Re: Topic 3 DQ 2

Health promotion involves educating people about healthy lifestyles, reduction of risk, developmental needs, activities of daily living and preventive self-care that enables them to improve their health by making positive decisions (Falkner, 2018). There are three different levels of health promotion. These include primary prevention which occurs before the onset of illness or injury and may involve preventative treatments such as vaccinations and wellness exams to prevent the contraction of illness. They include health promotion and education interventions. Secondary prevention focuses on the early detection and treatment of disease processes before they progress and cause irreparable damage. This stage of prevention is executed through health screenings and early treatment. The goal is to prevent progression of early stages of disease and comorbidities from occurring. Tertiary prevention occurs when a disease process has caused permanent damage of some form. The focus of this level of prevention is to help the patient achieve some semblance of normalcy and acclimate back into their lives and society. Depending on the patient and the magnitude of their complications, they may require extensive rehabilitation (Falkner, 2018).

Prevention, according to Falkner, (2018) refers to the actions required to deter the formation of a problem or complication of an existing problem (Falkner, 2018). The nurse can determine the educational needs of a patient using the levels of prevention depending upon the patients and where they are in their health journey. For example, in primary prevention, the nurse uses community programs aimed at increasing activity level and improving dietary choices for people at risk of heart disease offer an active intervention to prevent heart disease for this population. The idea is to help the patient make informed decisions on a daily basis (Falkner, 2018). In secondary prevention, the nurse uses education as a means to promote health. By educating patients regarding health promotion, nurses, who are proponent of such screenings, can implement measures to prevent further complications. Where as in tertiary prevention, nurses advocate for resources that may be indicated within the patient’s home for daily functioning. Nurses accomplish this by determining the patient’s needs and accessing appropriate members of the health care team to provide resources such as home health care or medical equipment. It also includes patient education where the nurse utilizes this time to present or reiterate education strategies to help prevent further issues from arising (Falkner, 2018).

Reference

Falkner, A. (2018). Health Promotion in Nursing Care. In Grand Canyon University (Ed.), (2018). Health Promotion: Health & Wellness Across the Continuum (Chapter 2). Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/Chapter/2

My acculturation experience as a novice nurse

                      I recently decided to switch careers into nursing. I have always

been in the forensic or death industry. I had always wanted a be a nurse so I

decided to make the change. My acculturation experience was rather drastic

coming from the line of work that I was in before. I do not necessarily have to

be as gentle in the morgue.

                  For my first and current nursing job, I was hired as a per diem 

employee through an agency. I started in January of 2020.  My assignments 

are mostly one on one with a child at their school. I really love working with 

children, it is a field of nursing that most interest me. The biggest adjustment 

for me was a language barrier. Most of the schools that I was sent to had 

patients that spoke in Spanish as their primary language. Communication is a 

fundamental component of cross-cultural care encounters. (Maria  

Jirwe,  Kate Gerrish, and Azita Emami (2010)) This was a major adjustment 

for me because I had to use my judgement based off of facial expressions or 

translation from a teacher. I often had to wait for a teacher or staff member 

to become available to help me speak with my patient. In the end it became a 

routine for me. I learned who to ask and when to ask them. 

                   I also had schools where the children were non verbal or faced with 

learning disabilities. I had never worked with a disabled population before 

and I did not know what to expect. Children with intellectual and 

developmental disabilities (I,DD) may belong to a minority culture, the 

additional culture of disability, and a culture of poverty. (Nehring (2007)) I once had a patient who was autistic, 

non verbal, and diabetic. I was with this particular patient several times. He 

took some getting use to, but I found a way to communicate with him. 

Although he was non-verbal her was very comprehensive and helped me in 

his own way. 

                    When I got sent out on these assignments I went alone. I was not 

trained with a nurse by my side. I had the phone number of the supervising 

nurse if I had any questions. That was very new for me. I was use to a formal 

training time period in which I had to be comfortable with a skill before I was 

able to do it alone. I was very nervous when I got my first assignment. The 

agency assured me that it would not be a difficult case for my first time. They 

were right, my first cases was a very simple laid back case. I believe it is what 

gave me the confidence that I needed to continue doing the job. I can not tell 

the experience of a new nurse that has joined our staff because we all worked 

alone. 

References

Nehring, Wendy M. (2007)  Considerations for Children With Intellectual 

                 and Developmental Disabilities.

Jirwe, Maria,  Gerrish, Kate, and  Emami, Azita (2010)  Student Nurses’         

                 Experiences of Communication in Cross-Culture Care  Encounters.

Reply2

Describe your acculturation experience as a new graduate to the culture of the nursing profession. How is it similar or different from the acculturation experience of a new nursing colleague who joined your team within the past year?

Due to the global health crisis caused by COVID-19, I currently work at my family’s property management company. My opinions on the matter will be solely based on prior clinical experiences. My closest experience of being a new graduate nurse experiencing acculturation would come from my practicum at a medical-surgical unit at Homestead Hospital. At this facility, I was able to experience my closest experience of being a registered nurse in the workforce. To begin, one must have a better understanding of the topic and have a better understanding of what acculturation is. According to Lois Ritter, an expert in cultural and social anthropology, acculturation is best defined as the extent to which one cultural group adopts the beliefs and behaviors of another (Ritter, 2017 p. 10). The experiences of acculturation I had were firmly based on broader altruistic beliefs and general mannerisms. 

           Most of my experiences with acculturation of the nursing culture happened during my practicum. At the start of my internship, I was an enthusiastic student waiting to use what I learned throughout my schooling experience. The start of transitioning from a student to a professional made me think of the best ways to present myself to patients and fellow staff. This transition entailed providing an understanding environment for all patients, providing quality care, and, most importantly, being a patient advocate. During my first day, my preceptor helped me acclimate to the nursing realm. She helped explain the hospital systems and protocols; most importantly, she showed me the importance of cooperation and collaboration in the nursing team. Events during this period which helped me assimilate to nursing culture include: having multiple nurses teach me new techniques to perform specific tasks more quickly and effectively, observing other nurses assist backed up nurses with patients, witnessing these same nurses collaborating with coworkers on how to deal with certain patient conditions, and viewing these nurses play vital roles as patient advocates. During this experience, I met a new graduate from a different university completing her orientation training on the same medical-surgical floor. During my month stay, we discussed the differences between schooling to the real world of nursing. We discussed the importance of teamwork and collaboration and felt at ease, knowing we were in a supportive career. 

The nurses in that medical-surgical unit helped demonstrate the caring and understanding nature of the nursing culture; with their help, I was able to assimilate. My coworker was able to get a better understanding and feel for the culture as well. Ultimately, nurses strive to help their patients and colleagues. Their desire to help people, better known as altruism, is ultimately the true definition of nursing culture (Black, 2017 p. 53).