Transcultural health: attitudes, perceptions, knowledge of Italian nurses. An observational study
Keywords:
Attitude, Emotion, Improvement, Perception, Transcultural NursingAbstract
Background and aim of the work. The Italian health profile of foreigners depends from several factors and events, such as: environmental, microbiological, cultural and / or behavioral. Healthcare professionals might to have greater and better basic and post-basic training in approaching foreign users. Listening and empathy, with complementary training can help to reduce distances and better understand the patient's socio-cultural background. The aim of the study is to explore the basic intercultural knowledge of the Italian nurses, the perception of the problems encountered during the interaction with foreign users and any solution strategies. Methods. From December 2020 to March 2021 a national observational study was conducted by involving 327 nurses. Results. 85.5% among participants were females and most of them aged between 20 and 30 years (20.20%) and were employed in medical wards (22.60%). Among the hindering barriers explored, linguistic ones are highlighted (41.30%), specifically for the description of hospital rules (34.90%) and of social and health regulations (34.90%). Conclusions. From the present findings, it emerges that the cultural competence of nurses could be developed by offering a multicultural education through basic and post-basic courses. (www.actabiomedica.it)
References
1. Leininger M. Culture care theory: a major contribution to advance transcultural nursing knowledge and practices. J Transcult Nurs. 2002, 13(3):189-201.
Morrone A, Sannella A. Servizi sanitari e discriminazione razziale. Strumenti e pratiche di prevenzione e contrasto della discriminazione razziale nell’accesso all’assistenza medica [Health services and racial discrimination. Tools and practices for preventing and combating racial discrimination in access to medical assistance]. Rivista Italiana di Ostetricia e Ginecologia 2007, 16: 1-8.
Sannella A. Salute transculturale. Percorsi socio-sanitari [Transcultural health. Socio-health pathways]. Milano: Italia: Franco Angeli Editore, 2010.
Maier-Lorentz MM. Transcultural nursing: its importance in nursing practice. J Cult Divers. 2008, 15(1):37-43.
Urpis O. Le voci degli operatori socio sanitari, l’ascolto delle comunità straniere e dei mediatori culturali, in: “Stato di salute sessuale e riproduttiva delle donne migranti: difficoltà e buone pratiche. Progetto INTEGRA: RAPPORTI WP 3.1.1 e WP 3.1.2” [The voices of health and social workers, listening to foreign communities and cultural mediators, in: “State of sexual and reproductive health of migrant women: difficulties and good practices. INTEGRA project: REPORTS WP 3.1.1 and WP 3.1.2”]. Trieste, Italia: EUT Edizioni Università di Trieste, 2018, 136-143
Agabiti N, Barbieri G, Bardin A, et al. Immigrants' health and socioeconomic inequalities of overall population residing in Italy evaluated through the Italian network of Longitudinal Metropolitan Studies. Epidemiol Prev. 2019, 43(5-6): 1-80.
Geraci S (Eds.). Approcci transculturali per la promozione della salute. Argomenti di medicina delle migrazioni [Cross-cultural approaches for health promotion. Migration medicine topics]. Roma, Italia: Anterem, 2000.
Mangrio E, Sjögren Forss K. Refugees' experiences of healthcare in the host country: a scoping review. BMC Health Serv Res. 2017, 17(1):814.
Stievano A. Madeleine Leininger e il nursing transculturale [Madeleine Leininger and transcultural nursing]. 2002. Available at: Madeleine Leininger e il nursing transculturale - Tesi di Laurea - Tesionline. Accessed on July 10, 2022.
Ancora A. Verso una cultura dell'incontro: studi per una terapia transculturale [Towards a Culture of Encounter: Studies for Transcultural Therapy]. Milano, Italia: FrancoAngeli Editore, 2017.
Leininger M, McFarland MR. Transcultural Nursing: Concepts, Theories, Research and Practice. New York, US: McGraw-Hill, 2002.
Lipson JG, DeSantis LA. Current approaches to integrating elements of cultural competence in nursing education. J Transcult Nurs. 2007, 18(1 Suppl):10S-27S.
Anagnostopoulos K, Germano F, Tumiati MC. L’approccio multiculturale. Interventi in psicoterapia, counseling e coaching [The multicultural approach. Interventions in psychotherapy, counseling and coaching]. Roma, Italia: Sovera Editore, 2007.
Manara DF. Infermieristica interculturale [Transcultural Nursing]. Roma, Italia: Carocci Faber, 2004.
Watson R, Hoogbruin AL, Rumeu C, et al. Differences and similarities in the perception of caring between Spanish and UK nurses. J Clin Nurs. 2003, 12(1):85-92.
Gradellini C, Artioli G. L’utilizzo del counseling nella gestione del pregiudizio [The use of counseling in prejudice management]. Nursing Oggi 2006, 3: 18-22.
Zito MP. L'ascolto come strumento relazionale in ambito dialitico: indagine conoscitiva [Listening as a relational tool in the field of dialysis: fact-finding survey]. Giornale di Clinica Nefrologica e Dialisi 2013, 25(3): 233-239.
Consorti P. Libertà di scelta della terapia e violenza medica. Brevi considerazioni sul rifiuto delle trasfusioni di sangue dei Testimoni di Geova [Freedom of choice of therapy and medical violence. Brief Considerations on Refusing Blood Transfusions by Jehovah's Witnesses]. Stato, Chiese e pluralismo confessionale, 2021.
Kaplan Marcusán A, Riba Singla L, Laye M, Secka DM, Utzet M, Le Charles MA. Female genital mutilation/cutting: changes and trends in knowledge, attitudes, and practices among health care professionals in The Gambia. Int J Womens Health. 2016, 8:103-17.
Proietti MG, Ricci M, Buldrini E, Marano M. I bisogni socio sanitari degli immigrati [The socio-health needs of immigrants]. L’infermiere 2012, 1: 15-21.
Al Rousan A, Pizzi L, Alemaio T, et al. Primo soccorso psicologico (PSP) per i migranti in transito nel centro Baobab e nella tendopoli alla stazione Tiburtina, Roma; 2016. Available at: PowerPoint Presentation (simmweb.it). Accessed on July 10, 2022.
Davidhizar R, Giger JN. Teaching culture within the nursing curriculum using the Giger-Davidhizar Model of Transcultural Nursing Assessment. J Nurs Educ. 2001, 40(6):282-4.
Segneri MC, Di Napoli A, Costanzo G, Mirisola C, Cavani A, Castaldo M. Anthropological Research Study of Migrants at the First Aid and Reception Center (CPSA) of Lampedusa. Int J Environ Res Public Health. 2022, 19(9):5337.
Ahn JW. Structural Equation Modeling of Cultural Competence of Nurses Caring for Foreign Patients. Asian Nurs Res (Korean Soc Nurs Sci). 2017, 11(1):65-73.
Çingöl N, Karakaş M, Çelebi E, Zengin S. Determining the effect of an intercultural nursing course on empathic skill and intercultural sensitivity levels: An intervention study. Nurse Educ Today. 2021, 99:104782.
Richards CA, Doorenbos AZ. Intercultural competency development of health professions students during study abroad in India. J Nurs Educ Pract. 2016, 6(12):89-98.
Aktaş B, Pasinlioğlu T, Kılıç M, Özaslan A. Determination of Intercultural Sensitivity Among Nurses. J Relig Health. 2021, 60(1):112-121.
Portera A. Comunicazione e competenze interculturali. Modelli a confronto e riflessioni critiche [Intercultural communication and skills. Comparative models and critical reflections]. Pedagogia e Vita. 2011, 69(1): 147-164.
ISMU. Venticinquesimo rapporto sulle migrazioni 2019 [25th Report on migrations]. Italia: Franco Angeli, 2020.
Ali PA, Watson R. Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses' perspectives. J Clin Nurs. 2018, 27(5-6):e1152-e1160.
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Copyright (c) 2022 Elsa Vitale, Roberto Lupo, Antonino Calabrò, Federica Ilari, Alessia Lezzi, Simone Zacchino, Sergio Vergori, Giorgia Chetta, Salvatore Latina, Angelo Benedetto, Pierluigi Lezzi, Luana Conte
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