Ethics & Values in Health and Social Care. The audio recordings from each session were transcribed and labeled according to a predetermined coding system to protect the identity of participants. 3. View professional sample essays here. Price S., McGillis Hall L., Angus J., Peter E. (2013). This metaphor could lend insights into understanding health professionalism. Bryson, J., & Hosken, C. (2005). 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. The sample limited comparisons or contrasts of nurses perceptions because most of the participants were largely urban nurses from Rome and Genoa. available We will write a custom Nursing essay specifically for you for only $16.00 $11/page Learn more. Similarly, designating a patient safety officer and offering structured educational training on teamwork collaboration may also promote a safety culture in the hospital. By being sensitive to reactions the patient is exhibiting you will know how effective your actions are. 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). 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. Study authors delineated the characteristics, meanings, and challenges that Italian nurses experienced in their changing culture as a health profession. When nurses are knowledgeable about the cultural practices, values, and beliefs of their patients, they are better able to understand and address . Dyanne D. Affonso, PhD, FAAN, is honorary president, Center of Excellence for Nursing ScholarshipIPASVI in Rome, Italy. Get Access Related Better Essays At the outset, the group facilitator addressed group dynamics, including issues such as censoring and conformity. 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. 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. Coraggio is the way. In contrast, cultural reforms for Italian nursing are largely compelled through public laws, 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. (Kittler et al., 2017). In Italy, the advancement of nursing scholarship catalyzed the professions cultural reform. Six themes emerged that provide insights into nurses experiences with changes occurring in Italy during the past decade (20012011). The vortex metaphor disclosed powerful images of conflict and struggle as encountered by nurses, particularly among clinical nurses at the hospital level, and by nurse leaders. "Italian Culturally Competent Nursing Care." Respectfully my communication practices should be viewed as warm and empathetic. The Italian culture is as complexed as any other culture. (Kittler et al., 2017), The fact that illness is due to contamination or heredity is believed by the Italian Americans. Clinical nurse leaders, community nurses in Rome, and the undergraduate students at Istituto Dermopatico dellImmacolata school of nursing are also recognized for their important contributions to the project. This research provides, for the first time, a report on Italian nurses' levels of cultural competence, and strengthens the current literature underlining the need for continuous education to enhance cultural competence among nurses. Appointments are made later in the morning. 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. 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.. The Villa Carital Care Community was built and funded by the Carraresi Foundation and the British Columbia Provincial Government. The need for transcultural nursing is undeniable. 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 dont apply the centrality of the patient care and we should be more congruent with this kind of patient care innovation! IvyPanda. Affonso D. D., De Marinis M. G., Finocchi G., Piredda M., Pulimeno L., Tartaglini D., Rocco G. (2007). It contains thousands of paper examples on a wide variety of topics, all donated by helpful students. Italian Culturally Competent Nursing Care. It also reflected the absolute will and sheer determination of nurses to conquer obstacles and be resilient and courageous in the face of challenges. 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 the past, it may have been acceptable for doctors not to tell a patient they had cancer. important in Italian culture to set aside time for leisure. Community Nursing, Physiology, General Pathology, Intensive care, Healthcare Management, Healthcare Law, and many more. Undergirding these paradigm shifts are efforts to understand the nature of professional culture and culture change in health care systems and organizations. This essay on Italian Culturally Competent Nursing Care was written and submitted by your fellow Focus groups data were transcribed verbatim within 2 days of the group session. 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. Families may want to take dying member home to care for. Introduction Experience exchange conferences would also be rather helpful. 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. Focus group sessions took place in a private conference room. 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 . This is a cause of concern for multiple chronic conditions such as diabetes. We need courage to do change. Westport, CT: Praeger Publishers. "Shaking hands with everyone in the room in greeting and leaving is appropriate" (Kittler et al., 2017). Need a custom Essay sample written from scratch by Ayala, Fealy, Vanderstraeten, & Bracke, 2014, Manojlovich, Barnsteiner, Bolton, Disch, & Saint, 2008, Stievano, De Marinis, Rocco, Russo, & Alvaro, 2012, Kinn, Holgersen, Ekeland, & Davidson, 2013, Destrebecq, Terzoni, Colosio, Neri, & Brambilla, 2009, Price, McGillis Hall, Angus, & Peter, 2013, Lindh, Barbosa da Silva, Berg, & Severinsson, 2010, http://www.creativecommons.org/licenses/by/3.0/, http://www.uk.sagepub.com/aboutus/openaccess.htm. One of the key challenges of cultural diversity in nursing care is the need to . 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. 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). Italian Americans may seek medical advice from family and friends before consulting a health professional (Kittler et al., 2017). Specifically, the three metaphors can be used to inform and conceptually frame more conventional, rigorous studies regarding the evolution of Italian nursing. With a rise in obesity in the Italian culture this is an important factor to keep in mind when counseling. It is an ethical dilemma for us nurses, especially when we know models of global nursing standards. "Italian Culturally Competent Nursing Care." The grant just covered the cost of meetings; none of the authors received any money. The young How are we to give quality standards of care? 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. 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. A national survey on the activities performed by nurses and aids in Italian outpatients services, Cahiers de Sociologie et de Dmographie Mdicales. A belief that fresh air is connected to ones well-being as well. . You are better off treating everyone the same. 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. This paper is an analysis and critique of a published nursing philosophy and theory by the nurse theorist Madeleine Leininger, called Culture Care theory. No plagiarism, guaranteed! 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. Three other themes highlighted the complexity of Italian nurses experiences. 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. Many clinical settings were still rooted in archaic mind-sets that relied on old models of care. Glob Qual Nurs Res. Nursing Culture refers to the way of life of a given group. Though older immigrants fear that drafts (Kittler et al., 2017), hidden emotions and the supernatural might be the cause of illness. 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. 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. There was a culture of silence around talking about death and terminal illness (Heyse-Moore 2009). September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Its sufficient to read the didactic set of rules, its full of biomedicine. This trans-formation is most evident in the higher status of the nursing profession country-wide. 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. Rosaria Alvaro, MScN, RN, is nursing associate professor at Tor Vergata University in Rome, Italy. Breakfast normally includes coffee with milk, tea, or a chocolate drink, with bread and jam (Kittler et al., 2017). With an average annual salary of . (2021) 'Italian Culturally Competent Nursing Care'. Nurses communicated the need for help in resolving paradoxical dilemmas via stronger advocacy and support. Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: A longitudinal study. IvyPanda. 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. 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. 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. But one structure is not enough. And be resilient and courageous in the hospital recordings from each session were and... To tell a patient They had cancer value of ethical and psychological preparation addressed group dynamics, issues... 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