Power, Knowledge, and the Discourse of Specialization in Nursing

Abstract

THE CHARACTERIZATION OF SPECIALIZATION in nursing varies across different time periods, contexts, persons, groups, and institutions. Therefore, it may be viewed as a discourse. The expression of this discourse is subject to contextual influences and social interests. For example, its perceived congruence or antagonism to other major discourses, such as specialization, medicine, and nursing, will impact on its expression and legitimization. This article explores the discourse of specialization in nursing, especially as it is expressed in the Australian and North American context, and focuses on the power and knowledge issues that relate to, and constitute, the discourse.