You should respond to both discussions separately–with constructive literature material- extending, refuting/correcting, or adding additional nuance to their posts. 

Minimum 150 words each reply. 

Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).

Discussion 1:

Advocacy is a cornerstone of nursing practice, particularly in concierge medicine, where the emphasis is on personalized, patient-centered care. Concierge nurses have the unique ability to form strong relationships with patients, allowing them to advocate for preventive care, holistic wellness, and improved coordination of services. Unlike traditional healthcare settings, where time constraints often limit patient interactions, concierge medicine provides nurses with more opportunities to advocate for optimal patient outcomes. Below are two key examples of advocacy in concierge nursing practice.

Advocacy for Preventive and Holistic Care

In my nursing practice (concierge medicine), I advocate for preventive care by emphasizing lifestyle modifications, early screenings, and wellness programs tailored to the individual patient’s needs. Unlike traditional healthcare settings where appointments may be rushed, concierge nurses can educate and empower patients on preventive strategies. For example, I may notice that a patient has risk factors for cardiovascular disease but has not undergone recent lipid screenings. By advocating for early intervention, I collaborate with the physician to order the necessary tests, provide dietary and exercise counseling, and follow up with the patient regularly to ensure adherence to lifestyle changes. Research supports that proactive, patient-centered care models improve health outcomes and reduce hospitalizations (Klein et al., 2022).

Advocacy for Care Coordination and Patient Autonomy

Concierge medicine often caters to patients with complex, chronic conditions who require seamless coordination across multiple specialists. In this setting, I act as a patient advocate by ensuring that referrals, follow-ups, and treatments are streamlined and that patients fully understand their options. For instance, if a patient with chronic Lyme disease expresses frustration over conflicting treatment recommendations from different specialists, I can step in as an advocate by facilitating collaborative discussions among providers. I would ensure that the patient’s preferences and concerns are addressed, helping them make informed decisions about their care. Studies indicate that strong care coordination improves patient satisfaction and reduces medical errors (Huang et al., 2023).

Conclusion

In concierge medicine, nurses, like me, play an essential role in advocating for preventive health strategies and coordinating patient-centered care. By focusing on education, early intervention, and seamless communication, I can help enhance patient outcomes and foster trust and empowerment in healthcare relationships.

References

Klein, S., Hostetter, M., & McCarthy, D. (2022). The role of concierge medicine in improving patient outcomes: A review of personalized healthcare models. Journal of Patient-Centered Care, 17(4), 245-259.

Huang, B., Patel, S., & Singh, R. (2023). Advancing care coordination in personalized medicine: A nursing perspective. International Journal of Integrated Healthcare, 28(1), 15-32.

Discussion 2:

Nursing is one of the most trusted and respected professions of today due to various attributes including advocacy. Advocacy is characterized by acting to endorse a

cause, however advocacy in nursing is far more than that. Patients frequently look to nurses as advocates to assist them in benefit to their health and support to assert their

rights when developing and carrying out a plan of care. Nurses must aim for balance when providing patient care and practice advocacy keeping in mind the four primary

ethical tenets which are beneficence, justice, autonomy, and non-maleficence (Haddad, 2023). Advocacy may vary depending on the setting of practice, for instance, a

nurse in community health would advocate for the general wellbeing of a community (Mason, Gardner, Outlaw & O’Grady, 2016).

Advocacy   

     As an intensive care unit (ICU) nurse, many of the patient’s we treat may have severe limitations to communicate or express their wishes. In the ICU and other clinical

settings, patients are typically at risk for complications or injury due to the complexity of their disease process or due to their lack of knowledge about the seriousness of

their sickness (Nsiah, Siakwa & Ninnoni, 2019). Two essential ways of advocacy that I’ve seen in such practice to achieve optimal patient outcomes are, promoting patient

safety and encouraging effective communication. For instance, a patient that is admitted with a significantly large abdominal aortic aneurysm (AAA) that is refusing

surgical intervention must be closely monitored with blood pressure and heart rate parameters as well as fall preventions to avoid a sudden rupture of such; we can all also

see in this scenario that the patient practiced autonomy by making their decision of not proceeding with surgical intervention. Nurses serve as liaison between

interdisciplinary teams, patients, family, and other resources which is achieved through effective communication due to closeness of treatment between the nurse and the

patient. Effective communication in nursing is beneficial from preventative medicine to end-of-life care. The nurse may sometimes have to be the voice of the patient

while advocating for them and may be required to discuss any requirements the patient may have with the physician to consult other providers or resources (Nsiah, Siakwa

& Ninnoni, 2019). Effective communication is necessary not only between providers and resources, but it must also be present amongst family members and loved ones.

Family must be included, updated, and educated on the plan of care for informed decisions to be made. Advocacy for achieving effective communication and safety is

intertwined, as detailed information is efficiently provided to patient’s, providers, and loved ones, awareness of safety grows which in turn prevents complications.

Conclusion

Patient advocacy reduces the tasks of nurses, establishes that patients receive quality treatment, leads to faster recoveries, and reduces the strain on the healthcare system.

Encouraging patient safety and effective communication are positive inputs to aim for optimal patient, it is every nurses responsibility to be an advocate for every patient.

References 

Haddad, L. M. (2023, August 14). Nursing ethical considerations. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK526054/

Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016a). Policy & Politics in Nursing and Health Care. Elsevier.

Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2019). Registered Nurses’ description of patient advocacy in the clinical setting. Nursing open, 6(3), 1124–1132.                                https://doi.org/10.1002/nop2.307

Describe your clinical experience for this week.

• Did you face any challenges, any success? If so, what were they?
• Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
• Mention the health promotion intervention for this patient.
• What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
• Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

 Based on your “Practice Change Project”, elaborate an article for publication. Please follow the instructions provided.See my attached “Practice Change Project”. Also, attached you will find a similar assignment from a classmate that you can use as a guide to follow in order to complete my assignment. 

• You may include a cover page and references page. It must be formatted and cited in the current APA style with the support of all the academic sources used to complete this project. 
• You must submit your writing double-spaced, in Times New Roman.
   

Objective: The objective of this assignment is to develop a comprehensive literature review abstract list based on the topic you selected and submitted last week, aligning with your submitted PICOT question.

This literature review will consist of at least three academic sources that support and enhance your research topic in nursing.

Instructions:

1. Selection of Sources:

• Scholarly Sources: Choose a minimum of three scholarly sources that are directly relevant to your research topic.
• Credibility: Ensure each source is credible and comes from reputable academic journals or publications. Verify the reliability and scholarly nature of the sources.

1. Literature Review Abstract List:

• Detailed Abstracts: For each selected source, create a detailed abstract that includes the following components:
• Complete APA 7 Citation: Provide the full citation for each source, adhering to APA 7 formatting guidelines. Ensure accuracy in authors, publication year, title, journal name, volume, issue, and page numbers.
• Purpose: Summarize the main objective or research question of the study. Clearly state the aim and significance of the research.
• Design: Describe the research design and methodology used in the study. Include information on the study type (e.g., randomized controlled trial, cohort study), sample size, data collection methods, and analysis techniques.
• Results: Present the key findings or results of the study. Highlight the main outcomes, statistical significance, and any relevant data presented in the research.
• Recommendations: Outline the recommendations made by the authors. Explain how these recommendations relate to and support your research topic and PICOT question. Discuss the practical implications and potential impact on nursing practice.

1. Literature Review Table:

• Organization: Organize the abstracts into a literature review table for easy reference and comparison. Use a clear and logical structure to present the information.
• Required Components: Ensure your table includes all required components: citation, purpose, design, results, and recommendations. Consider using headings and subheadings to enhance readability.

1. Connection to Your Research:

• Support for Research Topic: Clearly explain how each source supports your chosen research topic. Discuss the relevance and importance of the evidence in the context of your PICOT question.
• Identify Gaps: Highlight any gaps in the literature that your research aims to address. Identify areas where further research is needed and how your study will contribute to filling these gaps.
• Guidance for Research Process: Discuss how the findings from these sources will inform and guide your research process. Explain how the evidence will shape your study design, methodology, and expected outcomes.

1. Additional Guidelines:

• Sample Literature Review Table: Refer to the sample literature review table provided to ensure proper format and structure. Use it as a guide to organize and present your abstracts effectively.
• Assignment Rubric: Review the assignment rubric thoroughly to understand the grading criteria and expectations. Ensure your submission meets all requirements outlined in the rubric.
• Academic Databases and Internet: Utilize academic databases and the Internet to find relevant sources and references. Access reputable databases such as PubMed, CINAHL, and Cochrane Library to gather high-quality evidence.
• APA 7 Standards: Ensure all citations and references are formatted according to APA 7 standards. Adhere to proper in-text citation and reference list formatting to maintain academic integrity and consistency.

Ensure you provide an APA 7 reference page.

Homework