Advanced practice: A clinical or political issue?

Advanced practice is characterized by a greater degree of clinical competence, critical thinking and professional accountability in the areas of organizational management, decision-making and leadership. Advanced practice is praised in clinical and academic settings for its beneficial effects on peoples' health. However, the authors believe that advanced practice also confers specific (corporate) benefits, particularly with respect to acquisition of authority, credibility and legitimacy compared to, and in the eyes of, other health professionals. This article takes a critical look at the specialization phenomena in nursing and encourages dialogue on underlying motivations and the quest for professional status