IndexDescription of ExperienceAnalysis of ExperiencePersonal Areas of DevelopmentConclusionReferencesPrimary healthcare is defined as "socially acceptable essential methods and technologies made universally accessible to individuals and families in the community" ( Stamler, Yiu, Dosani, Etowa, & Van-Daalen, 2020, p. One of the many values ​​underlying primary healthcare is social justice. Social justice distributes healthcare resources to benefit vulnerable populations, while paying attention to more privileged populations (Smith, 2019). However, in Hillsdale Terraces nurses do not have access to the available technology to document wounds as their training is insufficient. Hillsdale Terraces is currently implementing a new wound documentation system using an iPad and the staff are not adapting well, creating a socially unjust environment. My experience involved the process of preparing for a wound education day to restore equity among staff. I will focus on the principle of primary healthcare based on appropriate technology. This article uses John's structured reflection model to reflect on the situation in which I was involved. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Description of Experience A student colleague and I are heavily involved in creating policies, protocols, and developing pressure injury education for nursing staff. We are currently planning a wound prevention day in November to provide training to staff through interesting activities. In order to provide education, it was in the best interest of myself and my fellow student to observe bedside wound care. First, I shadowed one of the injured champions who also works in the field as an RPN; Kim. The day I shadowed Kim, she was on site as an RPN, requiring her to administer medications, provide basic medical care, and enter new orders. Throughout the shift, other nurses from other units continually asked for help with simple injuries and documentation of injuries that had her off the floor. This is not acceptable to residents of the unit as they may require medication or treatment. Second, I followed the injured champions; Kim and Ewa, during their wound day, where they assess referred patients and provide complex wound care. Wound samples found many errors in the poor documentation provided by nurses on some wounds, which led Kim and Ewa to question staff, assess and document the wounds themselves, creating extra work. Additionally, many of the patients who were referred to them had a simple stage one or two pressure injury. No measures to further prevent the pressure injury or temporary treatment have been taken until Kim and Ewa have assessed the injury. A registered staff member could have implemented basic prevention, such as; discharge and a treatment, such as; apply a dressing (RNAO, 2016). This is important to explore in relation to my practice as Kim and Ewa go above and beyond their roles and take special care. This is socially unfair to wound advocates, other nurses, and residents. Working conditions should be fair and equitable for all workers in the workplace. I would like to look at this experience in detail to find out where the knowledge gap lies within the nursing staff foreliminate it by providing the right training efficiently to make the workplace socially fair for all. This experience refers to the principle of primary healthcare, i.e. adequate technology that allows for adequate treatment methods accessible to all based on the social, financial and cultural progress of the community (Stamler et al., 2020). In this case, nurses do not have the necessary training on the technology provided for wound care and documentation. Equity is an important component of appropriate technology in order to enable access for all (Stamler et al., 2020). Additionally, some nurses may not have access to receive additional wound and technology training due to social determinants of health. For example, lack of social support networks, education, income or employment, and working conditions could contribute to not being able to obtain further knowledge about appropriate technology. This will be discussed further in the experience analysis. Analysis of the Experience One factor that influenced how I felt, thought, and responded to this experience was my current knowledge and education from learning about socially just communities through school. Additionally, Kim and Ewa's stress in providing bedside education and the extreme measures they take to complete care also influenced how I reacted in this experience. Kim and Ewa agree that they always do their best, but they continue to do so because they want the best for the residents. They feel the stress of providing training to staff and increasing their comfort with documentation on the iPad next to them. This happened because nurses have a knowledge gap as many of them are not in practice and social determinants of health could impact this. The lack of social support networks could have an impact as many nurses are very likely to have young children who prevent them from expanding on their current education. Furthermore, the additional stress for nurses in adapting to a new situation can have an effect on their mental health, causing them to erect barriers as they may not have the coping skills to adapt to new technology. Some nurses may not have the basic training or current training to learn the new technology. Additionally, other nurses may want to receive extra education, but may not have the income to afford it. In terms of employment and working conditions, nurses who would like to receive further training may not be able to receive it at home due to the physical environment as wound samples may be occupied or the floor may be too heavy that day. On the other hand, if the nurse chooses to receive education outside the home, it may not be possible as the nurse's position will most likely not be able to be filled. Regardless of the barriers, nurses need to be provided with additional education to fill this knowledge gap and correct the socially unjust situation. The consequence for residents is that they may not receive the best care due to the knowledge gap of nurses and On the other hand, wound samples need to be given special care so that they do not reach all residents. This also affects Kim and Ewa as they are further stressed to provide extra care and education which could impact their mental health. The literature confirms the importance of pressure injuries among older adults in nursing homes. Latimer et al. (2019) performed onecorrelational study on a sample of 1047 participants aged 65 years and older to evaluate the rapidity with which a pressure injury develops. The result was that 113 of 1047 older adults (10.8%) developed a pressure injury within the first 36 hours (Latimer et al., 2019). Carrier et al. (2017) performed a cross-sectional study of 276 residents aged 65 years and older in 13 nursing homes to investigate the prevalence of pressure ulcers. The prevalence of pressure ulcers was found to be 8%, and residents between the ages of 75 and 84 were most prone (Carryer et al., 2017). Additionally, the majority of residents (80%) were identified as at risk of developing pressure injuries, and 20% of residents were identified as high risk (Carryer et al., 2017). Considering how quickly and frequently pressure injuries can develop, proper documentation via iPad allows for faster interventions, and consistent documentation is important to aid wound healing. Additionally, there are barriers to accessing education , but it is greatly needed among personnel to prevent the development or worsening of pressure injuries. Personal Areas of Development This experience definitely affected me as I was worried about Kim and Ewa as it is a lot of extra stress on them. Additionally, I was angry about the staff not having access to extra education and the residents not getting the best care possible. We initially planned to provide education in a fixed location; however, we decided to make the education more accessible by placing it on a cart and bringing it to each unit. We realized that nurses respond more effectively to on-site training provided to them as they would most likely not have time during their shift or break to attend training. Additionally, we modified the training to include more hands-on activities as most nurses learn through a tactile learning style (Hallin, 2014). There are no consequences to changing our educational approach as this will benefit staff, wound advocates and residents. I definitely feel happier about this experience now knowing that we are providing this education, so this situation can make progress in correcting. This reflection has changed my practice through the educational component as it will help me in my future practice if I need to provide training to a staff member or patient. Along with the training provided, it would be helpful to quickly read iPad documentation resources that will grab nurses' attention so that nurses can refer to a document if they are unsure. Additionally, the home medical supply provider has a team that focuses specifically on wound education and provides resources to staff. This would be helpful in assisting Kim and Ewa and relieving them of some stress. Overall, I believe we have identified the knowledge gap and that the training that will be provided will help correct the deficit. Please note: this is just an example. Get a custom paper from our expert writers now. Get a Custom Essay Conclusion In conclusion, the A knowledge gap related to lack of access to wound documentation technology has been identified. Many staff members lack technology knowledge and training due to barriers posed by social determinants of health. Training in this area is a necessity as it will allow nurses to implement interventions more quickly to reduce the prevalence of pressure ulcers in the home. A.