1. CHAPTER 5 ORGANIZATIONS, POWER, AND EMPOWERMENT

2. UNDERSTANDING ORGANIZATIONS

3. Types of Health-Care Organizations • Private not-for-profit • Publicly supported • Private for-profit

4. Organizational Cultures • Artifact level • Espoused beliefs • Underlying assumptions

5. Organizational Goals • Survival • Growth • Profit • Status • Dominance

6. Organizational Structures

7. Traditional • Hierarchical • Ladder structure • Employees are ranked from top to bottom • Number of people on the bottom usually greater than the number on the top

8. The Organizational Ladder CEO Administrators Managers Staff Nurses Technicians (including LPNs) Aides, Housekeeping, Maintenance

9. Innovative • Organic structure • Emphasizes flexibility • Less centralized • Decisions are made by the individuals who will implement them • Emphasizes autonomy

10. Processes • A way to get things done within an organization • Two mechanisms • Formal • Informal

11. POWER

12. Definition • Power is the ability to influence other people despite resistance • Power may be actual or potential • Power may be intended or unintended

13. SOURCES OF POWER • Authority • Reward • Expertise • Coercion

14. EMPOWERING NURSES

15. Feeling Empowered • Self-determination • Meaning • Competence • Impact

16. Contributions to Empowerment • Manageable workload • Reward and recognition • Fairness

17. Group Empowerment • Professional organizations • Collective bargaining • Shared governance

18. Enhancing Expertise • Participate in team conferences • CEU offerings • Attend conferences • Keep your reading up-to-date • Participate in nursing research • Observe nurse leaders

19. Conclusion • Becoming and remaining empowered requires active participation • Seek organizations whose organizational culture is a fit with your professional goals