nursing care for italian culture
Basic education is not enough. Manojlovich M., Barnsteiner J., Bolton L. B., Disch J., Saint S. (2008). 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. Research shows significant benefits resulting from culturally competent nursing care. They noted, the Reason for change is to emancipate nurses from the system. IvyPanda. 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 . 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.. 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. The substance is present, but we have to give it visibility, said a study participant. (Kittler et al., 2017), Based on views of family, church, and education an Italians worldview is focused on being self-reliant and upholding their families honor. Many Italians use alternative therapies--homeopathic medicine, acupuncture and massage. Managing professional change is viewed as an essential component of health care system reform in several countries (Ayala, Fealy, Vanderstraeten, & Bracke, 2014). Patient liaisons at San Bortolo can be reached at 0444-75-3300. Academic experts. 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. Healthy People 2020 has 42 topic areas of concern that is tracked and examined with a goal of limiting them across the country (Healthy people 2020, 2019). 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 . Thus, elementary language courses are necessary to arrange, with obligatory studying of all the terminology on particular deceases. A third paradox (highlighted by master students) was the contradiction that a real sense of nursing was lacking in the current nursing science in Italy. Nurses cited the need to change the model of health care delivery in Italy. 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. Coraggio was also discussed relative to its dimension of economics that drive social-public systems change. 2021. A dream of the Italian Community of Vancouver, it was promoted and conceived by the Italian Cultural Society. 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. This limitation, however, enabled two strengths of the study. The National Federation of IPASVI Colleges is a nonprofit body by public law established in 1954 to represent the nursing profession on a national basis. 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. 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] . IvyPanda. specializes in NICU. Aside from its rich cultural heritage, taking a nursing program here can offer many work and learning opportunities. What (if any) is the contribution of IPASVI toward either positive or negative cultural change in nursing practice and research? Metaphors in qualitative research: Shedding light or casting shadows? Bryson, J., & Hosken, C. (2005). The questions used to stimulate group discussion were likely too numerous; this precluded a fuller in-depth discussion, which was the goal of conducting focus groups. B., Barbosa da Silva A., Berg A., Severinsson E. (2010). Cultural diversity in nursing care is an important aspect of providing quality healthcare to patients from a variety of backgrounds. Introduction This impacts multiple areas, including education of the young., Other quotes included the following: Leopard spots are in the territory of evolutionary changes. ensure the integrity of our platform while keeping your private information safe. Get Access Related Better Essays This essay on Italian Culturally Competent Nursing Care was written and submitted by your fellow We are doing very little to control classes of head nurses.. Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 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). Coraggio signifies the depth of psychological resilience necessary to traverse negative forces encountered. In other words, metaphors underscore depth of meaning and passion with topical content. 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. One of the key challenges of cultural diversity in nursing care is the need to . Elo S., Kriinen M., Kanste O., Plkki T., Utriainen K., Kyngs H. (2014). This symbolism enhances interpretation and deeper understanding of sensitive and complex issues, including those presented in this article. Otherwise, why be a nurse? Kinn L. G., Holgersen H., Ekeland T. J., Davidson L. (2013). Free resources to assist you with your nursing studies! 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. Pertinent ethical committees in nursing schools involved in the study, where the different nurse participants gathered on a voluntary basis, approved the research and assured the study was conducted in an ethical manner. 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. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Public atmosphere is more relaxed; private more controlled. 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. Written transcripts of tape recordings created by Excel program were used as worksheets for coding. No plagiarism, guaranteed! Italian moms are known for their warm, involved mothering, which can border on over protectiveness. End of story. 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. 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. The father is the head of the household, but the mother controls the day-to-day activities in the home. We've received widespread press coverage Shaking hands with everyone in the room in greeting and leaving is appropriate (Kittler et al., 2017). 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). allnurses is a Nursing Career & Support site for . 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. 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. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. First and foremost, it allows nurses to provide more effective and culturally sensitive care to patients from diverse backgrounds. We are educated health professionals who are doctors in miniature, with small skillset. 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). 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. Explore Italian customs and traditions while learning about Italian culture. In contrast, cultural reforms for Italian nursing are largely compelled through public laws, Lahtinen P., Leino-Kilpi H., Salminen L. (2014). 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. 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. I can be very skillful but I have to be ready to greet this challenge and, in this way, my mind is changing too. Ariel, S. (1999). You are better off treating everyone the same. This continues the deductive jungle. 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. 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. These two things have interested me in researching and doing a cultural analysis on the Italian culture. Boston, MA: Cengage Learning. We werent taught reflective clinical decision-making so we have to rely on our own logical thinking. A national survey on the activities performed by nurses and aids in Italian outpatients services, Cahiers de Sociologie et de Dmographie Mdicales. (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. 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. Email: Received 2014 May 2; Accepted 2014 Jul 28. 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. Older generation [of nurses] may not see value of ethical and psychological preparation. Even today undergraduates are coming out of universities that have the famous leopard spot; their educational teaching drives them to a task-oriented work and hence [these new nurses] dont have any enthusiasm. Doctoral students elaborated on other dimensions of the leopard spot metaphor: Its impossible to regress; we must go forward but the gap between older and younger nurses gets deeper, so going forward is harder.. Specifically, the three metaphors can be used to inform and conceptually frame more conventional, rigorous studies regarding the evolution of Italian nursing. But this autonomy is a decision of that very moment and you still have to manage the patient. Study authors used a semi-structured focus group format. Nurses communicated the need for help in resolving paradoxical dilemmas via stronger advocacy and support. The young The term way of life concerns their traditional practices, beliefs, organization, among other social factors that give a particular group a unique identity. Some believe in folk medicines. 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. I have to compile a portfolio that identifies the religious and cultural beliefs and practices for the care of a deceased person from the Italian culture, and Iam having significant trouble in finding adequate info, so please if you guys know of any good sites or resouces please enlighten me. 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. Another latest tendency that has affected nursing sufficiently is the consumer permission for ethnically competent care in a progressively more dissimilar, multicultural public. Posted 8:04:48 PM. Bread normally accompanies the meal. Ethics & Values in Health and Social Care. Another program that improves the health of the Italian American culture would be the Obesity Society. 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. Focus group sessions took place in a private conference room. 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. (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. 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. Italians enjoy the 11th highest life expectancy in the world, as well as very low levels of infant mortality. Light breakfasts are popular throughout Italy. 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. 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. For example, Italians often try to talk over each other, making their voices louder and louder ("Italian culture," n.d.). . . Ongoing socioeconomic-political forces in Italy were thought to contribute to the persistent lack of autonomy among nurses: Nurses are caught in and disappearing within a vortex of shifts in changes every day. Another study participant noted that, Nurses are overwhelmed by conflicts and autonomy issues, which are spiraling out of control in this time of our professional cultural evolution. This descriptor was also used to depict generational tensions between more established nurses and those recently entering the profession; the incongruence between theory and practice; and, in clinical settings, which were said to be rooted in old ways amid a new cohort of nursing professionals striving for new standards of care. Destrebecq A., Terzoni S., Colosio C., Neri L., Brambilla G. (2009). 1. Nursing Shortage: As Serious As It Is Publicized. Credibility was demonstrated through ongoing, interactive engagement in the 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. Community Nursing, Physiology, General Pathology, Intensive care, Healthcare Management, Healthcare Law, and many more. All participants signed a consent agreement signifying acceptance of the procedures involved in study, the focus groups in particular. 2. Yet, these decisions largely reside in socio-political and governmental forces as described below. This is a cause of concern for multiple chronic conditions such as diabetes. Based on a prior patient safety study, in which a metaphor of landmines in health care landscape (Affonso et al., 2007) independently arose via group discussion, we learned that Italian nurses preferred using metaphors during group discussions to capture the complexities of their clinical experiences. (Kittler et al., 2017), Healthy people 2020. Introduction Because multitude of changes occurred in a relatively short period of time (19922006), they incurred instability and sometimes chaos in patient care settings. This trans-formation is most evident in the higher status of the nursing profession country-wide. Young women There is social/peer pressure from outside the Italian community for young women to be slim. Meal wise lunch consists of an appetizer course to start, such as ham, sausages, pickled vegetables, and olives, or crostini (Kittler et al., 2017). already built in. Nursing Culture refers to the way of life of a given group. 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. Study authors convened to generate themes from the codes and categories. 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. Then a wet course would be served such a soup or a dry course such as pasta (Kittler et al., 2017). Students and families expenditures to attend a nursing programme in 2011-2012: A comparison of five Southern European countries. 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. Only one system has possibilities for us, IPASVI-CoE. The research team made a contribution to the field by making salient the significance of metaphors that enrich group dynamics in qualitative research. Cultural values, beliefs, traditions and behaviors inform our care and make us . Disclaimer: This essay has been written by a student and not our expert nursing writers. 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. I would make sure that my body language shows that I care about their well-being. 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. In the past, it may have been acceptable for doctors not to tell a patient they had cancer. It also has to be in the mindset or conscience of the nurse. Cultural profiles Community profiles for health care providers. Gennaro Rocco, MScN, RN, is director of the Center of Excellence for Nursing ScholarshipIPASVI in Rome, Italy. The capability to offer culturally capable care is particularly significant for critical care nurses, who act in high-perception, high-pressure healthcare surroundings. Professional dignity in nursing in clinical and community workplaces. This certainty is particularly true in critical care components, where patients with life-threatening diseases are cured. View professional sample essays here. Gennaro Rocco, Director of the Center of Excellence for Nursing Scholarship, IPASVI Rome, Viale Giulio Cesare 78, 00192, Rome, Italy. Less Risk of Healthcare Disparity: Health disparity refers to the differences in the health status of different groups of people. . Study group participants stressed that nurses needed courage to endure changes, make decisions, and feel a sense of value and worth. 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. A team of selected nurse participant representatives checked the research findings to ensure that they were true to nurse participants perceptions (Saldaa, 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. important in Italian culture to set aside time for leisure. Barazzetti G., Radaelli S., Sala R. (2007). Although emotional tensions, particularly anxiety and fears relative to change, have been reported in the literature (Jensen & Lidell, 2009; Khalili, Hall, & DeLuca, 2014; Lachman, 2007; Lindh, Barbosa da Silva, Berg, & Severinsson, 2010), Italian nurses brought new insights regarding how emotional turmoil experienced in the most difficult of times related to their Italian value of coraggio was used to advance professional development and innovative patient care. Do you have a 2:1 degree or higher in nursing or healthcare? (n.d.). I have to speak with him/her [the patient] but I have to comprehend his/her deep reasons . New Zealand Journal of Psychology, 34(2), 69. Dinner is served later in the evening around 7:30pm and is the lighter version of lunch (Kittler et al., 2017). The database is updated daily, so anyone can easily find a relevant essay example. 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. 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. Dietary restrictions should be carefully explained as restriction recommendations may be disregarded when they dont fit into normal social activity. Focus groups were based on educational background or professional role/work setting of participants. IvyPanda. Villa Carital is an eighty bed Seniors Care Community located in East Vancouver, British Columbia. 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. Nurse participants noted how difficult it was to build a career as clinical nurse leaders because they were likely to be penalized in their actual work, as sometimes seen when nurse administrators in powerful positions engaged in clinical bullying in the workplace (Magnavita & Heponiemi, 2011). Respectfully my communication practices should be viewed as warm and empathetic. 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). 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. 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. This is a separate church for each ethnic group. Private institution versus public institution is of another culture. "Italian Culturally Competent Nursing Care." This facilitated and enabled full participation by all study authors, including those who did not speak Italian. 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. Therefore, Italians get more outgoing when they come into contact with members of their ethnic group. (Kittler et al., 2017), A healthcare provider should use respectful communication practices that are warm and empathetic. We will write a custom Essay on Italian Culturally Competent Nursing Care specifically for you for only $16.05 $11/page. is neena pacholke married
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