[Generational Differences Among Italian Nephrology Nurses: A Cross-Sectional Study]

Background. The aging healthcare workforce in Italy, with an average age approaching 50 years, creates demographic imbalances that hinder intergenerational collaboration and knowledge transfer. This issue is particularly critical in nephrology, where nurses play a pivotal role in delivering personalized care by combining advanced technical expertise with high-quality human support. This study aims to evaluate and compare the generational characteristics of Italian nurses working in the nephrology field. Methods. A cross-sectional study based on the Multidimensional Nursing Generations Questionnaire (MNGQ), administered between February 2023 and February 2024 to nurses working in the nephrology field. Findings. The study involved 520 Italian nurses working in the nephrology field. The analysis revealed significant generational differences. Millennials exhibited the highest levels of intergenerational conflict (p < 0,001) and greater adaptability to change (p < 0,001), while Baby Boomers reported higher scores in patient safety perspectives (p = 0,003). Younger generations (Millennials and Generation X) demonstrated a greater work propensity compared to Baby Boomers (p < 0,001). No significant differences were observed in teamwork (p = 0,199). Conclusion. The study highlights how generational differences impact the nursing profession in Italy, particularly in nephrology, where academic and practical skills coexist. To harmonize these competencies, institutions should promote mentorship programs and collaborative training, fostering inclusive work environments that enhance teamwork and care quality while addressing the evolving challenges of the healthcare system.