1. With a rise in obesity in the Italian culture this is an important factor to keep in mind when counseling. Nurses bring these rich cultural values with them to the profession. A host of legislative changes established university-level (baccalaureate) education as the minimum entry requirement for nursing. Healthy People 2020 has a vision of a society in which all people live long, healthy lives (Healthy people 2020, 2019). But do we have the courage to do so?. Study group participants stressed that nurses needed courage to endure changes, make decisions, and feel a sense of value and worth. For Italian nursing students, the experience with dying patients is formative. . I would make sure that my body language shows that I care about their well-being. Italian translators, fluent in English, transcribed the FGDs under the supervision of the first author. 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. Italian Americans may seek medical advice from family and friends before consulting a health professional (Kittler et al., 2017). 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. 1Center of Excellence for Nursing Scholarship, Rome, Italy, The Evolution of Professional Nursing Culture in Italy. It is considered socially acceptable to arrive 30 minutes late to social gatherings. It is an ethical dilemma for us nurses, especially when we know models of global nursing standards. Beliefs and Health Practices Italians often complain of all of their symptoms and require an immediate medical response. (Kittler et al., 2017), Not much will change as everything is easily found in America, but some American staples might be added. How are we to give quality standards of care? Ayala R. A., Fealy G. M., Vanderstraeten R., Bracke P. (2014). 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. 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be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. Destrebecq A., Lusignani M., Terzoni S. (2009). Frequent and quick eye contact with elders and steady eye contact with younger Italians is preferred. Their vision is for a better understand, prevent and treat obesity to improve the lives of those affected through research, education and advocacy (obesity.org). 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. When nurses are knowledgeable about the cultural practices, values, and beliefs of their patients, they are better able to understand and address . Otherwise, why be a nurse? Meal patterns might change to have the larger meal at dinner time instead of lunch. 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). Accordingly, study authors recommend that IPASVI-CoE takes the lead in advocating for change and additional nursing reforms at multiple levels including, but not limited to, the Italian Ministry of Health, the Unions and the National Board of Physicians. The father is the head of the household, but the mother controls the day-to-day activities in the home. Three of the six themes incorporated metaphors. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/, IvyPanda. .Skela-Savi B. But one structure is not enough. Updated: 02/18/2022 Study participants suggested there might be a need to create new alliances and stakeholders to sustain IPASVI-CoE, with some suggesting that an infrastructure separate and apart from IPASVI be established to support nursing research as part of the Italian Ministry of Health. No plagiarism, guaranteed! This whole "cultural needs" is an ancient nursing concept that needs to just go away. Your privacy is extremely important to us. Different content standards create confusion. Clinical nurse participants stressed the need for guidance on how to navigate the deductive jungle to practice competently. 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. We've received widespread press coverage The research team made a contribution to the field by making salient the significance of metaphors that enrich group dynamics in qualitative research. Palese A., Bortoluzzi G., Achil I., Jarosova D., Notara V., Vagka E., . Learn what Italian values are prized and how this small nation has impacted the world. Managing professional change is viewed as an essential component of health care system reform in several countries ( Ayala, Fealy, Vanderstraeten, & Bracke, 2014 ). A healthcare provider should use respectful communication practices that are warm and empathetic. Students and families expenditures to attend a nursing programme in 2011-2012: A comparison of five Southern European countries. 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. Academisation of nursing: An ethnography of social transformations in Chile. Its difficult to make change on the units. Written transcripts of tape recordings created by Excel program were used as worksheets for coding. Since coraggio is [one of] our deep Italian values, it has to be in our ethical code in our professional identity. Leopard spots represented the innate unchanging way of the old regime whereas Deductive jungle conveyed nurses individual struggles in clinical decision making throughout their professional experiences. Gennaro Rocco, Dyanne D. Affonso, [], and Laura Sabatino. The Villa Carital Care Community was built and funded by the Carraresi Foundation and the British Columbia Provincial Government. Because multitude of changes occurred in a relatively short period of time (19922006), they incurred instability and sometimes chaos in patient care settings. The Italian culture is as complexed as any other culture. 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. You may switch to Article in classic view. The ePub format uses eBook readers, which have several "ease of reading" features 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. Focus groups utilized many descriptors to characterize the range of emotional turmoil and, at times, instability and fear experienced by and perceived by nursing professionals. You are better off treating everyone the same. Coraggio signifies the depth of psychological resilience necessary to traverse negative forces encountered. (2010, November). We achieved saturation of the data through discussions and several meetings among the categorical team members, resulting in written summary notes. Enrolled participants either had knowledge of the research topic or best represented the field (Elo et al., 2014). A dream of the Italian Community of Vancouver, it was promoted and conceived by the Italian Cultural Society. If I were to Counsel someone from the Italian culture, I would keep the above in mind. Published: 22nd Jun 2020. Gennaro Rocco, Director of the Center of Excellence for Nursing Scholarship, IPASVI Rome, Viale Giulio Cesare 78, 00192, Rome, Italy. This is IvyPanda's free database of academic paper samples. Stievano A., De Marinis M. G., Rocco G., Russo M. T., Alvaro R. (2012). 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. 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. "Shaking hands with everyone in the room in greeting and leaving is appropriate" (Kittler et al., 2017). 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. Methods: The NCCS scale has been back translated and applied to a sample of nursing students of the San Paolo Hospital in Milan; the scale has been assessed for validity . Keep steady eye contact and listen to all that they are concerned about health wise. 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. 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. Please don't misunderstand and assume I'm looking for stereotypes. The grant just covered the cost of meetings; none of the authors received any money. professional specifically for you? Families may want to take dying member home to care for. (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. Another program that improves the health of the Italian American culture would be the Obesity Society. In Italy, the advancement of nursing scholarship catalyzed the professions cultural reform. Hospitalized people and their families are undergoing abundant strains. As I know it they have close families, great food, great food traditions, and a positive view of life. available We will write a custom Nursing essay specifically for you for only $16.00 $11/page Learn more. We have this big problem. or developmental, [such as knowledge of practice guidelines]. (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). The first paradox pertained to the contradiction that amid the momentum and advances in nursing education, there is the reality of what was described as a lack of innovation throughout the Italian health system: The change that has occurred at the educational level and at the health professional level, has not been realized at the practical level; it never ever passed into practice to make any difference.. 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. The audio recordings from each session were transcribed and labeled according to a predetermined coding system to protect the identity of participants. 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. (Kittler et al., 2017), When counseling someone from the Italian culture there are a few things to keep in mind. Four paradoxes were salient throughout group discussions. Studying nursing in Italy means that aside from witnessing the country's rich culture and history, you have a selection of excellent universities offering a high level of education. In these circumstances, the necessity for culturally competent curing is prominently obvious. 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. Nursing practice and work environment issues in the 21st century: A leadership challenge, The professional identity of the nurse: Concept analysis and development. Furthermore, these metaphors shed insights into understanding system changes, such as that of the Italian health care system. 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. The influence of a national professional organization such as IPASVI to break down barriers in the Italian health care system that impede progress was viewed as essential to building on current nursing reforms and sanctioning achievements made in clinical practice and education to date. This in-depth analysis resulted in the development of a codebook. 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. Study participants also noted that IPASVI has a pivotal role in promoting nursing as an ethical profession, demonstrating value of the cultural evolution processes of nursing and portrays a normative view point of nursing as equally important to other health professions in Italy. Some nurse directors, however, declared that IPASVI has to be present effectively in all regions of Italy and not only at leopard spot. Different visions of the various IPASVI Regulatory Boards were noted as an obstacle to achieving a shared vision that could guide the profession. A specific challenge that was addressed was the current limitation of advanced practice roles for nurses in Italy that stunted nursing as a career. 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