversation, which intertwine cognitive and psychological overtones and use rich Italian vernacular. Nurses must be able to understand and respect the cultural differences of their patients in order to provide the best possible care. Shaking hands with everyone in the room in greeting and leaving is appropriate (Kittler et al., 2017). We are doing very little to control classes of head nurses.. Excellence and power in clinical nursing practice, Scholarship reconsidered: Priorities of the professoriate. The Italy Study Abroad Program is an 11 day study tour that will provide students with an opportunity to meet with Italian health care providers and educators, tour healthcare facilities, and experience the Italian culture and cuisine. This essay on Italian Culturally Competent Nursing Care was written and submitted by your fellow Moreover, strong investment in clinical practice via other innovative programs that focus on life-long learning (cited as an important goal by nurse participants) and evidence-based practice was noted by group participants. A team of selected nurse participant representatives checked the research findings to ensure that they were true to nurse participants perceptions (Saldaa, 2013). Through IPASVI, we have easy access to existing programs and opportunities for new programs that bring global nursing models to us., Contradictions were revealed via nurses stories that pointed to paradoxes of practice. Westport, CT: Praeger Publishers. Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: A longitudinal study. Leopard spots represented the innate unchanging way of the old regime whereas Deductive jungle conveyed nurses individual struggles in clinical decision making throughout their professional experiences. The food alone is warm and comforting. Posted 8:04:48 PM. Obesity rate is at 45% in women and 66% in men. For example, possibilities exist for a nurse to have a managerial career. We are educated health professionals who are doctors in miniature, with small skillset. Nurses across the majority of groups also discussed the importance of life-long learning, with the IPASVI-CoE being cited as one of the leadership institutions that provides opportunities for professional development via new educational programs: Life-long learning is important for the contemporary nurse in Italy. "Italian Culturally Competent Nursing Care." Several groups discussed the forces that underscore resistance to change internally (within the nursing profession) and externally (from other 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.. I would make sure that my body language shows that I care about their well-being. This certainty is particularly true in critical care components, where patients with life-threatening diseases are cured. The research team made a contribution to the field by making salient the significance of metaphors that enrich group dynamics in qualitative research. You are free to use it for research and reference purposes in order to write your own paper; however, you 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. (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). Trying to adjust your nursing practice on the assumed cultural needs of a patient will only get you in trouble. Learn what Italian values are prized and how this small nation has impacted the world. must. Yet, these decisions largely reside in socio-political and governmental forces as described below. Recognizing that there has been a lack of systematic studies to understand and document the impact educational and policy reforms have had on nurses and on current practice, we sought to explore nurses perceptions of their own professional growth and/or evolution as well as critical reforms that affected the culture of nursing as a health discipline. 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. In this study, focus groupsinvolving 66 nurse participants from various educational, clinical, and administrative backgroundswere utilized to better ascertain how the profession has changed. Stievano A., De Marinis M. G., Rocco G., Russo M. T., Alvaro R. (2012). Info: 1653 words (7 pages) Nursing Essay Similarly, the nurse directors focus group brought forth another dimension of coraggio, that of advocating for patients and families by making patients first in patient care: In reality, one definition of centrality of the patient in the nursing care talks about a shared responsibility between health professionals and patient. Many Italians use alternative therapies--homeopathic medicine, acupuncture and massage. Keep steady eye contact and listen to all that they are concerned about health wise. Dinner is served later in the evening around 7:30pm and is the lighter version of lunch (Kittler et al., 2017). And straight relations subsist between a patients culture and his or her health; of the lots of changeable known to impact health convictions and procedures, culture is one of the most significant. This patients level of anxiety could have been noticeably reduced if alertness of his cultural suggestions and particularities had been taken into account in his care. Culturally Competent Practices, Culturally Competent Care: A Hmong Child and Her American Doctors, Culturally Competent Nursing Care for Older Patients, Culturally Competent Care in Indian Health Service, Competent Care: Filipino Cultural Assessment Model, Economics Forces for Non-Profit Nursing Homes: Demand and Supply, Intimate Partner Violence: Increasing Nurses' Knowledge and Skills. Free resources to assist you with your nursing studies! Frequent and quick eye contact with elders and steady eye contact with younger Italians is preferred. If I were to Counsel someone from the Italian culture, I would keep the above in mind. Why? The substance is present, but we have to give it visibility, said a study participant. 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. This facilitated and enabled full participation by all study authors, including those who did not speak Italian. 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). Another program that improves the health of the Italian American culture would be the Obesity Society. The nursing profession: Public image, self-concept, and professional identity. IvyPanda. Healthcare providers need to be adequately trained to provide culturally competent care. (Kittler et al., 2017), Stews, baked dishes, roasted meats, grilled meats, and pan fried food items are popular cooking methods. Retrieved from https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. All focus groups, the nurse directors in particular, expressed the need for strong and enduring investments, including increasing intellectual capacity, support-based sources, and stable fiscal resources. Another latest tendency that has affected nursing sufficiently is the consumer permission for ethnically competent care in a progressively more dissimilar, multicultural public. Young women There is social/peer pressure from outside the Italian community for young women to be slim. Few opportunities to obtain advanced practice education (Benner, 1984; Daly & Carnwell, 2003) and minimal access to managerial roles that permitted engagement in policy making were known to contribute to this problem. in Italian women than Australian born. The social context of nursing is important for our professional identity. The complexities that underpin the vortex were also discussed by doctoral students as follows: The decisional autonomy, the right way to communicate, the process of decision-making, the right way to practice is to be studied by us [nurses]. Respectfully my communication practices should be viewed as warm and empathetic. Second, the study was the first to describe Italian nurses perceptions of cultural changes in their professional evolution. 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. Explore Italian customs and traditions while learning about Italian culture. We have to do something with the means we have, with our IPASVI, with our professional associations, with our Regulatory Boards, with the transformation of our image. IvyPanda. 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. 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. Study authors convened to generate themes from the codes and categories. Do you have a 2:1 degree or higher in nursing or healthcare? *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. Culture encompasses all aspects of people's life, including their social interaction as transferred from one generation to another. Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 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. 1Center of Excellence for Nursing Scholarship, Rome, Italy, The Evolution of Professional Nursing Culture in Italy. 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.
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