Specialty practice, advanced practice, and WOC nursing: current professional issues and future opportunities

Interest in clarification of the role of the WOC nurse as a specialized or advanced practice practitioner is increasing. Although much has occurred to delineate practice parameters, lack of expectations for specialty versus advanced nursing practice still exists. This article will differentiate advanced, specialty, and WOC nursing practice by examining their legal definitions, educational requirements, licensure, certifications, and practice milieus. Implications for the future of WOC nursing are posed within the context of the evolving American health care system.