The essential starting point for any personal observation that wishes to foster a healthy and non-instrumental reflection is to always and in any case maintain an absolute principle of objectivity. I will therefore offer you my personal point of view regarding what I saw and heard at the XI conference on nursing profession policies, trying to observe this principle, bearing in mind that as human beings we can always make mistakes. Apart from a few words spoken in favor of the family/community nurse, who has proven to be a decisive and connecting figure where experimented, between patient/assisted and the healthcare system, politics offered certainly beautiful words, but within them, for someone like me, to be clear, I did not find the explicit expression of particularly significant meanings. After all, the political representatives of the most virtuous northern regions had been called, so no particularly significant flaws could emerge. In most cases, they were doctors and so, as often happens, in top representative roles it is always them who are omnipresent, or sometimes a jurist. What's wrong with that? Nothing, of course, as long as these gentlemen pursue the interests of all and do not lobby to grant advantages to friends, colleagues, and acquaintances. Then, a number appeared before everyone's attention that could be considered "lucky": 367; it represents all those who hold nursing managerial positions, of every order and grade. All the others are about 450,000 nurses, who make the NHS work (apparently quite well, compared to our neighboring countries), but certainly not with equal salaries. The club of 367 seems interested, in my personal opinion of course and in an absolutely legitimate way, in pursuing an interest that perhaps each of us, in their place, would logically pursue, that is, to leave the sector without necessarily having to drag the rest of the group along, in this case the "colleagues" can wait. How could this happen? Honestly, I am the first not to consider such a thing possible, in fact I refuse to believe it, because those who are called to top positions to demonstrate, pursue, and feed on that healthy good example essential to our social coexistence and the growth of future generations, cannot even consider behaviors that go in an apophatic sense to the predicate that they should dutifully and genetically pursue. So I will express my thoughts in the form of pure nursing fantasy. As for the costs to the State, there should be an amount around 4 million euros, keep in mind that FNOPI costs us over 5 million euros a year, so not impossible to find within the various contractual funds. Dynamic: by maintaining an already existing regulation, the mere whisper of those things commonly called "amendments" would be enough, those modifications or, if you prefer, often subtle, apparently marginal alterations, a few words that should never exceed one line and voila... the meaning of a law article changes in the direction or to the extent one wishes to make it change: and our "colleague" managers leave the sector. But clearly such a thing is unthinkable, time wasted writing about it. So, not to waste too much of your time as well, you who kindly read these lines, let's move towards the conclusion. Currently, it is possible to become a nursing manager without having actually worked as a nurse for a single day as a holder, outside the clinical internship required by the basic three-year course. Without having completed the three-year course of study, you can take the admission test for the master's degree and, always and only for merit and ability, the most prepared obtain the qualification, then access further specialist training in the specific sector and occupy managerial roles at the highest levels, without a single day of real clinical experience, managing the governance of a profession that they have in fact never practiced firsthand as holders of real responsibilities. Someone help me: is this an anomaly that only I see? Is it entirely and only Italian or does the same possibility exist in other civilized countries? To be able to apply to be registered in the CTU lists, ten years of clinical experience are required and to be a manager, no? Do I have to know that my manager governs me without ever having practiced my profession? And how could they ever govern except through someone else's narrative, hoping for the honest objectivity of the latter? Yes, the objectivity from which we started. It should be clear that either we all leave the sector together or no one leaves, either the exclusivity constraint is removed for everyone or it remains for everyone. It would be appropriate to get out of the sterile and useless arguments among ourselves and look at those who are profiting over our heads, ready to call us "colleague" when they need to ask us something, but then, when it comes to cultivating their own garden, we are no longer "colleagues", the magnificent 367 live in places inaccessible to us. Naturally, this was a fantastic story. Nursing Up Rimini union manager Dario Porcaro

