Healthcare administrators use various methods in order to acquire more power within healthcare organizations. Illegitimate use of power is one of the ways that these administrators use to acquire social influence among the healthcare stake holders. These power is used in different levels of management. There are differences in the dynamics that override the organizational structures within small groups and large groups of people in healthcare (Bernad, & Field, 2009). This presents the difference in the application of power in the macro and micro levels of governance in healthcare. Illegal use of power in the management of these healthcare system has an ultimate effect of shaping the advanced healthcare practice.

At the macro-level perspective, the power is distributed over a wide a spectrum. In such a situation, the power of rule does not come from a certain central point. Power is distributed among interest groups who have a legal mandate over the politics of the organization. In this case, illegitimate use of power can be so influential in governing most of the operations and procedures in healthcare. This is because if the misuse of power authority comes from the most influential group in the organization, this can lead to a call for change and this can applied in organization. In such a system, the dominant groups can apply power illegitimately to spearhead a significant change in the policies that are used in healthcare (Bernad, & Field, 2009).

On the other hand, the illegitimate use of power at the micro-levels of healthcare, illegitimate use of power can be applied by the leaders to serve the interest of the organization. This application of authority to the subjects does not work along any legal principles of guidelines. Therefore, the major cause of illegitimate use of power in the different levels of healthcare can either be the influence to inspire change or resistance among the members of the organization. This is very essential in initiating processes and programs that can lead to emergence of policies that can govern the major practices in advanced practice environments.