We're here to answer any questions you have about our services. 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). Your privacy is extremely important to us. At the outset, the group facilitator addressed group dynamics, including issues such as censoring and conformity. 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. . Beliefs and Health Practices Italians often complain of all of their symptoms and require an immediate medical response. (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. The sample included a wide range of nurses from the students of undergraduate, masters, and doctoral programs to hospital-based and community nurses, nurse directors, and nurse educators/scholars. A national survey on the activities performed by nurses and aids in Italian outpatients services, Cahiers de Sociologie et de Dmographie Mdicales. . Funding: The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: IPASVI Center of Excellence for Nursing Scholarship in Rome, Italy. Similarly, designating a patient safety officer and offering structured educational training on teamwork collaboration may also promote a safety culture in the hospital. This transformation is motivated by the need to provide quality, affordable, and sustainable health care. Because the unions fear that nurses with competencies can create difficulties for nurses who dont have up-to-date skillsets . (Lyn & Killian, 2010) Parenting styles vary within the different regions in Italy, but in general, most parents take a casual approach to discipline. What is the meaning of the culture of change that pertains to clinical nursing practice during the past 10 years in Italy? 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. This in-depth analysis resulted in the development of a codebook. We used a qualitative focus group design. As I know it they have close families, great food, great food traditions, and a positive view of life. (Kittler, Sucher & Nahikian-Nelms, 2017), After immigration the Roman catholic Church is viewed at differently and is found in separate parishes (Kittler et al., 2016). Use of the leopard spots metaphor to illuminate the strength of old regimes (still prevalent within the Italian health system) revealed the true nature of obstinate, resistive forces to changes in health care system reform. Work-related factors and violence among nursing staff in the European NEXT study: A longitudinal cohort study. In contrast, cultural reforms for Italian nursing are largely compelled through public laws, which are enacted by the Italian Ministry of Health. already built in. This is IvyPanda's free database of academic paper samples. 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. Because multitude of changes occurred in a relatively short period of time (19922006), they incurred instability and sometimes chaos in patient care settings. 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. 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. Ayala R. A., Fealy G. M., Vanderstraeten R., Bracke P. (2014). 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. 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. The gradually more varied, multicultural society in the United States is providing new challenges in the stipulation of culturally experienced care by critical curing nurses. I have learned that the rich food culture that is heavy in carbohydrates can lead to health concerns throughout the culture. Cultural diversity is important in nursing for a number of reasons. 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. Patient-centered care as a core in health care quality is well known and valued globally (Kunyk & Austin, 2012). Price S., McGillis Hall L., Angus J., Peter E. (2013). You may notice problems with Nurses believed that for their profession to advance, a critical change had to occur. Six themes emerged that provide insights into nurses experiences with changes occurring in Italy during the past decade (20012011). A host of legislative changes established university-level (baccalaureate) education as the minimum entry requirement for nursing. This is what I hope to find during my analysis. Frequent and quick eye contact with elders and steady eye contact with younger Italians is preferred. The social context of career choice among millennial nurses: Implications for interprofessional practice, The regulation of autonomy in nursing: The Italian situation, Industrial action by nurses: The Italian situation, The coding manual for qualitative research-hers, Writing a good read: Strategies for re-presenting qualitative data. "Italian Culturally Competent Nursing Care." 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. Excellence and power in clinical nursing practice, Scholarship reconsidered: Priorities of the professoriate. Nurses continue old ways; professionalism [is] still lacking and the focus is on technical tasks. Given the role of head nurses in effecting policy change and assuring compliance, the leopard spot metaphor allowed a more nonthreatening way to identify those who were resistant to change, and how to build buy-in and support for new policy and practices. Private institution versus public institution is of another culture. 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. Nurses cited the need to change the model of health care delivery in Italy. Italian Americans may seek medical advice from family and friends before consulting a health professional (Kittler et al., 2017). Camerino D., Conway P. M., van der Heijden B. I., Estryn-Bhar M., Costa G., Hasselhorn H. M. (2008). 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 program is designed for students to receive three credits in undergraduate NURS 4126 (nursing core . Three other themes highlighted the complexity of Italian nurses experiences. However, there is pressure within Italian families to eat as part of social occasions, and not eating can be seen as rejection of the Italian culture. Clinical nurses focus group expressed that: Nurses have lots of fears; fear of changes; fear of losing autonomy; fear we are not competent . Get Access Related Better Essays .Skela-Savi B. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. 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. *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. 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. Focus group sessions took place in a private conference room. This is a cause of concern for multiple chronic conditions such as diabetes. Updated: 02/18/2022 Transcultural nursing requires sophisticated assessment and analytic skills and the ability to plan, design, implement, and evaluate nursing care for individuals, families, groups, and communities representing various cultures. But one structure is not enough. Community Nursing, Physiology, General Pathology, Intensive care, Healthcare Management, Healthcare Law, and many more. 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 . But do we have the courage to do so?. In nowadays community, culturally competent care cannot be provided to all patients unless nurses have a clear realization of dissimilar cultural backdrops. Participants sat at a round table to maximize visibility and communication; group size ranged from 6 to 10 participants. Governments around the world have set out an agenda to realize an unprecedented shift in the delivery of health care. Otherwise, why be a nurse? Though older immigrants fear that drafts (Kittler et al., 2017), hidden emotions and the supernatural might be the cause of illness. Free resources to assist you with your nursing studies! specializes in NICU. 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 . important in Italian culture to set aside time for leisure. It contains thousands of paper examples on a wide variety of topics, all donated by helpful students. The fourth paradox was the contradiction of distinctively different standards of quality of work offered by private institutions versus public institutions even if nurses were accountable to providing parity in patient care. Lindh I. Destrebecq A., Lusignani M., Terzoni S. (2009). (Kittler et al., 2017). 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. Wine is served during the meal and coffee after wards. 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