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. 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. Glob Qual Nurs Res. You may switch to Article in classic view. (Kittler et al., 2017). Excellence and power in clinical nursing practice, Scholarship reconsidered: Priorities of the professoriate. The research team adopted standards of rigor according to Lincoln and Guba (1985) and Guba and Lincoln (2005). The global era is getting more competitive and dynamic. No plagiarism, guaranteed! Study group participants stressed that nurses needed courage to endure changes, make decisions, and feel a sense of value and worth. Coraggio connotes the complexities and intricacies that underscore the difficulties a person experiences when he or she finds himself or herself in hard and threatening situations. Get Access Related Better Essays Barazzetti G., Radaelli S., Sala R. (2007). Study for free with our range of nursing lectures! Generating an ePub file may take a long time, please be patient. 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). 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). Elo S., Kriinen M., Kanste O., Plkki T., Utriainen K., Kyngs H. (2014). But do we have the courage to do so?. 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. Their mission is to-. Masters students emphasized that There is a huge variability in educational curricula, because we have no common curricula for nurses in Italy, which puts us in a deductive jungle in practice. You are free to use it for research and reference purposes in order to write your own paper; however, you Many Italians use alternative therapies--homeopathic medicine, acupuncture and massage. The Obesity Society is a great public health program for the Italian American culture as obesity shows up in 45% of women and 66% of men throughout the culture. Coraggio was also discussed relative to its dimension of economics that drive social-public systems change. Nurses described experiences of more gradual growth in their circumstances of change: We are in an evolution, not a cultural revolution, of nursing whereby Italian nursing comes up to par with global nursing. Nurses likened their clinical world during the past 10 years to a sea of undercurrents with several noting the tensions and turbulence coinciding with their professional development and other health care reform-related changes. Undergirding these paradigm shifts are efforts to understand the nature of professional culture and culture change in health care systems and organizations. Copyright 2023 - IvyPanda is operated by, Continuing to use IvyPanda you agree to our, Italian Culturally Competent Nursing Care, Spirituality and Health Assessment in Nursing, Reality Shock Transition for Nurses Review, Pernicious Anaemia: Causes and Curing Procedures, Emerging Standards of Culturally Competent Care, An Analysis of Islamic Laws Aspects of the E-Sale Contracts, Culturally Competent and Culturally Responsive Learning Strategy, Heath and Wellness. In Italy, the advancement of nursing scholarship catalyzed the professions cultural reform. We werent taught reflective clinical decision-making so we have to rely on our own logical thinking. 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. 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. This impacts multiple areas, including education of the young., Other quotes included the following: Leopard spots are in the territory of evolutionary changes. Introduction 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. This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. If I were to Counsel someone from the Italian culture, I would keep the above in mind. FGDs were the primary method of data collection. New Zealand Journal of Psychology, 34(2), 69. 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. 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. Some believe in folk medicines. Four paradoxes were salient throughout group discussions. The gradually more varied, multicultural society in the United States is providing new challenges in the stipulation of culturally experienced care by critical curing nurses. IPASVI coordinates Italys Provincial Colleges, which hold the registry of the nurses. Lindh I. 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. Vortex described the turbulent changes and transitions associated with the cultural evolution of nursing as a health profession. changes in the culture of Italian medicine focus on physicians becoming more flexible in their power and control of health care via collaboration and partnership with other health pro-fessions as well as their patients. Your privacy is extremely important to us. Written transcripts of tape recordings created by Excel program were used as worksheets for coding. 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. Specifically, the three metaphors can be used to inform and conceptually frame more conventional, rigorous studies regarding the evolution of Italian nursing. Nurses must be able to understand and respect the cultural differences of their patients in order to provide the best possible care. Nursing Shortage: As Serious As It Is Publicized. Respectfully my communication practices should be viewed as warm and empathetic. Governments around the world have set out an agenda to realize an unprecedented shift in the delivery of health care. Light breakfasts are popular throughout Italy. The peak period of migration was in the 1950s. . There was a culture of silence around talking about death and terminal illness (Heyse-Moore 2009). But this autonomy is a decision of that very moment and you still have to manage the patient. Kittler, P. G., Sucher, K. P., & Nahikian-Nelms, M. (2017). Gennaro Rocco, Director of the Center of Excellence for Nursing Scholarship, IPASVI Rome, Viale Giulio Cesare 78, 00192, Rome, Italy. (n.d.). This transformation is motivated by the need to provide quality, affordable, and sustainable health care. This is a separate church for each ethnic group. 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. It is found that the Italians have a high intake of carbohydrates, low intake of fat with a high intake of monounsaturated fats compared to saturated fats. A national survey on the activities performed by nurses and aids in Italian outpatients services, Cahiers de Sociologie et de Dmographie Mdicales. Learn what Italian values are prized and how this small nation has impacted the world. Although study findings were specific to nursing, the six themes, particularly the metaphors, were relevant to implicating evolutionary changes within other disciplines undergoing cultural shifts in their practice and identity. Retrieved from https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Nurses also used the vortex metaphor to convey a sense of being overwhelmed by high patient workloads, which were made more complicated by sparse decision-making authority and a lack of autonomy to actively participate in formulating clinical care solutions: Cultural evolution of nursing is a slow process; nurses going around and around in a vortex, overwhelmed by changes, discourse, less power and no solutions. If the stipulation of the best probable curing for all patients is the aim, decisive care nurses must have experience and skill in the release of culturally suitable and culturally competent medical care. already built in. Nursing science is under the umbrella of the faculty of medicine and this has hindered, ghettoized and cordoned off the development and evolution of nursing. Furthermore, these metaphors shed insights into understanding system changes, such as that of the Italian health care system. The lack of professional autonomy (hln & Segesten, 1998; ten Hoeve, Jansen, G., & Roodbol, 2013) was associated with limitations in independent clinical decision-making processes (Traynor, Boland, & Buus, 2010a, 2010b). student. A thematic and inductive content analytical approach (Elo & Kyngs, 2008; Graneheim & Lundman, 2004; Hsieh & Shannon, 2005) helped to derive and interpret both manifest and latent content (Lipscomb, 2012) of the transcribed group discussions. Coraggio is the way. . This entails that a conversational style that is animated, warm, and expressive (Kittler et al., 2017) should be used. Stievano A., De Marinis M. G., Rocco G., Russo M. T., Alvaro R. (2012). 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. IvyPanda. Critique of Madeleine Leininger's Culture Care Theory. Participants sat at a round table to maximize visibility and communication; group size ranged from 6 to 10 participants. Because the unions fear that nurses with competencies can create difficulties for nurses who dont have up-to-date skillsets . Three other themes highlighted the complexity of Italian nurses experiences. the display of certain parts of an article in other eReaders. Italian Culturally Competent Nursing Care. With a rise in obesity in the Italian culture this is an important factor to keep in mind when counseling. The food alone is warm and comforting. 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. All work is written to order. It contains thousands of paper examples on a wide variety of topics, all donated by helpful students. Study authors used a semi-structured focus group format. One of the key challenges of cultural diversity in nursing care is the need to . To export a reference to this article please select a referencing stye below: Culture is one of the most important determining factors in healthcare preferences and practices. A Delphi survey of Health Education System and Interprofessional nurse' role,. As follow-up to this study, IPASVI-CoE leaders presented these findings to the Minister of Health and her staff. Italians tend to be less punctual, but adhere to important times such as appointments, business meetings, and other scheduled events. The sample limited comparisons or contrasts of nurses perceptions because most of the participants were largely urban nurses from Rome and Genoa. 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]. 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. This is a cause of concern for multiple chronic conditions such as diabetes. In terms of further studies, a call for proposals (by IPASVI-CoE) for projects on how the nursing metaphors can inform clinical practice and health care in Italy will be made. 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. 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. 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. This limitation, however, enabled two strengths of the study. You are better off treating everyone the same. They included (a) clinical hospital-based nurses (n = 10); (b) nurses in community practice (n = 9); (c) a mixed group of hospital and community nurses (n = 9); (d) designated nurse scholars (n = 6), including three deans of schools of nursing; (e) hospital nursing directors (n = 8); (f) doctoral nursing students (n = 8); (g) masters nursing students (n = 7); and (h) baccalaureate nursing students (n = 9). A convenience, purposive sample of 66 nurses (22 males and 44 females) enrolled in the study. Of what I have grown to think of the culture I admire the culture as a whole. (Kittler et al., 2017), Still based on being self-reliant and upholding their families honor an Italian immigrant in the U.S. might view the world the same way, but it is all about the individual person. Meal wise lunch consists of an appetizer course to start, such as ham, sausages, pickled vegetables, and olives, or crostini (Kittler et al., 2017). Ethics & Values in Health and Social Care. Obesity rate is at 45% in women and 66% in men. Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: IPASVI Center of Excellence for Nursing Scholarship in Rome, Italy. We will write a custom Essay on Italian Culturally Competent Nursing Care specifically for you for only $16.05 $11/page. IPASVI-CoE integrates education, research, and practice and is building a culture of scholarship (Boyer, 1990) to revitalize and elevate nursing as a health profession throughout the country. For dietary restrictions I would carefully educate and motivate the client to make healthier choices and if they interfere with their normal social activities. The father is the head of the household, but the mother controls the day-to-day activities in the home. 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