2. 2
Out lineOut line
Objectives.Objectives.
Introduction.Introduction.
History.History.
Power.Power.
Nurses and power.Nurses and power.
Types of Power.Types of Power.
Empowerment.Empowerment.
Strategies for Developing a powerful Image.Strategies for Developing a powerful Image.
Factors contribute to oneFactors contribute to one’’s power image.s power image.
Personal Power Strategies.Personal Power Strategies.
Politics.Politics.
Influence.Influence.
3. 3
ObjectivesObjectives
At the end of this presentation each one will beAt the end of this presentation each one will be
able to:able to:
Apply the concept of power to leadership andApply the concept of power to leadership and
management in nursing.management in nursing.
Use different types power in the exercise ofUse different types power in the exercise of
nursing leadership.nursing leadership.
Develop a power image for effective nursingDevelop a power image for effective nursing
leadership.leadership.
Use appropriate strategies for exercisingUse appropriate strategies for exercising
power to influence the politics of the work.power to influence the politics of the work.
4. 4
IntroductionIntroduction
The profession of nursing develop at time whenThe profession of nursing develop at time when
women had limited legal rights.women had limited legal rights.
Women were viewed as neither powerful norWomen were viewed as neither powerful nor
political; in the late nineteenth century , feminine andpolitical; in the late nineteenth century , feminine and
powerful were practically contradictory terms.powerful were practically contradictory terms.
During the twentieth century role womenDuring the twentieth century role women
changedchanged
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
5. 5
HistoryHistory
In the nursing profession: the exercise of power wasIn the nursing profession: the exercise of power was
considered inappropriate, unladylike andconsidered inappropriate, unladylike and
unprofessional.unprofessional.
Many decision about nursing education and practiceMany decision about nursing education and practice
were often made by persons outside of nursing.were often made by persons outside of nursing.
Nurses began to exercise their collective power withNurses began to exercise their collective power with
the rise of nursing leadersthe rise of nursing leaders
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
6. 6
Cont.. HistoryCont.. History
American Medical Association (AMA) , in 1988 ,American Medical Association (AMA) , in 1988 ,
proposed a new category of healthcare worker toproposed a new category of healthcare worker to
replace nurses during a time of nursing shortage ,replace nurses during a time of nursing shortage ,
nurses and nursing organizations respondednurses and nursing organizations responded
powerfully.powerfully.
In this new century , nurses must be skilled andIn this new century , nurses must be skilled and
confident in exercising power to ensure theconfident in exercising power to ensure the
continuing development of the profession and that thecontinuing development of the profession and that the
voice of nurses will be heard in shaping the future ofvoice of nurses will be heard in shaping the future of
the healthcare system.the healthcare system.
Nurses must exercise their power to create aNurses must exercise their power to create a
preferred future for the healthcare system, healthcarepreferred future for the healthcare system, healthcare
consumers , and the profession of nursing.consumers , and the profession of nursing.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
7. 7
PowerPower
Power is the ability to influence others in the effortPower is the ability to influence others in the effort
to achieve goals (Yoder-Wise)to achieve goals (Yoder-Wise)
As having control , influence , or domination overAs having control , influence , or domination over
something or someone.something or someone.
The ability to get things done.The ability to get things done.
Power includes caring practices by nurses which arePower includes caring practices by nurses which are
used to empower patients.used to empower patients.
Power also be viewed as a positive , infinite forcePower also be viewed as a positive , infinite force
that helps to establish the possibility that people canthat helps to establish the possibility that people can
free themselves from oppression (ANA).free themselves from oppression (ANA).
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
8. 8
Nurses and powerNurses and power
Nurses have sometimes viewed power as if it wereNurses have sometimes viewed power as if it were
something immoral ,corrupting , and totallysomething immoral ,corrupting , and totally
contradictory to the caring nature of nursing.contradictory to the caring nature of nursing.
Nurses regularly influence patients in an effort toNurses regularly influence patients in an effort to
improve their health status as an essential element ofimprove their health status as an essential element of
nursing practice.nursing practice.
When nurses are providing health teaching toWhen nurses are providing health teaching to
patients and their families, their goal is to providepatients and their families, their goal is to provide
needed information and to change behavior toneeded information and to change behavior to
promote optimal health that is an exercise of powerpromote optimal health that is an exercise of power
in nursing practice.in nursing practice. Chapter 25 Yoder-Chapter 25 Yoder-
WiseWise
9. 9
Nurses and powerNurses and power
Changing a colleagueChanging a colleague’’s behavior bys behavior by
instructing him or her about a new policyinstructing him or her about a new policy
being implemented on the nursing unit isbeing implemented on the nursing unit is
another example of how a nurse can exerciseanother example of how a nurse can exercise
power.power.
Coaching a nurse to improve his or herCoaching a nurse to improve his or her
performance is an exercise of power.performance is an exercise of power.
Bases of power , which are most easilyBases of power , which are most easily
understood as sources or type of social powerunderstood as sources or type of social power
that apply readily to the power exercised bythat apply readily to the power exercised by
nurses.nurses.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
10. 10
Power TypesPower Types
Coercive PowerCoercive Power
Reward PowerReward Power
Expert PowerExpert Power
Legitimate PowerLegitimate Power
Referent PowerReferent Power
Information PowerInformation Power
Connection PowerConnection Power
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
11. 11
EmpowermentEmpowerment
Empowerment is process by which we facilitate ofEmpowerment is process by which we facilitate of
others in decision making and taking action within anothers in decision making and taking action within an
environment where there is an equitable distributionenvironment where there is an equitable distribution
of power.of power.
Empowerment is the process by which power isEmpowerment is the process by which power is
shared with colleagues and patients as part of theshared with colleagues and patients as part of the
nursenurse’’s exercise of power.s exercise of power.
Nurses view; nurses have too often viewed power asNurses view; nurses have too often viewed power as
a finite quantitya finite quantity ““if I give you some of my power , Iif I give you some of my power , I
will have less.will have less. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
12. 12
Cont.. EmpowermentCont.. Empowerment
Empowerment emphasizes the notion that powerEmpowerment emphasizes the notion that power
grows when shared.grows when shared.
Nurses who view power as finite will avoidNurses who view power as finite will avoid
cooperation with their colleagues and refuse to sharecooperation with their colleagues and refuse to share
their expertise.their expertise.
Nurses who conceptualize power as infinite areNurses who conceptualize power as infinite are
strong collaborators who gain satisfaction by helpingstrong collaborators who gain satisfaction by helping
their colleagues expand their expertise and theirtheir colleagues expand their expertise and their
power base.power base.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
14. 14
Nursing empowerment modelNursing empowerment model
This model summarized the main strategies toThis model summarized the main strategies to
empower nurses; the objective of this model was toempower nurses; the objective of this model was to
supports professional growth and empowerment ofsupports professional growth and empowerment of
nurses by restructuring the nursing system.nurses by restructuring the nursing system.
Nursing empowerment model present three mainNursing empowerment model present three main
categories and each has 1categories and each has 1––3 subcategories.3 subcategories.
(Hajbaghery M, Salsali M. 2005) A model for(Hajbaghery M, Salsali M. 2005) A model for
empowerment of nursing in Iran. )empowerment of nursing in Iran. )
15. 15
Nursing empowerment modelNursing empowerment model
ContCont,,,,,,
Category 1: personal empowerment strategy:Category 1: personal empowerment strategy:
Having authorityHaving authority
Professional self-confidenceProfessional self-confidence
Application of professional knowledge and skills.Application of professional knowledge and skills.
Category 2: collective empowerment strategy:Category 2: collective empowerment strategy:
Supportive managementSupportive management
UnityUnity
Category 3: the culture and structure of organizationCategory 3: the culture and structure of organization
strategystrategy
19. 19
Empowering new
graduate nurses and
nurses working in
hospital
Effective
role models
teacher
Education
system
Leadership
empowerment
Empowering
nursing student
Nurse self
empowermen
t
Nursing Empowerment Protocol
Effective
orientation
program
Coaching
Mentoring
Change in
the nurses'
perception
of
themselves
and their
role
Mentorship
Continuing
education program
EBP
Delegating
Team work
Collective Action
Organizational
empowerment
Participative
management
Job
enrichment
Recognition
Shared
governance
Ghadeer Dweik Nursing Empowerment ModelGhadeer Dweik Nursing Empowerment Model
20. 20
Factors contribute power imageFactors contribute power image
Self-image: thinking of oneSelf-image: thinking of one’’s self as powerful ands self as powerful and
effective.effective.
Grooming and dress: ensuring that clothing, hair,Grooming and dress: ensuring that clothing, hair,
and general appearance are neat , clean , andand general appearance are neat , clean , and
appropriate to the situation.appropriate to the situation.
Good mangers: treating people with courtesy andGood mangers: treating people with courtesy and
respect.respect.
Body Language: maintaining good posture , usingBody Language: maintaining good posture , using
gestures that avoid too much drama, maintaininggestures that avoid too much drama, maintaining
good eye contact, and being confident in yourgood eye contact, and being confident in your
movement.movement. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
21. 21
ContCont…… FactorsFactors
Speech: using a firm, confident voice; good grammarSpeech: using a firm, confident voice; good grammar
and diction; an appropriate vocabulary; and strongand diction; an appropriate vocabulary; and strong
communication skills.communication skills.
Attitudes and beliefs are another important aspect ofAttitudes and beliefs are another important aspect of
a powerful image; they reflect onea powerful image; they reflect one’’s valuess values
Believing that power is a positive force in nursing isBelieving that power is a positive force in nursing is
essential to oneessential to one’’s powerful image .s powerful image .
A firm belief in nursing value to society and theA firm belief in nursing value to society and the
centrality of nursing contribution to the healthcarecentrality of nursing contribution to the healthcare
delivery system is also important.delivery system is also important. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
22. 22
ContCont…… FactorsFactors
Commitment to nursing career: having a career commitmentCommitment to nursing career: having a career commitment
implies that a nurse view him self or her self first and foremostimplies that a nurse view him self or her self first and foremost
as a member of the discipline of nursing with an obligation toas a member of the discipline of nursing with an obligation to
make a contribution to the profession.make a contribution to the profession.
Continuing Education: continuing development of oneContinuing Education: continuing development of one’’ss
professional skills and knowledge is an empoweringprofessional skills and knowledge is an empowering
experience, preparing the nurse to make decision with theexperience, preparing the nurse to make decision with the
support of an expanding body of knowledge. Seminarssupport of an expanding body of knowledge. Seminars
workshops, and conferences offer opportunities forworkshops, and conferences offer opportunities for
professional growth and employment .professional growth and employment .
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
23. 23
Strategies for Developing a powerfulStrategies for Developing a powerful
ImageImage
The most basic power strategy is the development ofThe most basic power strategy is the development of
a powerful image.a powerful image.
If nurses think they are powerful , others will viewIf nurses think they are powerful , others will view
them as powerful; if they view themselves asthem as powerful; if they view themselves as
powerless, so will others. A sense of self confidencepowerless, so will others. A sense of self confidence
is a strong foundation in developing oneis a strong foundation in developing one’’ss ““powerpower
imageimage”” and it is essential for successful politicaland it is essential for successful political
efforts in the workplace, within the profession, andefforts in the workplace, within the profession, and
within the public policy arena.within the public policy arena. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
24. 24
Personal Power StrategiesPersonal Power Strategies
Communication Skills: is the most effective verbalCommunication Skills: is the most effective verbal
communication skills, which help define a powercommunication skills, which help define a power
image ;the nurses learn these communication skillsimage ;the nurses learn these communication skills
to ensure effective interaction with patients andto ensure effective interaction with patients and
families.families.
Listening skills are essential leadership skills ,Listening skills are essential leadership skills ,
manager who is good listeners develop reputationsmanager who is good listeners develop reputations
for being fair and consistent.for being fair and consistent.
Verbal and nonverbal communication skills areVerbal and nonverbal communication skills are
important personal power strategies; the ability toimportant personal power strategies; the ability to
assess these messages is a critical power strategies.assess these messages is a critical power strategies.
Experts in communication estimate that 90% of theExperts in communication estimate that 90% of the
massages we communicate to others are nonverbal .massages we communicate to others are nonverbal .
25. 25
NetworkingNetworking
A network: is a system of contacts that is develop, nurtured,A network: is a system of contacts that is develop, nurtured,
and maintained as sources of information ,deice, and moraland maintained as sources of information ,deice, and moral
support .support .
Network supports the employment of participants throughNetwork supports the employment of participants through
interaction and the refinement of their interpersonal sills.interaction and the refinement of their interpersonal sills.
Active participation in nursing organization is the mostActive participation in nursing organization is the most
effective methods of establishing a professional networkeffective methods of establishing a professional network
outside oneoutside one’’s place of employment.s place of employment.
Participation in professional organizations can propel a nurseParticipation in professional organizations can propel a nurse
into the politics of nursing ,including involvement in shapinginto the politics of nursing ,including involvement in shaping
public policy.public policy.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
26. 26
MentoringMentoring
Mentors are competent , experienced professionalMentors are competent , experienced professional
who develop a relationship with a novice for thewho develop a relationship with a novice for the
purpose of providing advice, support, information ,purpose of providing advice, support, information ,
and feedback to encourage the development ofand feedback to encourage the development of
another individual.another individual.
Mentoring has been an important element in theMentoring has been an important element in the
career development of men in business, academiacareer development of men in business, academia
and selected professions, also has become aand selected professions, also has become a
significant power strategy for women in general andsignificant power strategy for women in general and
for nurses in particular during the last 20 years .for nurses in particular during the last 20 years .
Mentoring provides novices with expanded access toMentoring provides novices with expanded access to
information, power , and career opportunities.information, power , and career opportunities.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
27. 27
Cont.. MentoringCont.. Mentoring
Mentoring is a teachingMentoring is a teaching ––learning processing for bothlearning processing for both
the mentor and the mentee.the mentor and the mentee.
Mentoring is a reciprocal relationship for the mentorMentoring is a reciprocal relationship for the mentor
and mentee, give-andand mentee, give-and ––take situation for both parties.take situation for both parties.
A knowledge or competence differential existsA knowledge or competence differential exists
between participants.between participants.
The focus of the relationship is on careerThe focus of the relationship is on career
development .development .
The relationship will endure over several years.The relationship will endure over several years.
Mentees will in turn become mentors to others.Mentees will in turn become mentors to others.
Mentoring is empowerment experience for bothMentoring is empowerment experience for both
mentors and novices.mentors and novices.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
28. 28
Cont.. MentoringCont.. Mentoring
Novice may attract mentors by implementing the followingNovice may attract mentors by implementing the following
strategies;strategies;
Demonstrating a developing expertise.Demonstrating a developing expertise.
Developing a sensitivity to the attention of powerful peopleDeveloping a sensitivity to the attention of powerful people
within the organization .within the organization .
Volunteering to serve on committees and doing the work well.Volunteering to serve on committees and doing the work well.
Discussing openly professional goals and personal desire toDiscussing openly professional goals and personal desire to
grow.grow.
Asking experienced and talented people within the networkAsking experienced and talented people within the network
for advice and help.for advice and help.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
29. 29
Goal SettingGoal Setting
Every nurse knows about setting goals.Every nurse knows about setting goals.
Students learn to devise patient care goals or patientStudents learn to devise patient care goals or patient
outcomes as part of the care planning process.outcomes as part of the care planning process.
Nurses may be expected to write annual goal forNurses may be expected to write annual goal for
performance reviews at work .performance reviews at work .
Goals help one to know if what was planned wasGoals help one to know if what was planned was
actually accomplished.actually accomplished.
A successful nursing career needs goals to defineA successful nursing career needs goals to define
what one wants to achieve as a nurse.what one wants to achieve as a nurse.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
30. 30
Cont.. Goal SettingCont.. Goal Setting
Developing such a vision early in a career is anDeveloping such a vision early in a career is an
important personal power strategy.important personal power strategy.
Once this career vision is develop, one must createOnce this career vision is develop, one must create
opportunities to move toward that vision. Suchopportunities to move toward that vision. Such
planning is empowering ; it puts the nurse in charge ,planning is empowering ; it puts the nurse in charge ,
rather than letting a career unfold by with therather than letting a career unfold by with the
commitment to a career in nursing that is part ofcommitment to a career in nursing that is part of
developing a power image.developing a power image. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
31. 31
Developing ExpertiseDeveloping Expertise
Expertise is one of the bases of power, developingExpertise is one of the bases of power, developing
expertise in nursing is an important power strategy.expertise in nursing is an important power strategy.
Expertise must not be limited to clinical knowledge.Expertise must not be limited to clinical knowledge.
Leadership and communication skills.Leadership and communication skills.
Education and practice provide the means forEducation and practice provide the means for
developing such expertise in any of the domains ofdeveloping such expertise in any of the domains of
nursing and developing expertise expands onenursing and developing expertise expands one’’ss
power among nursing colleagues, other professionalpower among nursing colleagues, other professional
colleagues and patients.colleagues and patients.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
32. 32
High VisibilityHigh Visibility
Another key personal for exercising power is highAnother key personal for exercising power is high
visibility that can be nurtured by attending the openvisibility that can be nurtured by attending the open
meeting of committees and other groups of whichmeeting of committees and other groups of which
you are not a member in the workplace , professionyou are not a member in the workplace , profession
associations, or the community.associations, or the community.
Review the agendas of such meeting if they areReview the agendas of such meeting if they are
circulated ahead of the meeting.circulated ahead of the meeting.
Use opportunities both before and after meetings toUse opportunities both before and after meetings to
share your expertise , providing valuable informationshare your expertise , providing valuable information
and ideas to members and leaders of such group.and ideas to members and leaders of such group.
Sharing this expertise at open meeting whenSharing this expertise at open meeting when
appropriate.appropriate.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
33. 33
Collegiality and CollaborationCollegiality and Collaboration
Collegiality demand that nurses value theCollegiality demand that nurses value the
accomplishments of nursing colleagues and express aaccomplishments of nursing colleagues and express a
sincere interest in their efforts.sincere interest in their efforts.
Turning to nursing colleagues for advice and supportTurning to nursing colleagues for advice and support
empowers them and expends oneempowers them and expends one’’s own power bases own power base
at the same time.at the same time.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
34. 34
Collegiality and CollaborationCollegiality and Collaboration
Collaboration is conjoint, interdisciplinary problemCollaboration is conjoint, interdisciplinary problem
solving from an equal power base on the patientsolving from an equal power base on the patient’’ss
behalf; also, an assertive, cooperative approach tobehalf; also, an assertive, cooperative approach to
conflict in which the individual is able to workconflict in which the individual is able to work
creatively and openly with others to find the solutioncreatively and openly with others to find the solution
that best achieves all important goals.that best achieves all important goals.
Collaboration and collegiality, require that nursesCollaboration and collegiality, require that nurses
work collectively to ensure that the voice of nursingwork collectively to ensure that the voice of nursing
is heard in the workplace and the legislature.is heard in the workplace and the legislature.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
35. 35
An Empowering AttitudeAn Empowering Attitude
Demonstrated a positive and professional attitudeDemonstrated a positive and professional attitude
about a nurse to nursing colleagues, patients andabout a nurse to nursing colleagues, patients and
their families , other colleagues in the workplace ,their families , other colleagues in the workplace ,
and the public, including legislators.and the public, including legislators.
A power image is important aspect of demonstratingA power image is important aspect of demonstrating
this positive professional attitude.this positive professional attitude.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
36. 36
Developing CoalitionsDeveloping Coalitions
Exercise of power is often directed at creatingExercise of power is often directed at creating
change, individual can often be effective atchange, individual can often be effective at
exercising power and creating change ,and creatingexercising power and creating change ,and creating
certain changes within most organizations requirescertain changes within most organizations requires
collective action;collective action;
Collective action: is a mechanism for achievingCollective action: is a mechanism for achieving
professional practice through group decision making.professional practice through group decision making.
Coalition building is an effective political strategyCoalition building is an effective political strategy
for collective action.for collective action.
Coalitions are the groups of individuals orCoalitions are the groups of individuals or
organizations that join together temporarily around aorganizations that join together temporarily around a
common goal, this goal often focuses on an effort tocommon goal, this goal often focuses on an effort to
effect change.effect change. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
37. 37
NegotiatingNegotiating
Negotiating or bargaining is a critically importantNegotiating or bargaining is a critically important
skill for organizational and political power.skill for organizational and political power.
It is a process of making trade offs. Or conferringIt is a process of making trade offs. Or conferring
with others to bring about a settlement of colleagueswith others to bring about a settlement of colleagues
of differences.of differences.
Successful negotiators are well informed about notSuccessful negotiators are well informed about not
only their own position but also those of the opposingonly their own position but also those of the opposing
side, must be able to discuss the pros and cons ofside, must be able to discuss the pros and cons of
both position.both position.
These skills are also essential to exercising powerThese skills are also essential to exercising power
effectively with the arenas of professional andeffectively with the arenas of professional and
legislative politics.legislative politics. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
38. 38
PoliticsPolitics
Politics is the process by which group of peoplePolitics is the process by which group of people
make decisions . Although the term is generallymake decisions . Although the term is generally
applied to behavior within civil governments ,applied to behavior within civil governments ,
politics is observed in all human group interactions,politics is observed in all human group interactions,
including corporate, academic, and religiousincluding corporate, academic, and religious
institutions.institutions.
Politics consist of social relations involvingPolitics consist of social relations involving
authority or power and refers to the regulation of aauthority or power and refers to the regulation of a
political unit and to the methods and tactics topolitical unit and to the methods and tactics to
formulate and apply policy.formulate and apply policy.
Politics: a process of human interaction withinPolitics: a process of human interaction within
organizations, isorganizations, is definition use when teaching adefinition use when teaching a
course on politics in nursing.course on politics in nursing. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
39. 39
Cont.. PoliticsCont.. Politics
Politics permeates all organizations , including workplacesPolitics permeates all organizations , including workplaces
, legislatures, profession, and even families., legislatures, profession, and even families.
Political nursing defines asPolitical nursing defines as ““the use of knowledge a boutthe use of knowledge a bout
power process and strategies to influence the nature andpower process and strategies to influence the nature and
direction of health care and professional nursingdirection of health care and professional nursing””..
Policy is written agreement that puts insurance coveragePolicy is written agreement that puts insurance coverage
into effect. Or an official or prescribed plan or course ofinto effect. Or an official or prescribed plan or course of
action.action.
If power involves the employment of stored influence byIf power involves the employment of stored influence by
which events, actions and behaviors are affected, thenwhich events, actions and behaviors are affected, then
politics involves the exercise of power to get somethingpolitics involves the exercise of power to get something
done, as well as to enhance and protect the vested interestsdone, as well as to enhance and protect the vested interests
of individuals or groups. ( National Defense University)of individuals or groups. ( National Defense University)
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
40. 40
InfluenceInfluence
Influence is the process of using power.Influence is the process of using power.
Influence can range from the punitive powerInfluence can range from the punitive power
of coercion to the interactive power ofof coercion to the interactive power of
collaboration.collaboration.
Coaching a new graduate nurse in orientationCoaching a new graduate nurse in orientation
to complete a complicated nursing procedureto complete a complicated nursing procedure
successfully demonstrates the ability of thesuccessfully demonstrates the ability of the
experienced nurse to influence thatexperienced nurse to influence that
orientation.orientation.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
41. 41
Exercising Power and Influence in the workplaceExercising Power and Influence in the workplace
and other organizations: Shaping policyand other organizations: Shaping policy
To use influence effectively in any organization , one mustTo use influence effectively in any organization , one must
understand how the system works and develop organizationalunderstand how the system works and develop organizational
strategies.strategies.
Developing organizational savvy includes identifying the realDeveloping organizational savvy includes identifying the real
decision makers and those persons who have a high level ofdecision makers and those persons who have a high level of
influence with the decision makers.influence with the decision makers.
Recognized informal leaders within any organization.Recognized informal leaders within any organization.
In the workplace an influential senior staff nurse may haveIn the workplace an influential senior staff nurse may have
more decision making power than the nurse manager onmore decision making power than the nurse manager on
significant aspects of the nursing unitsignificant aspects of the nursing unit’’s operation.s operation.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
42. 42
ContCont.... ExercisingExercising
Senior staff nurse may have more clinical expertiseSenior staff nurse may have more clinical expertise
and a greater wealth of knowledge about the historyand a greater wealth of knowledge about the history
of the unit and its personnel than a nurse managerof the unit and its personnel than a nurse manager
with excellent management and leadership skillswith excellent management and leadership skills
who is new to the unit.who is new to the unit.
Any person who have a great deal of control overAny person who have a great deal of control over
information , making decision, screening incominginformation , making decision, screening incoming
and out coming mail, like secretaries of chiefand out coming mail, like secretaries of chief
executives , usually very powerful people.executives , usually very powerful people.
Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
43. 43
Taking Political Action to InfluenceTaking Political Action to Influence
PolicyPolicy
Basic strategies for political action :Basic strategies for political action :
Register to vote and vote in every election.Register to vote and vote in every election.
Join your state nursesJoin your state nurses’’ association and get involved withassociation and get involved with
the association's government relation or legislativethe association's government relation or legislative
committee and political action committee.committee and political action committee.
Participate in nurses lobby day and meet with your stateParticipate in nurses lobby day and meet with your state
legislators.legislators.
Get involved in the local group of your political party.Get involved in the local group of your political party.
Run for office at the local , county, state , or congressionalRun for office at the local , county, state , or congressional
level.level. Chapter 25 Yoder-WiseChapter 25 Yoder-Wise
44. 44
ReferencesReferences
Yoder-Wise P.S. Leading and managing inYoder-Wise P.S. Leading and managing in
nursing. (Third ed.). Mosby: Missouri. (2003).nursing. (Third ed.). Mosby: Missouri. (2003).
Hajbaghery M, Salsali M. 2005 A model forHajbaghery M, Salsali M. 2005 A model for
empowerment of nursing in Iran. BMC Healthempowerment of nursing in Iran. BMC Health
Serv Res.; 5: 24Serv Res.; 5: 24