Nurses communicated the need for help in resolving paradoxical dilemmas via stronger advocacy and support. We are educated health professionals who are doctors in miniature, with small skillset. What is the connection between the nursing cultural change and the advent of evidence-based practice in Italy? 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. Experience exchange conferences would also be rather helpful. View professional sample essays here. Glob Qual Nurs Res. (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). Professional dignity in nursing in clinical and community workplaces. (2021) 'Italian Culturally Competent Nursing Care'. (Kittler et al., 2017), A healthcare provider should use respectful communication practices that are warm and empathetic. Need a custom Essay sample written from scratch by When nurses are knowledgeable about the cultural practices, values, and beliefs of their patients, they are better able to understand and address . Italians tend to be less punctual, but adhere to important times such as appointments, business meetings, and other scheduled events. 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. 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. . The Italian culture will benefit from this by the goals of lowering obesity and other chronic conditions such as diabetes. Focus group sessions took place in a private conference room. We're here to answer any questions you have about our services. 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. Preliminary evidence, however, told us that reflective clinical decision-making was a means to cope with the deductive jungle and the IPASVI-CoE had to use it as a source of educational training, with a particular focus on skillset development in clinical decision-making. Different content standards create confusion. Clinical nurse participants stressed the need for guidance on how to navigate the deductive jungle to practice competently. Generating an ePub file may take a long time, please be patient. I will counsel them on why the restrictions should not be ignored. Though older immigrants fear that drafts (Kittler et al., 2017), hidden emotions and the supernatural might be the cause of illness. As I know it they have close families, great food, great food traditions, and a positive view of life. 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. We are experimenting with display styles that make it easier to read articles in PMC. Managing professional change is viewed as an essential component of health care system reform in several countries (Ayala, Fealy, Vanderstraeten, & Bracke, 2014). 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. Six themes, three of them metaphorsvortex, leopard spots, and deductive jungleexplain nurses experiences of professional change in Italy between 2001 and 2011 and the multiple dimensions that characterize their professional identity and autonomy. As follow-up to this study, IPASVI-CoE leaders presented these findings to the Minister of Health and her staff. IvyPanda. It is an ethical dilemma for us nurses, especially when we know models of global nursing standards. Three of the six themes incorporated metaphors. Four paradoxes were salient throughout group discussions. Italian Culturally Competent Nursing Care. This is IvyPanda's free database of academic paper samples. Kittler, P. G., Sucher, K. P., & Nahikian-Nelms, M. (2017). In fact, nursing education was not completely autonomous in the Italian universities, as expressed below. 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. Many nurses noted that the hard core of the Italian health system difficult to break and the persistent medical umbrella were obstacles to advancing not only nursing but also other health professions. Undergirding these paradigm shifts are efforts to understand the nature of professional culture and culture change in health care systems and organizations. Bread normally accompanies the meal. Only one system has possibilities for us, IPASVI-CoE. Study group participants stressed that nurses needed courage to endure changes, make decisions, and feel a sense of value and worth. Otherwise, why be a nurse? What are the perceptions of professional nursing cultural change in Italy by patients? This impacts multiple areas, including education of the young., Other quotes included the following: Leopard spots are in the territory of evolutionary changes. Some believe in folk medicines. (Kittler et al., 2017), Healthy people 2020. In contrast, cultural reforms for Italian nursing are largely compelled through public laws, must. New Zealand Journal of Psychology, 34(2), 69. Study authors used a semi-structured focus group format. (Kittler et al., 2017), The fact that illness is due to contamination or heredity is believed by the Italian Americans. In these circumstances, the necessity for culturally competent curing is prominently obvious. But this autonomy is a decision of that very moment and you still have to manage the patient. (Lyn & Killian, 2010) Parenting styles vary within the different regions in Italy, but in general, most parents take a casual approach to discipline. Beliefs and Health Practices Italians often complain of all of their symptoms and require an immediate medical response. Culturally Competent Family Therapy: A General Model. 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.. 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. 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. It has been interesting and informative for me. In nowadays community, culturally competent care cannot be provided to all patients unless nurses have a clear realization of dissimilar cultural backdrops. Gennaro Rocco, Dyanne D. Affonso, [], and Laura Sabatino. (Kittler et al., 2017). Study participants also recommended consideration of strategies to strengthen the smaller, localized branches of IPASVI at the provincial level throughout Italy. About Us. The Italian culture is as complexed as any other culture. It also reflected the absolute will and sheer determination of nurses to conquer obstacles and be resilient and courageous in the face of challenges. Traditional cures are often used for instance lemon for colds and flu, garlic for high blood pressure, and canarino, an herbal teach by boiling a few bay leaves together with some lemon rind, to treat a stomach ache. Linda J. Mayberry, PhD, FAAN, is adjunct associate professor, New York University, the United States. 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. 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. This continues the deductive jungle. We have this big problem. 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. Metaphors in qualitative research: Shedding light or casting shadows? Boston, MA: Cengage Learning. The father is the head of the household, but the mother controls the day-to-day activities in the home. These two things have interested me in researching and doing a cultural analysis on the Italian culture. Elo S., Kriinen M., Kanste O., Plkki T., Utriainen K., Kyngs H. (2014). Study authors convened to generate themes from the codes and categories. . The finding that Italian nurses described their professional evolution as akin to being in a deductive jungle warranted further study. Healthy People 2020 has a vision of a society in which all people live long, healthy lives (Healthy people 2020, 2019). Alessandro Stievano, PhD, MScN, RN, is a researcher in the Center of Excellence for Nursing ScholarshipIPASVI in Rome, Italy. Outcomes included phrases and descriptors representing categorical evaluations of the codebooks/worksheets. Professional development and university-based education are critical to establishing clinical competency, the foundation for professional autonomy and decision-making. Keep steady eye contact and listen to all that they are concerned about health wise. 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. Italians enjoy the 11th highest life expectancy in the world, as well as very low levels of infant mortality. You may switch to Article in classic view. 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. Professional development and university-based education are critical to establishing clinical competency, the foundation for professional autonomy and decision-making. Autonomy, responsibility, and the Italian code of deontology for nurses, From novice to expert. I enjoyed this cultural analysis because I got to research and learn about someone elses culture in-depth and determine a way that I would be able to counsel them. . You are free to use it for research and reference purposes in order to write your own paper; however, you Cooking methods dont change from their Italian origins as they are close to the Americans cooking variations. (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. 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. Food and culture (7th ed.). Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. With an average annual salary of . Basic education is not enough. 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. Yet, these decisions largely reside in socio-political and governmental forces as described below. 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 Italy, professional cultural reforms connote different perspectives among the health professions. Children are encouraged to live at home until they're married, or even longer. Each individual nurse comes to the profession with unique cultural values, beliefs and traditions that provide a guide for living and connecting with those inside and outside of their culture. (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. Coraggio signifies the depth of psychological resilience necessary to traverse negative forces encountered. Stievano A., De Marinis M. G., Rocco G., Russo M. T., Alvaro R. (2012). We werent taught reflective clinical decision-making so we have to rely on our own logical thinking. 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] . End of story. Their mission statement is Through TOSs (The Obesity Society) unique position, lead the charge in advancing the science-based understanding of the causes, consequences, prevention and treatment of obesity (obesity.org). Young women There is social/peer pressure from outside the Italian community for young women to be slim. Thus, elementary language courses are necessary to arrange, with obligatory studying of all the terminology on particular deceases. in Italian women than Australian born. The audio recordings from each session were transcribed and labeled according to a predetermined coding system to protect the identity of participants. This is what I hope to find during my analysis. This essay on Italian Culturally Competent Nursing Care was written and submitted by your fellow In other words, metaphors underscore depth of meaning and passion with topical content. Less Risk of Healthcare Disparity: Health disparity refers to the differences in the health status of different groups of people. 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 . We utilize security vendors that protect and 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. 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. 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