The nursing profession: Public image, self-concept, and professional identity. (n.d.). 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). 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. As patients advocates, critical care nurses are needed to maintain assessments made by patients or their families that could replicate a cultural standpoint that diverges from conventional healthcare procedures. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Gratitude and appreciation are expressed to all collaborating partners of this study. Eight focus groups were convened in different regions of Italy with the majority held in Rome between December 2012 and July 2013. available We will write a custom Nursing essay specifically for you for only $16.00 $11/page Learn more. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. In many clinical settings, rigid administrative hierarchies prevailed (Camerino, Conway, et al., 2008; Camerino, Estryn-Bhar, et al., 2008; Cortese, 2007; Destrebecq, Terzoni, Colosio, Neri, & Brambilla, 2009). Excellence and power in clinical nursing practice, Scholarship reconsidered: Priorities of the professoriate. In Italy, the advancement of nursing scholarship catalyzed the professions cultural reform. Second, the study was the first to describe Italian nurses perceptions of cultural changes in their professional evolution. Intention to leave nursing in a major Milan hospital: Current situation and future perspectives. 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. 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. (Kittler et al., 2017). (Kittler et al., 2017), Stews, baked dishes, roasted meats, grilled meats, and pan fried food items are popular cooking methods. 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. 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. You may switch to Article in classic view. 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. Light breakfasts are popular throughout Italy. The vivid use of metaphors and choice of particular semantics helped to more fully communicate the evolutionary process of the field of nursing in Italy, including its different levels of meanings, passion, and concomitant needs. We established dependability through coding, sub-categorizing, and categorizing (Bryman, 2008). 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. Breakfast normally includes coffee with milk, tea, or a chocolate drink, with bread and jam (Kittler et al., 2017). This facilitated and enabled full participation by all study authors, including those who did not speak Italian. At the outset, the group facilitator addressed group dynamics, including issues such as censoring and conformity. Young women There is social/peer pressure from outside the Italian community for young women to be slim. I have learned that the rich food culture that is heavy in carbohydrates can lead to health concerns throughout the culture. 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. The ePub format is best viewed in the iBooks reader. . Metasynthesis and bricolage: An artistic exercise of creating a collage of meaning, Nursing under the influence: A relational ethics perspective. The need for transcultural nursing is undeniable. 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. We used a qualitative focus group design. In appreciation of this context, Italian nurses expressed concern over the lack of attention to the nursepatient relationship because of clinical variables such as heavy workloads, scarcity of health care support staff, and the burden of a fixed list of work tasks.. Info: 1653 words (7 pages) Nursing Essay IvyPanda. This is IvyPanda's free database of academic paper samples. Nurses bring these rich cultural values with them to the profession. 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. We need strategies and new systems to manage change in nursing. Nurse scholars added, Economic, societal context of change means we need new alliances, partnerships and stakeholders. Nurses from all groups cited how the IPASVI-CoE is the only current infrastructure operating to advance nursing in Italy. Wine is served during the meal and coffee after wards. Undergirding these paradigm shifts are efforts to understand the nature of professional culture and culture change in health care systems and organizations. Meal wise lunch consists of an appetizer course to start, such as ham, sausages, pickled vegetables, and olives, or crostini (Kittler et al., 2017). All work is written to order. Camerino D., Conway P. M., van der Heijden B. I., Estryn-Bhar M., Costa G., Hasselhorn H. M. (2008). Students do not feel adequately prepared to deal with end-of-life care. Italian Americans may seek medical advice from family and friends before consulting a health professional (Kittler et al., 2017). Cultural diversity is important in nursing for a number of reasons. One of the key challenges of cultural diversity in nursing care is the need to . (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. 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. 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. 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. 2014 Jan-Dec; 1: 2333393614549372. Namely, Italy had to move from the current pivotal role of hospital-based medically dominated care to a more regional-territorial approach that enabled interprofessional models of collaborative care (Price, McGillis Hall, Angus, & Peter, 2013). Building on the interplay of the vortex and leopard spot metaphors, Italian nurses also referenced and elaborated on the metaphor of deductive jungle used to convey nurses individual struggles in clinical decision making throughout their professional experiences: Nurses are living in a deductive jungle; critical aspects of the profession are variable, [such as curricula] . 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. Medical care at an Italian Medical Facility is very much the same as in the United States despite some cultural differences that . For example, 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 professions as well as their patients. 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. When nurses are knowledgeable about the cultural practices, values, and beliefs of their patients, they are better able to understand and address . Introduction Study participants also recommended consideration of strategies to strengthen the smaller, localized branches of IPASVI at the provincial level throughout Italy. Although it was clear that IPASVI-CoE was pivotal to advocating changes and advancing Italian nursing, concern existed whether a singular nursing infrastructure was sufficient to maintain and sustain the changes in nursing practice and education that were needed in Italy. Coraggio was communicated to underscore the importance of nurses psychological well-being when enduring the difficulties associated with change (Kidder, 2005). This paper is an analysis and critique of a published nursing philosophy and theory by the nurse theorist Madeleine Leininger, called Culture Care theory. Because multitude of changes occurred in a relatively short period of time (19922006), they incurred instability and sometimes chaos in patient care settings. (Lyn & Killian, 2010) Parenting styles vary within the different regions in Italy, but in general, most parents take a casual approach to discipline. Study for free with our range of nursing lectures! Another program that improves the health of the Italian American culture would be the Obesity Society. 4.4/5 on reviews.co.uk. Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. B., Barbosa da Silva A., Berg A., Severinsson E. (2010). Palese A., Bortoluzzi G., Achil I., Jarosova D., Notara V., Vagka E., . Italians favor emotionally laden verbal and reciprocal interactions in conversation, which intertwine cognitive and psychological overtones and use rich Italian vernacular. We need ways to be courageous. As I know it they have close families, great food, great food traditions, and a positive view of life. 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. In other words, metaphors underscore depth of meaning and passion with topical content. Governments around the world have set out an agenda to realize an unprecedented shift in the delivery of health care. Patient safety (Affonso et al., 2007; Manojlovich, Barnsteiner, Bolton, Disch, & Saint, 2008) and the adoption of evidence-based practice, for example, have triggered changes that transformed the culture of how and by whom health care is delivered. Price S., McGillis Hall L., Angus J., Peter E. (2013). 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). 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. 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). *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. Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. Four paradoxes were salient throughout group discussions. We achieved saturation of the data through discussions and several meetings among the categorical team members, resulting in written summary notes. It contains thousands of paper examples on a wide variety of topics, all donated by helpful students. 3. A coding team, composed of the fourth author and three trained undergraduate nursing students, analyzed the worksheets and identified commonly used words or phrases that were central to the group discussion. This is a cause of concern for multiple chronic conditions such as diabetes. since 2003, Your NursingAnswers.net purchase is secure and we're rated Six themes emerged that provide insights into nurses experiences with changes occurring in Italy during the past decade (20012011). (Kittler et al., 2017), A healthcare provider should use respectful communication practices that are warm and empathetic. Professional development and university-based education are critical to establishing clinical competency, the foundation for professional autonomy and decision-making. BERGAMO, Italy and BRESCIA, Italy, Jan. 18, 2023 /PRNewswire/ -- The Italian Capital of Culture 2023 will be inaugurated in Bergamo and Brescia on the 20 th, 21 st and 22 nd of January as the two . The finding that Italian nurses described their professional evolution as akin to being in a deductive jungle warranted further study. Published: 22nd Jun 2020. IvyPanda, 1 Sept. 2021, ivypanda.com/essays/italian-culturally-competent-nursing-care/. We will write a custom Essay on Italian Culturally Competent Nursing Care specifically for you for only $16.05 $11/page. The practice is changing. Cooking methods dont change from their Italian origins as they are close to the Americans cooking variations. You may notice problems with 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. Ariel, S. (1999). 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. 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. Academisation of nursing: An ethnography of social transformations in Chile. 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. As follow-up to this study, IPASVI-CoE leaders presented these findings to the Minister of Health and her staff. The functionality is limited to basic scrolling. Italian nursing students have more positive attitudes than those of other countries. 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. Introduction 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. FGDs were the primary method of data collection. 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. 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! 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. 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. 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. To ensure transferability, the researchers re-examined the database from their different point of views and cultures to delineate relationships among the various prompts for a broader scope and global comprehension of the contextualized information.
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