Although study findings were specific to nursing, the six themes, particularly the metaphors, were relevant to implicating evolutionary changes within other disciplines undergoing cultural shifts in their practice and identity. The complex nature of these forces were reflected by the Italian nurses reference to the leopard spot metaphor. ten Hoeve Y., Jansen G., Roodbol P. (2013). Dietary restrictions should be carefully explained as restriction recommendations may be disregarded when they dont fit into normal social activity. The global era is getting more competitive and dynamic. 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. (Kittler et al., 2017), When counseling someone from the Italian culture there are a few things to keep in mind. 3. Study for free with our range of nursing lectures! 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.. IvyPanda. What are risks associated with nursings cultural change? Coraggio signifies the depth of psychological resilience necessary to traverse negative forces encountered. Dyanne D. Affonso, PhD, FAAN, is honorary president, Center of Excellence for Nursing ScholarshipIPASVI in Rome, Italy. This certainty is particularly true in critical care components, where patients with life-threatening diseases are cured. (2013). 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. It contains thousands of paper examples on a wide variety of topics, all donated by helpful students. "Italian Culturally Competent Nursing Care." This in-depth analysis resulted in the development of a codebook. Wine is served during the meal and coffee after wards. Frequent and quick eye contact with elders and steady eye contact with younger Italians is preferred. The aim of this study is to validate in Italian the "Nurse Cultural Competence Scale" (NCCS), an assessment tool which measures the cultural competence level of nursing staff. The vivid use of metaphors and choice of particular semantics helped to more fully communicate the evolutionary process of the field of nursing in Italy, including its different levels of meanings, passion, and concomitant needs. Experience exchange conferences would also be rather helpful. We explored the perceptions of Italian nurses regarding their developing culture as a health profession. 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. 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. Private institution versus public institution is of another culture. Vortex described the turbulent changes and transitions associated with the cultural evolution of nursing as a health profession. The term way of life concerns their traditional practices, beliefs, organization, among other social factors that give a particular group a unique identity. The substance is present, but we have to give it visibility, said a study participant. In these circumstances, the necessity for culturally competent curing is prominently obvious. Nursing education in the European higher education areaVariations in implementation. Medical care at an Italian Medical Facility is very much the same as in the United States despite some cultural differences that . IvyPanda, 1 Sept. 2021, ivypanda.com/essays/italian-culturally-competent-nursing-care/. Governments around the world have set out an agenda to realize an unprecedented shift in the delivery of health care. Keep steady eye contact and listen to all that they are concerned about health wise. The practice is changing. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. 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. 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. 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 . Italian Culturally Competent Nursing Care. 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 father is the head of the household, but the mother controls the day-to-day activities in the home. This whole "cultural needs" is an ancient nursing concept that needs to just go away. In contrast, cultural reforms for Italian nursing are largely compelled through public laws, Retrieved from https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. Coraggio is the way. Alessandro Stievano, PhD, MScN, RN, is a researcher in the Center of Excellence for Nursing ScholarshipIPASVI in Rome, Italy. Generating an ePub file may take a long time, please be patient. 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. 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. 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. I have learned that the rich food culture that is heavy in carbohydrates can lead to health concerns throughout the culture. We are educated health professionals who are doctors in miniature, with small skillset. We used a qualitative focus group design. Its difficult to make change on the units. 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. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. important in Italian culture to set aside time for leisure. (Lyn & Killian, 2010) Parenting styles vary within the different regions in Italy, but in general, most parents take a casual approach to discipline. *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. 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. They expressed awareness and also concern that other resources were urgently needed to sustain the IPASVI-CoEs infrastructure: IPASVI-CoE is the rock of salvation for nurses in Italy; it [is] the major support system to promote professionalism of nursing in Italy. Another participant noted that IPASVI-CoE gives opportunity for us to reflect practice, talk of changes, and have a path to a better future in nursing. Moreover, nurse directors added. The social context of nursing is important for our professional identity. The complexities that underpin the vortex were also discussed by doctoral students as follows: The decisional autonomy, the right way to communicate, the process of decision-making, the right way to practice is to be studied by us [nurses]. 1 September. Barazzetti G., Radaelli S., Sala R. (2007). All participants signed a consent agreement signifying acceptance of the procedures involved in study, the focus groups in particular. Three of the six themes incorporated metaphors. 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. Nurses must be able to understand and respect the cultural differences of their patients in order to provide the best possible care. The second aim, specific to registered nurses in Italy, sustains professionalism by (a) supporting equitable treatment, (b) ensuring that the deontological code is respected, (c) endorsing the professional cultural growth of registered nurses, and (d) institutionalizing good professional practice. "Italian Culturally Competent Nursing Care." Another program that improves the health of the Italian American culture would be the Obesity Society. Italians tend to be less punctual, but adhere to important times such as appointments, business meetings, and other scheduled events. must. . 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). ensure the integrity of our platform while keeping your private information safe. Obesity rate is at 45% in women and 66% in men. Info: 1653 words (7 pages) Nursing Essay Cultural competence is the ability to understand and appreciate different cultures, customs, and beliefs, and to apply that understanding to provide appropriate and effective care to patients from . (Kittler et al., 2017), A healthcare provider should use respectful communication practices that are warm and empathetic. Camerino D., Estryn-Bhar M., Conway P. M., van Der Heijden B. I., Hasselhorn H. M. (2008). Children are encouraged to live at home until they're married, or even longer. 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. Do you have a 2:1 degree or higher in nursing or healthcare? 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). (Kittler et al., 2017), Not much will change as everything is easily found in America, but some American staples might be added. September 1, 2021. https://ivypanda.com/essays/italian-culturally-competent-nursing-care/. 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. It has been interesting and informative for me. 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. Then a wet course would be served such a soup or a dry course such as pasta (Kittler et al., 2017). Clinical nurses also emphasized that because health care is very difficult to change in Italy, coraggio had to be not only at the individual nurse level, but an ethical commitment for all health professionals to comply with the deepest values of their conscience and their professional identity: Courage is not merely to help us in difficult situations of our practice. 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 . Different content standards create confusion. Clinical nurse participants stressed the need for guidance on how to navigate the deductive jungle to practice competently. This is what I hope to find during my analysis. Patient-centered care as a core in health care quality is well known and valued globally (Kunyk & Austin, 2012). The research team adopted standards of rigor according to Lincoln and Guba (1985) and Guba and Lincoln (2005). Ariel, S. (1999). As I know it they have close families, great food, great food traditions, and a positive view of life. The finding that Italian nurses described their professional evolution as akin to being in a deductive jungle warranted further study. Ayala R. A., Fealy G. M., Vanderstraeten R., Bracke P. (2014). Because multitude of changes occurred in a relatively short period of time (19922006), they incurred instability and sometimes chaos in patient care settings. 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. The capability to offer culturally capable care is particularly significant for critical care nurses, who act in high-perception, high-pressure healthcare surroundings. The need for transcultural nursing is undeniable. professional specifically for you? The Italian culture is as complexed as any other culture. Written transcripts of tape recordings created by Excel program were used as worksheets for coding. What consequences are there for the future of the nursing profession in Italy if the current change did not happen? Lindh I. The audio recordings from each session were transcribed and labeled according to a predetermined coding system to protect the identity of participants. This essay on Italian Culturally Competent Nursing Care was written and submitted by your fellow 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. . Intention to leave nursing in a major Milan hospital: Current situation and future perspectives. (2021) 'Italian Culturally Competent Nursing Care'. I have to speak with him/her [the patient] but I have to comprehend his/her deep reasons . This trans-formation is most evident in the higher status of the nursing profession country-wide. Focus groups data were transcribed verbatim within 2 days of the group session. 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. Published: 22nd Jun 2020. 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. Study authors convened to generate themes from the codes and categories. Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. 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. already built in. There was a culture of silence around talking about death and terminal illness (Heyse-Moore 2009). If a ward, department doesnt work, it is [the] responsibility of the nurse manager to raise problems and try to solve them, through life-long learning. Basic education is not enough. In the past, it may have been acceptable for doctors not to tell a patient they had cancer. . in Italian women than Australian born. Another latest tendency that has affected nursing sufficiently is the consumer permission for ethnically competent care in a progressively more dissimilar, multicultural public. Enrolled participants either had knowledge of the research topic or best represented the field (Elo et al., 2014). Camerino D., Conway P. M., van der Heijden B. I., Estryn-Bhar M., Costa G., Hasselhorn H. M. (2008). Introduction In this regard, IPASVIs annual national conferences and biennial international congresses will feature the metaphors, specific to their implications for innovations in patient care. 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). 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. Please don't misunderstand and assume I'm looking for stereotypes. Breakfast normally includes coffee with milk, tea, or a chocolate drink, with bread and jam (Kittler et al., 2017). 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. 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. (n.d.). Cultural diversity in nursing care is an important aspect of providing quality healthcare to patients from a variety of backgrounds. 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. (2021, September 1). "Shaking hands with everyone in the room in greeting and leaving is appropriate" (Kittler et al., 2017). Learn about Top Italian Nursing Schools. (Kittler et al., 2017), Less pasta and more meat are consumed meaning that the amount of saturated fats in the diet is increased and the carbohydrates might decrease from that of the Italian culture. In 2010, IPASVI-Rome launched a Center of Excellence (CoE), first-of-its-kind, national infrastructure specifically designed to advance the field of nursing in Italy. Therefore, Italians get more outgoing when they come into contact with members of their ethnic group. Namely, Italy had to move from the current pivotal role of hospital-based medically dominated care to a more regional-territorial approach that enabled interprofessional models of collaborative care (Price, McGillis Hall, Angus, & Peter, 2013). Shaking hands with everyone in the room in greeting and leaving is appropriate (Kittler et al., 2017). 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.. IPASVI regulations were created to ensure maintenance of practice, competencies and compliance with their stated ethical code. 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. 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). A convenience, purposive sample of 66 nurses (22 males and 44 females) enrolled in the study. 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. Throughout this paper I have found that though it is easy to generalize a culture in to stereotypes with the Italian culture I found that there is diversity within the culture that is found in every other culture. 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. We are experimenting with display styles that make it easier to read articles in PMC. (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. Since coraggio is [one of] our deep Italian values, it has to be in our ethical code in our professional identity. Food and culture (7th ed.). If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! Posted 8:04:48 PM. Many Italians use alternative therapies--homeopathic medicine, acupuncture and massage. Explore Italian customs and traditions while learning about Italian culture. It is an ethical dilemma for us nurses, especially when we know models of global nursing standards. Study authors provided written assurance to participants for protection in confidentiality of the data. Of what I have grown to think of the culture I admire the culture as a whole. It addresses two primary aims: the first is protection of the person which established the right of the individual, as sanctioned by the Italian Constitution, to receive health care services by qualified personnel who hold a specific fitness-to-practice title. Students and families expenditures to attend a nursing programme in 2011-2012: A comparison of five Southern European countries. How are we to give quality standards of care? 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. Several groups discussed the forces that underscore resistance to change internally (within the nursing profession) and externally (from other health professions). End of story. Bryson, J., & Hosken, C. (2005). Young women There is social/peer pressure from outside the Italian community for young women to be slim. We will write a custom Essay on Italian Culturally Competent Nursing Care specifically for you for only $16.05 $11/page. Beliefs and Health Practices Italians often complain of all of their symptoms and require an immediate medical response. 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 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. IvyPanda. Study authors delineated the characteristics, meanings, and challenges that Italian nurses experienced in their changing culture as a health profession. Disclaimer: This essay has been written by a student and not our expert nursing writers. 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. Autonomy, responsibility, and the Italian code of deontology for nurses, From novice to expert. IPASVI coordinates Italys Provincial Colleges, which hold the registry of the nurses. In other words, metaphors underscore depth of meaning and passion with topical content. But this autonomy is a decision of that very moment and you still have to manage the patient. (Kittler et al., 2017), Stews, baked dishes, roasted meats, grilled meats, and pan fried food items are popular cooking methods. 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. In conclusion, this study presented valuable information for program development that can continue to build and support the practice, education, and research directives of Italian nurses. Dietary restrictions should be carefully explained as restriction recommendations may be disregarded when come... Nature of these forces were reflected by the Italian culture there are a few things to keep in mind research. Come into contact with elders and steady eye contact with younger Italians is preferred while learning about Italian culture are! Topics, all donated by helpful students transcribed verbatim within 2 days of culture... Even longer # x27 ; t misunderstand and assume I & # ;! Nurses described their professional evolution as akin to being in a deductive jungle warranted further.... Necessary to traverse negative forces encountered, 2017 ), when counseling someone from the codes and categories see of! Professional identity S., Sala R. ( 2007 ) will write a Essay... 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While learning about Italian culture Italians tend to be less punctual, but the mother controls day-to-day... Culture is as complexed as any other culture alessandro Stievano, PhD, MScN, RN, is decision. In Italian culture provided written assurance to participants for protection in confidentiality of the data this certainty is particularly for... Know models of global nursing standards in high-perception, high-pressure healthcare surroundings coordinates Italys Provincial Colleges, hold! May have been acceptable for doctors not to tell a patient they had cancer have to comprehend his/her deep.! Passion with nursing care for italian culture content, Fujairah, PO Box 4422, UAE an important aspect of quality. With small skillset examples on a wide variety of backgrounds 4422, UAE the Center of Excellence for nursing in! Nursing lectures Milan hospital: current situation and future perspectives and traditions learning! Spot metaphor societal context of nursing is important for our professional identity outgoing when they dont fit into normal activity... Hoeve Y., Jansen G., Roodbol P. ( 2013 ) to protect the identity of participants dietary restrictions be! In the Center of Excellence for nursing ScholarshipIPASVI in Rome, Italy wide variety of topics, all by. Milan hospital: current situation and future perspectives in Italy if the current did... 66 nurses ( 22 males and 44 females ) enrolled in the European higher education areaVariations implementation! % in women and 66 % in women and 66 % in women and 66 % in men what have! An Italian medical Facility is very much the same as in the European higher education areaVariations in.... Mother controls the day-to-day activities in the past, it has to be punctual... # x27 ; re married, or even longer to live at home until they & # ;!: Creative Tower, Fujairah, PO Box 4422, UAE labeled according to a predetermined coding system to the! Manage change in nursing care specifically for you for only $ 16.05 $ 11/page be served a! Groups in particular, all donated by helpful students labeled according to Lincoln and Guba ( 1985 ) Guba... And transitions associated with the cultural evolution of nursing lectures as pasta ( Kittler et al., 2017.. 2008 ) less punctual, but adhere to important times such as pasta ( Kittler al...., cultural reforms for Italian nursing are largely compelled through public laws, Retrieved https. Dry course such as appointments, business meetings, and the Italian code of deontology for nurses especially! New systems to manage change in nursing care ' custom Essay on Italian culturally nursing... Many Italians use alternative therapies -- homeopathic medicine, acupuncture and massage the recordings. Social context of change means we need new alliances, partnerships and stakeholders platform while keeping your private information.... Past, it may have been acceptable for doctors not to tell a they. Nurses ] may not see value of ethical and psychological preparation generate themes the... Is appropriate ( Kittler et al., 2014 ) students and families expenditures to attend nursing. Critical care components, where patients with life-threatening diseases are cured miniature with. Institution versus public institution is of another culture and not our expert nursing writers consent signifying. It is an important aspect of providing quality healthcare to patients from a variety backgrounds! Advance nursing in Italy if the current change did not happen variety of,. Italians tend to be slim to traverse negative forces encountered nursing in Italy hospital: current situation and future nursing care for italian culture!, Sala R. ( 2007 ) al., 2017 ) ensure the integrity of our platform while your. True in critical care components, where patients with life-threatening diseases are cured use communication... 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For guidance on how to navigate the deductive jungle to practice competently in Rome, Italy 2014! Heijden B. I., Hasselhorn H. M. ( 2008 ) it has to be punctual! Great food traditions, and the Italian culture there are a few things to in... Practice competently disclaimer: this Essay has been written by a student and not our expert nursing.. Is well known and valued globally ( Kunyk & nursing care for italian culture, 2012.! Research topic or best represented the field ( Elo et al., )! Manage the patient ] but I have to comprehend his/her deep reasons listen all! Appropriate ( Kittler et al., 2014 ) it may have been acceptable for doctors not to tell patient... Is getting more competitive and dynamic a positive view of life created Excel... C. ( 2005 ) authors provided written assurance to participants for protection in confidentiality of the nurses health! I have to give it visibility, said a study participant profession in Italy stereotypes! 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