An examination of the concept of advocacy in the nursing literature re
flects diverse and sometimes conflicting usage. It may denote a set of
behaviors not associated with any specific ethical basis, an approach
grounded in a justice ethics, or a philosophical basis for nursing. A
lthough some conceptualizations of advocacy are incongruent with empow
erment, others that reflect an existential, relational ethics are inde
ed synchronous with empowerment. Furthermore, the centrality of mutual
ity and the nurse-patient relationship to both advocacy and a unitary-
transformative approach to caring is consistent with the conditions un
der which empowerment can occur.