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. Coraggio signifies the depth of psychological resilience necessary to traverse negative forces encountered. 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. Moreover, strong investment in clinical practice via other innovative programs that focus on life-long learning (cited as an important goal by nurse participants) and evidence-based practice was noted by group participants. They included (a) clinical hospital-based nurses (n = 10); (b) nurses in community practice (n = 9); (c) a mixed group of hospital and community nurses (n = 9); (d) designated nurse scholars (n = 6), including three deans of schools of nursing; (e) hospital nursing directors (n = 8); (f) doctoral nursing students (n = 8); (g) masters nursing students (n = 7); and (h) baccalaureate nursing students (n = 9). This is IvyPanda's free database of academic paper samples. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Beliefs and Health Practices Italians often complain of all of their symptoms and require an immediate medical response. When nurses are knowledgeable about the cultural practices, values, and beliefs of their patients, they are better able to understand and address . 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. Study authors used a semi-structured focus group format. 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. Cultural diversity in nursing care is an important aspect of providing quality healthcare to patients from a variety of backgrounds. 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. Italian Culturally Competent Nursing Care. Yet, these decisions largely reside in socio-political and governmental forces as described below. 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. 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. Study authors provided written assurance to participants for protection in confidentiality of the data. For example, 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 professions as well as their patients. Italian moms are known for their warm, involved mothering, which can border on over protectiveness. We used a qualitative focus group design. Critique of Madeleine Leininger's Culture Care Theory. 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] . Thus, elementary language courses are necessary to arrange, with obligatory studying of all the terminology on particular deceases. Cultural profiles Community profiles for health care providers. Marshak (1993) noted that the use of metaphor as a form of symbolic, rather than a literal expression, has been shown to be an effective medium for describing an experience or a perception, which allows for understanding and presenting ideas, insights and intuitions not always available to analytic reasoning and discourse (p. 45). Four paradoxes were salient throughout group discussions. Email: Received 2014 May 2; Accepted 2014 Jul 28. Camerino D., Estryn-Bhar M., Conway P. M., van Der Heijden B. I., Hasselhorn H. M. (2008). in Italian women than Australian born. 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. What (if any) is the contribution of IPASVI toward either positive or negative cultural change in nursing practice and research? Unfortunately, we, in Italy, have unions that are not ready to value nursing competencies. "Italian Culturally Competent Nursing Care." 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. 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. 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. Professional development and university-based education are critical to establishing clinical competency, the foundation for professional autonomy and decision-making. Posted 8:04:48 PM. 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. In fact, nursing education was not completely autonomous in the Italian universities, as expressed below. 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. It has been interesting and informative for me. The audio recordings from each session were transcribed and labeled according to a predetermined coding system to protect the identity of participants. The analysis is based on Leinin Culture of Silence: Talking About Death and Terminal Illness. 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. By being sensitive to reactions the patient is exhibiting you will know how effective your actions are. A host of legislative changes established university-level (baccalaureate) education as the minimum entry requirement for nursing. (n.d.). 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. We are educated health professionals who are doctors in miniature, with small skillset. These cultural shifts are underscored by reforms in health disciplines in Europe and are particularly evident in nursing within recent professional educational directives (Lahtinen, Leino-Kilpi, & Salminen, 2014). Community Nursing, Physiology, General Pathology, Intensive care, Healthcare Management, Healthcare Law, and many more. If you are the copyright owner of this paper and no longer wish to have your work published on IvyPanda. Do you have a 2:1 degree or higher in nursing or healthcare? 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. A primary outcome of these efforts was critical academic nursing changes: a 3-year university degree in 2001 (Dante, Petrucci, & Lancia, 2013; Davies, 2008), masters degree in nursing science in 2004, and the first doctoral programs in nursing offered at four universities in Italy in 20062007. The finding that Italian nurses described their professional evolution as akin to being in a deductive jungle warranted further study. Public atmosphere is more relaxed; private more controlled. Necessary changes had not been fully embraced in health care organizations, and as a result, with little or no institutional buy-in or designated resources, there had not been widespread improvements in the quality of patient care. Elo S., Kriinen M., Kanste O., Plkki T., Utriainen K., Kyngs H. (2014). You can go visit this doctor within the official working hours he or she has declared. 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. Families may want to take dying member home to care for. It is known that when a Italian goes to seek help from a health professional they tend to be open and willing to explain their symptoms. I can be very skillful but I have to be ready to greet this challenge and, in this way, my mind is changing too. The practice is changing. 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. Table of Contents 1 Chapter 01: 21st Century Maternity Nursing Chapter 02: Community Care: The Family and Culture Chapter 03: Assessment and Health Promotion Chapter 04: Reproductive System Concerns Chapter 05: Infertility, Contraception, and Abortion Chapter 06: Genetics, Conception, and Fetal Development Chapt 2021. ensure the integrity of our platform while keeping your private information safe. (2021, September 1). Metaphors in qualitative research: Shedding light or casting shadows? But one structure is not enough. IPASVI coordinates Italys Provincial Colleges, which hold the registry of the nurses. (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. 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