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Nursing Leadership & Management. Patricia Kelly-Heidenthal 0-7668-2508-6. Chapter 17. Power. Objectives . Upon completion of this chapter, the reader should be able to: Define the concept of power from more than one perspective.

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nursing leadership management

Nursing Leadership & Management

Patricia Kelly-Heidenthal

0-7668-2508-6

Delmar Learning

Copyright © 2003 Delmar Learning, a Thomson Learning company

chapter 17

Chapter 17

Power

Delmar Learning

Copyright © 2003 Delmar Learning, a Thomson Learning company

objectives
Objectives
  • Upon completion of this chapter, the reader should be able to:
    • Define the concept of power from more than one perspective.
    • Identify the various ways power has been described in the literature.
    • Describe how a nurse’s perception of and orientation to power affects patient care.

Copyright © 2003 Delmar Learning, a Thomson Learning company

objectives4
Objectives
  • Discuss the relationships among empowerment and personal and collective commitment.
  • Describe the association of connection power and relationships.
  • Explain why nurses are faced with a paradox within the context of information power.

Copyright © 2003 Delmar Learning, a Thomson Learning company

definitions of power
Definitions of Power
  • Poweris described as the ability to create, get, and/or use resources to achieve one’s goals. 
  • Power can be defined atvarious levels: personal, cultural, professional, or organizational.
  • Power, regardless of level, comes from the ability to influence others or affect others’ thinking or behavior.

Copyright © 2003 Delmar Learning, a Thomson Learning company

power and accountability
Power and Accountability
  • Effective nurses view their ability to understand and use power as a significant part of their responsibilities to patients, their coworkers, the nursing profession, and themselves.
  • Nurses are accountable, both professionally and legally, for decisions and actions occurring under their supervision.

Copyright © 2003 Delmar Learning, a Thomson Learning company

power and accountability7
Power and Accountability
  • Accountability without authority to make responsible decisions poses a threat to nurses individually and collectively.
  • Nurses must understand that power is a means of developing and retaining the authority that must accompany their accountability.

Copyright © 2003 Delmar Learning, a Thomson Learning company

sources of power
Sources of Power
  • Expert power: derived from knowledge and skills
  • Legitimate power: derived from the position of authority a person holds
  • Referent (charismatic) power: derived from how much others respect and like a person
  • Reward power: derived from a person’s ability to bestow rewards on people

Copyright © 2003 Delmar Learning, a Thomson Learning company

sources of power9
Sources of Power
  • Coercive power: derived from a person’s ability to punish or threaten others
  • Connection power: derived from a person’s connection to others with power
  • Information power: derived from a person’s ability to provide information

Copyright © 2003 Delmar Learning, a Thomson Learning company

power and decision making
Power and Decision Making
  • Power and decision making are intricately connected.
  • Emphasis on cost containment in health care has created opportunities for nurses.
  • Nurses’ knowledge allows them to participate in health care and cost-containment discussions, giving them more opportunities for decision making.
  • This, in turn, gives nurses greater power.

Copyright © 2003 Delmar Learning, a Thomson Learning company

personal orientation and motivation in relation to power
Personal Orientation and Motivation in Relation to Power
  • A person can desire and wield power for personal gain or for the common good.
  • Nursing has traditionally worked for the common good.
  • To continue doing so, nursing must exert power and control over its decision-making abilities.
  • Nurses must examine their personal motivations for seeking and exerting power.
  • Any one perspective on power is incomplete.

Copyright © 2003 Delmar Learning, a Thomson Learning company

empowerment and disempowerment
Empowerment and Disempowerment
  • Empowerment is the “process by which we facilitate the participation of others in decision making and take action within an environment where there is an equitable distribution of power.”
  • Nurses can disempower themselves by acting powerless when interacting with other professionals, legislators, or the media.
  • Nursing can empower itself through a greater presence in the media and in the minds of the public.

Copyright © 2003 Delmar Learning, a Thomson Learning company

the power of relationships
The Power of Relationships
  • Nurses regularly are afforded special opportunities to form relationships, by entering into a loop of information sharing. 
  • However, information sharing alone does not create power—it must be accompanied by commitment.
  • Nursing expresses a commitment to patients, and nurses must articulate and act upon that commitment.

Copyright © 2003 Delmar Learning, a Thomson Learning company

the power and limits of information
The Power and Limits of Information
  • Information alone does not create power, as potentially there is no end to information and information gathering.
  • Nurses must be able to gather the necessary information for competent decision making and make decisions in an appropriate time frame.
  • The critical thinking process that nurses use to gather, interpret, share, and apply information is what transforms their information into power.

Copyright © 2003 Delmar Learning, a Thomson Learning company

the power of critical thinking
The Power of Critical Thinking
  • Critical thinking enables nurses to understand more and to find better information.
  • Effective nurses can take information they have acquired in the past and apply it to their present situation.
  • Power is associated with transforming thought into action.

Copyright © 2003 Delmar Learning, a Thomson Learning company