Advocacy for Implementation of Complementary Therapies in Healthcare —
How to Structure and Write Your Nursing Essay
This 750-word assignment in app format covers five distinct analytical tasks: explaining the concept and its history, articulating your RN role, demonstrating client-centered care, analyzing ethical issues, and committing to a specific future practice change. Each section has a different analytical requirement. This guide breaks down what each one needs — and what separates a submission that earns full marks from one that drifts into general statements about holistic nursing.
🌿 Need professional help with your complementary therapies nursing essay or any nursing assignment?
Get Expert Help →What This Assignment Is Testing — and Why Broad Holistic Language Loses Marks
This essay tests whether you can move between three distinct intellectual registers in a single short piece: historical and conceptual knowledge about complementary therapies; professional role analysis grounded in your scope of nursing practice; and ethical reasoning applied to a real tension in healthcare. Broad statements about nurses caring for the “whole person” or valuing patient autonomy do not demonstrate any of those three competencies. The grader is looking for specific analysis in each section — analysis tied to named practices, named frameworks, and a stated personal commitment to future action.
The assignment requires you to write in app format — a structured short-form essay with clear headings for each section. This is not a free-flowing reflective journal. It is a concise professional document where every heading corresponds to a specified analytical task, and every paragraph underneath that heading executes that task without preamble.
At 750 words across five sections, you have approximately 130–150 words per section. That is two or three focused paragraphs — or one dense paragraph if every sentence carries analytical weight. The most common failure mode is opening each section with a definition before getting to the analytical point. At 750 words, you cannot afford to spend 40 words defining complementary therapy before your first analytical claim. Start with the analysis.
App Format Is Not Bullet Points
“App format” in nursing assessment contexts refers to an application paper — a short structured essay where each required section has a labeled heading and a focused paragraph of prose. It does not mean bullet points, dot-point lists, or brief sentence fragments. Each section should read as coherent professional writing: full sentences, logical transitions, and an argument that builds within its 130–150 words. If your program uses a specific template with defined section headings, use those exact headings — do not create your own or reorder the sections.
Understanding the 750-Word App Format — How to Distribute Your Words Across Five Sections
Before you write a single sentence, plan your word allocation by section. 750 words split across five sections with a brief introduction and citation list leaves very little room for inefficiency. Every section has a distinct analytical task, and those tasks vary in complexity. The concept and history section requires factual accuracy; the ethical issues section requires sustained analytical reasoning. Allocate slightly more words to the sections with the most complex analytical demand — ethics and client-centered care — and keep the concept history section tighter, since it requires accuracy more than depth.
Suggested Word Allocation — 750-Word App Format
These allocations are guides, not rules. Adjust based on the analytical weight of each section in your specific essay. The introduction and citation list do not count toward the 750-word body in most programs — confirm this with your assignment instructions before finalizing.
The introduction — if your app format requires one — should do one thing: establish why complementary therapies require advocacy in a biomedical healthcare system. That is not a question you need to spend 100 words answering. One sentence naming the gap between patient use rates and institutional integration, followed by one sentence stating the essay’s purpose, is enough. Save your words for the analytical sections.
Check Your Referencing Requirements Before You Start
App format essays at 750 words typically require two to four references. Most nursing programs expect peer-reviewed journal articles published within five years for practice-related claims, but allow older foundational sources for historical content. The National Center for Complementary and Integrative Health (NCCIH) at the U.S. National Institutes of Health — nccih.nih.gov — is a verified, government-backed source that provides both current practice evidence and historical context for complementary and integrative health. It is peer-reviewed compatible as a government health authority source. Cite it in APA format: National Center for Complementary and Integrative Health. (2023). Complementary, alternative, or integrative health: What’s in a name? U.S. Department of Health and Human Services. https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
The Concept and Its History — What to Cover and What to Leave Out
This section has a specific scope problem: the history of complementary and alternative medicine (CAM) spans thousands of years across dozens of traditions, and the contemporary umbrella of “complementary therapies” encompasses acupuncture, herbal medicine, massage therapy, mindfulness-based interventions, therapeutic touch, aromatherapy, chiropractic care, and more. At 120 words, you cannot cover all of that. You need to make a targeted analytical choice about what history is most relevant to your advocacy argument.
What the Concept and History Section Needs to Accomplish
Your goal is not to write a textbook entry on CAM history. It is to establish that complementary therapies have a documented, cross-cultural lineage that predates biomedical dominance, that their contemporary marginalization in Western healthcare is historically recent, and that advocacy for their integration is therefore not fringe but a return to a broader conception of healing. That argument sets up everything else in the essay.
Complementary vs. Alternative vs. Integrative
- Complementary: used alongside conventional treatment — this is the focus of an advocacy essay
- Alternative: replaces conventional treatment — nursing advocacy does not endorse this
- Integrative: deliberately combines both within a structured clinical framework — this is the aspirational model your essay advocates for
- NCCIH shifted its terminology from “CAM” to “complementary and integrative health” (CIH) to reflect this distinction — cite this shift as evidence that the field is evolving toward integration
Key Historical Points Worth Including
- Traditional Chinese Medicine (acupuncture, herbal remedies): documented practice for over 2,000 years
- Ayurvedic medicine: 3,000+ years of documented systematic practice in South Asia
- Indigenous healing practices: found across every continent, predating Western medicine
- 19th century: rise of biomedical model — germ theory, pharmaceuticals, surgical advances — systematically displaced traditional practices in Western healthcare institutions
- 1990s onward: resurgence of patient interest in CAM — U.S. Congress established the Office of Alternative Medicine (1992), later NCCIH, in direct response to documented patient use
How History Justifies Contemporary Advocacy
- The biomedical dominance of the 20th century did not eliminate patient use of complementary therapies — it made that use invisible to healthcare providers
- NCCIH surveys consistently show that 30–40% of U.S. adults use some form of complementary health approach — often without disclosing this to their conventional providers
- The advocacy argument: if patients are using these therapies regardless of institutional recognition, RNs have a professional obligation to know about them, assess for them, and integrate them safely — not ignore them
- This framing turns history into a rationale for your RN role section — a strategic transition
Choose One or Two Therapies as Illustrative Examples — and Stick With Them
A common structural error in this section is listing many different therapies (acupuncture, massage, aromatherapy, Reiki, herbal medicine, yoga, mindfulness…) without analyzing any of them. Listing is not advocacy. Choose one or two therapies that you can reference consistently across all five essay sections — ideally therapies with some evidence base, such as acupuncture or mindfulness-based stress reduction (MBSR) — and use those as your anchoring examples throughout the essay. That creates coherence and allows you to demonstrate depth rather than breadth across your 750 words.
Your Role as a Registered Nurse — Scope, Assessment, Advocacy, and the Limits of Each
This section is where many students write about being “holistic” or “patient-centered” without specifying what the RN’s role actually involves. The RN role in relation to complementary therapies is specific and bounded — it has clear scope-of-practice implications, and getting those implications right is what earns marks here. The four components of your role that are worth analyzing at 130 words are assessment, education, advocacy, and referral. Each involves a different professional action and a different scope consideration.
Assessment, Education, Advocacy, Referral
Assessment: Take a complete complementary therapy history as part of routine nursing assessment — asking what therapies the patient uses, how frequently, and from what practitioner or source. This is within RN scope everywhere.
Education: Provide evidence-based information about interactions between complementary therapies and conventional treatments (e.g., St. John’s Wort and SSRI interactions; anticoagulant effects of ginkgo biloba). This is harm-reduction advocacy.
Advocacy: Advocate within the healthcare team for a patient’s right to continue a complementary therapy that poses no documented harm — or for its incorporation into the care plan where evidence supports it.
Referral: Connect patients to credentialed, registered complementary therapy practitioners rather than leaving them to self-navigate an unregulated space.
Scope Limits to State Explicitly
Prescribing or recommending specific therapies: RNs do not diagnose or prescribe — including recommending a specific complementary therapy as a treatment intervention without a collaborative care order or facility policy supporting it.
Practicing therapies outside their training: An RN who is not additionally certified in acupuncture, therapeutic touch, or clinical hypnotherapy cannot practice those therapies under their nursing registration alone. Scope of practice is set by licensing boards, not by interest.
Overriding medical orders: If a physician has documented a contraindication to a specific therapy, the RN’s advocacy role operates through communication and documentation — not unilateral action.
Stating these boundaries explicitly demonstrates professional clarity, not timidity.
An RN’s role in complementary therapies is not to be a practitioner of those therapies. It is to be an informed, non-judgmental assessor who ensures that what the patient is doing outside the hospital is visible inside the care plan.
— The scope-of-practice distinction your RN role section must make clearYour essay earns marks in this section when it names specific actions an RN takes — not when it describes a general disposition toward holistic care. “I would ensure complementary therapies are documented in the care plan and communicated to the multidisciplinary team” is a specific, actionable statement. “I would support the whole patient” is not.
Client-Centered Care — Personal Preferences, Cultural Beliefs, Spiritual Beliefs
This section has three explicit analytical targets: personal preferences, cultural beliefs, and spiritual beliefs. An essay that addresses only one or two of these — or that treats all three as synonymous — has not met the rubric requirement. They are related but distinct. Personal preferences are individual choices; cultural beliefs are shaped by collective identity and community practice; spiritual beliefs are connected to the patient’s framework for meaning, purpose, and healing that may or may not be tied to a formal religion. Each requires a different type of nursing response.
| Dimension | What It Means in the Context of Complementary Therapies | How to Analyze It in Your Essay | Nursing Response |
|---|---|---|---|
| Personal Preferences | The patient has an individual preference for a specific therapy — massage over medication for pain management, for example — based on prior experience, perceived effectiveness, or simply comfort with a non-pharmaceutical approach. | Analyze this through the lens of patient autonomy: the bioethical principle that competent adults have the right to make informed decisions about their own care. The RN’s role is to ensure the preference is informed (the patient understands any relevant evidence or interactions) and then support it — not override it with clinical paternalism. | Document the preference in the care plan. Inform the team. Ensure no contraindications exist. Facilitate access where possible. This is active support, not passive tolerance. |
| Cultural Beliefs | Many complementary therapies are not “complementary” to the patient — they are primary healing traditions that predate the biomedical system. Traditional Chinese Medicine for Chinese Australian patients, Ayurvedic practice for South Asian patients, rongoā Māori for Māori patients, curanderismo for Latin American patients. These are not supplements to conventional care — they are the patient’s primary healthcare framework. | Analyze the power dynamics: a patient from a non-Western healing tradition being asked to explain and justify their practices to a biomedically-trained RN is being asked to validate their culture within a framework designed to marginalize it. Client-centered care in this context means the RN entering the patient’s framework — asking what the patient’s own healing tradition says about their condition — not just tolerating it. | Use a cultural safety framework, not just cultural competence. Cultural safety asks: does this patient feel safe to disclose and maintain their healing practices in this environment? If not, what needs to change? This is advocacy, not just accommodation. |
| Spiritual Beliefs | Spiritual beliefs may include the conviction that healing is connected to prayer, to alignment with natural forces, to the restoration of balance between body and spirit, or to the intercession of a religious community. Practices like Reiki, healing prayer, meditation, and guided imagery all operate at the intersection of spiritual and therapeutic. Many patients do not separate these. | Analyze the evidence and the ethics simultaneously: some spiritually-framed practices (mindfulness meditation, for example) have robust evidence bases for symptom management; others do not. The nursing response is not to evaluate the patient’s spiritual framework for empirical validity — it is to engage respectfully with how the spiritual practice serves the patient’s wellbeing and to ensure conventional care is not withheld in favour of spiritual practice alone where that would cause harm. | Ask open spiritual assessment questions — “Is there anything about your spiritual beliefs or practices that it would be helpful for me to know as your nurse?” — document relevant preferences and communicate them to the care team. This is not nursing chaplaincy; it is person-centered assessment. |
Bring a Clinical Scenario Into This Section
At 150 words, the client-centered care section benefits from a brief clinical scenario — real or hypothetical — that concretizes the analysis. A line like: “Consider a 68-year-old Chinese-Australian patient undergoing chemotherapy who continues to take herbal teas prescribed by her traditional medicine practitioner. Client-centered care in this context requires the RN to assess those herbs for potential interactions with her chemotherapy regimen, communicate findings to the oncology team, and document the patient’s cultural practice in the care plan — without requiring the patient to discontinue a practice central to her identity and sense of agency during treatment.” That is 70 words of illustration that makes your analysis concrete. Do not spend more than that on the scenario — the analysis is the word-earner, not the story.
Potential Ethical Issues — Four Principles, Applied Specifically
This is the most analytically demanding section of the essay, and it is the one where broad statements cost the most marks. Saying “there are ethical issues around complementary therapies” is not analysis. Naming the specific tension and explaining why it is ethically complex — using a recognized framework — is. At 160 words, you can address two or three distinct ethical issues with genuine analytical depth, or you can gesture at five issues with no depth at all. The former earns marks. The latter does not.
The four principles of biomedical ethics — Beauchamp and Childress’s autonomy, beneficence, non-maleficence, and justice — are the most applicable framework for this essay. Apply them as analytical tools, not as a checklist to mention and move on from.
When What the Patient Wants Conflicts With What the Evidence Recommends
A patient with cancer who wants to replace chemotherapy with herbal treatment creates a direct tension between autonomy (their right to decide) and beneficence (the nurse’s obligation to act in their interest). The ethical analysis is not resolved by stating the tension — it requires you to explain the conditions under which the RN’s obligation shifts from supporting the patient’s choice to actively advocating for an alternative. Informed consent is the key mechanism: a patient who fully understands the evidence differential between the therapies and still chooses the complementary option is exercising autonomous choice. The nursing obligation is to ensure the information is complete, not to override the decision.
Harm From Therapies, Undisclosed Use, and False Hope
Non-maleficence applies to complementary therapies in three specific ways: direct harm from the therapy itself (herb-drug interactions; physical harm from unqualified practitioners); indirect harm from delayed or displaced conventional treatment; and harm from false hope — particularly relevant in cancer, mental health, or chronic disease contexts where a patient may defer evidence-based treatment because they believe a complementary therapy is managing their condition adequately. The RN’s non-maleficence obligation requires active assessment — asking about therapy use — not just a passive assumption that the patient will disclose. Undisclosed use is itself a patient safety issue, and the RN who does not ask is not meeting their professional standard.
Unequal Access and Systemic Marginalization of Cultural Practices
Justice in complementary therapies has two dimensions: access and recognition. Access: complementary therapies are largely out-of-pocket expenses in most healthcare systems — acupuncture, naturopathy, and therapeutic massage are rarely publicly funded, meaning patients with fewer economic resources cannot exercise the same choices as wealthier patients. This creates a health equity issue that the advocacy nurse should name. Recognition: traditional healing practices from non-Western cultures have historically been excluded from evidence hierarchies designed by and for Western biomedicine. A justice-focused RN advocates not just for individual patient access but for institutional recognition of culturally-embedded healing practices as legitimate healthcare — not fringe activity that patients must hide from their nurses.
Future Practice Changes — What “Specific and Credible” Looks Like at 115 Words
This section is written in first person and requires you to state a specific change you will make to your nursing practice as a result of engaging with complementary therapies advocacy. It is not a summary of the essay. It is a commitment — a statement of what you will do differently, why, and when. The most common error here is writing a vague aspiration (“I will be more aware of complementary therapies in my practice”) instead of a concrete professional commitment.
A specific and credible future practice change has four components: what you will do, in what context, for what reason, and to what professional standard. At 115 words, you can state all four and still include a brief explanatory sentence.
What Makes a Future Practice Change Statement Credible
The grader is assessing whether you have genuinely reflected on your practice — not whether you have written a plausible-sounding intention. A change you can implement on your next clinical shift is more credible than one that requires institutional transformation. Connect it to one specific claim from earlier in your essay — ideally from the RN role section or the ethical issues section — so the conclusion develops the essay rather than restating it.
Statements That Will Not Earn Full Marks
- “I will be more holistic in my nursing care”
- “I will try to learn more about complementary therapies”
- “I will respect my patients’ cultural backgrounds”
- “I will advocate for my patients in all situations”
- “I will keep an open mind about alternative therapies”
- All of the above are indistinguishable from statements a student could write before completing this assignment — they demonstrate no specific learning
Statements That Demonstrate Genuine Reflection
- “I will incorporate a complementary therapy history question into every patient assessment I conduct, specifically asking what therapies the patient uses and from which practitioner.”
- “I will access NCCIH’s herb-drug interaction database before assuming a patient’s herbal supplement is safe alongside their prescribed medications.”
- “I will advocate in my ward for a cultural assessment tool that includes questions about traditional healing practices, so these are documented in the care plan rather than treated as personal information outside the clinical record.”
- “I will complete a continuing professional development module in integrative nursing practice within six months of graduation.”
Connect Your Future Practice Change Back to the Ethical Issues Section
The most analytically coherent essays in app format use the future practice section to resolve or respond to the tension introduced in the ethical issues section. If your ethics section identified non-maleficence as the key tension — because patients use complementary therapies without disclosing them — then your future practice change should logically respond to that: “I will routinely ask about complementary therapy use during nursing assessment, recognizing that undisclosed use is itself a patient safety issue, and document all findings in the care plan to ensure the entire team has access to this information.” That is a direct line from ethical problem to practice solution — and that coherence is what distinguishes a high-scoring app-format essay from one that treats each section as independent.
Common Errors That Cost Marks — and the Specific Fix for Each
| # | The Error | Why It Costs Marks | The Fix |
|---|---|---|---|
| 1 | Opening every section with a definition before the analysis | At 750 words, definitional sentences consume the word budget without earning marks. The rubric assesses analysis, not accurate reproduction of definitions. A grader who reads three sentences defining client-centered care before any nursing-specific analysis will see an essay that uses most of its space preparing to answer the question rather than answering it. | Start every section with your analytical point, not its definition. Instead of “Client-centered care is an approach that places the patient at the center of their own care,” begin with: “Patients from non-Western healing traditions often enter the biomedical system with established complementary practices that RNs have a professional obligation to assess, document, and respect.” The analytical point comes first; supporting detail follows. |
| 2 | Treating “complementary” and “alternative” as interchangeable | The distinction between complementary (used alongside) and alternative (replaces) medicine is not pedantic — it is the structural argument for why nursing advocacy is professional rather than radical. An essay that conflates the two implies nurses are advocating for patients to replace evidence-based care with unproven practices. That is not the argument and a grader who works in nursing education will notice immediately. | Define the distinction precisely in your concept section and apply it consistently. Every time you write about “what nurses advocate for,” specify complementary or integrative use — not alternative use. If you discuss therapies that have no evidence base, do so in the ethical issues section (non-maleficence) rather than the advocacy section. |
| 3 | Listing therapies rather than analyzing one or two consistently | Students often demonstrate breadth — naming acupuncture, herbal medicine, massage, aromatherapy, Reiki, yoga, and mindfulness in quick succession — without developing any single example with enough depth to show they understand the mechanism, the evidence base, or the specific nursing consideration. Breadth signaling without analytical depth is a mark-losing pattern in all short-form essays. | Choose one or two therapies in your introduction and use them as anchoring examples in every section that benefits from illustration. Acupuncture and mindfulness-based stress reduction (MBSR) are well-documented choices with substantial peer-reviewed evidence and clear nursing assessment implications. Consistent use of the same examples throughout the essay creates coherence and demonstrates depth. |
| 4 | Conflating cultural beliefs with spiritual beliefs | The assignment explicitly names personal preferences, cultural beliefs, and spiritual beliefs as three distinct dimensions requiring nursing response. A section that uses “cultural and spiritual” as a single phrase and addresses them together has implicitly reduced three analytical targets to one. This is a rubric criterion failure regardless of the quality of the writing. | Address each of the three dimensions separately — even if briefly. One sentence each is sufficient to demonstrate that you understand the distinction. Cultural beliefs = shaped by collective identity and community practice. Spiritual beliefs = the patient’s framework for meaning, purpose, and healing. Personal preferences = individual choices that may or may not be culturally or spiritually grounded. State these distinctions and then analyze the nursing response for each. |
| 5 | Citing websites instead of peer-reviewed sources | Web pages from complementary therapy practitioner organizations, wellness blogs, or general health websites do not meet the peer-reviewed referencing standard expected in nursing assignments, even at 750 words. A reference list with three website citations signals that the student did not engage with the scholarly literature — which is assessed as a knowledge and research skill, not just a formatting issue. | Use PubMed or your library database to find peer-reviewed articles on nursing advocacy and integrative care, cultural safety in complementary therapy, or bioethical frameworks for CAM. The NCCIH website (nccih.nih.gov) is an appropriate government source for definitions and statistics. Any clinical claim about a specific therapy’s effectiveness or risk requires a peer-reviewed journal article — not a practitioner’s website. |
| 6 | Future practice section that summarizes the essay instead of committing to a change | The last section is assessed on whether you have identified a specific, actionable, credible change you will make to your nursing practice. A section that restates the importance of complementary therapies or summarizes what the essay has covered does not fulfill this requirement. Summary belongs in a conclusion; this section requires a commitment. | Write this section in first person, present or near-future tense, and name the specific behavior you will change. “I will…” is the required grammatical structure. Ground the change in something from the essay — the ethical issue you identified, the role function you analyzed, or the cultural practice you discussed. One specific, implementable change stated clearly and grounded in the essay’s analysis earns full marks for this section. |
Pre-Submission Checklist — Complementary Therapies Advocacy Essay
- App format used: each section has a labeled heading matching the assignment requirements
- Complementary and alternative clearly distinguished — essay advocates for complementary/integrative, not alternative use
- One or two therapies chosen as anchoring examples and used consistently throughout
- Concept and history section names a specific historical lineage and connects it to the advocacy rationale
- RN role section identifies at least two specific nursing actions (assessment, education, advocacy, or referral) with scope-of-practice accuracy
- RN role section explicitly acknowledges scope limits — what RNs cannot or should not do unilaterally
- Client-centered care section addresses personal preferences, cultural beliefs, and spiritual beliefs as three distinct dimensions
- At least one of the three dimensions is illustrated with a brief clinical scenario
- Ethical issues section names at least one specific tension using a bioethical principle (autonomy, beneficence, non-maleficence, or justice)
- Ethical analysis goes beyond naming the principle to specifying the tension and the nursing response
- Future practice section is written in first person and states a specific, actionable change
- Future practice change responds to or resolves an issue raised earlier in the essay — not a disconnected aspiration
- All references are peer-reviewed journal articles, clinical guidelines, or government health authority sources
- Word count is within 10% of 750 words — neither significantly under nor over
- No section is a bullet-point list — all sections use coherent prose in complete sentences
FAQs: Advocacy for Complementary Therapies in Healthcare Essay
What Scores at the Top of the Rubric on This Essay
The highest-scoring essays on this topic are not the ones with the most knowledge about complementary therapies. They are the ones where every section does exactly what the rubric asks — no more, no less — and where the five sections form a coherent argument rather than five disconnected paragraphs. The argument is: complementary therapies have a documented history and significant patient use; RNs have a specific professional role in assessing and supporting that use safely; client-centered care requires engaging with it across personal, cultural, and spiritual dimensions; there are genuine ethical tensions that demand professional reasoning, not just tolerant attitudes; and the nurse commits to a specific change that responds to those tensions directly.
At 750 words, every sentence needs to earn its place. The discipline of app format is exactly that — a discipline. The student who understands what each section is analytically required to do, allocates their word budget accordingly, and writes analytically from the first sentence of each section rather than building to the point will score significantly higher than a student who writes more comfortably but less precisely.
If you need professional support structuring this essay, developing its analytical arguments, identifying peer-reviewed sources, or editing a draft for precision and APA compliance, the team at Smart Academic Writing covers nursing advocacy essays, reflective writing, and app-format assignments at all undergraduate and postgraduate levels. Visit our nursing assignment help service, our reflective essay writing service, our editing and proofreading service, or our APA citation help service. You can also read how our service works or contact us directly with your assignment brief and deadline.
Verified External Resource: NCCIH — National Center for Complementary and Integrative Health
The National Center for Complementary and Integrative Health (NCCIH) is the U.S. federal government’s lead agency for scientific research on complementary and integrative health approaches. It is part of the National Institutes of Health (NIH) and publishes freely accessible, evidence-graded information on specific therapies, patient use statistics, herb-drug interaction data, and the history of the CAM-to-CIH terminology shift. Access at nccih.nih.gov. APA 7th citation for the terminology overview page: National Center for Complementary and Integrative Health. (2023). Complementary, alternative, or integrative health: What’s in a name? U.S. Department of Health and Human Services. https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name. Use this source in your concept and history section to anchor your definition of complementary versus alternative versus integrative health, and cite the patient use statistics it provides (approximately 38% of adults) when making your advocacy argument in the introduction or history section.