Power and Political Action
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62 Terms
Why is it important for nurses to understand power and politics?
because there is a lot of legislation with healthcare, and we need to know how these affect us and our jobs
How much power do nurses have?
nurses have power in numbers because they are the biggest group in healthcare
Position Power
related to job description (e.g. because I am a manger I can hire and fire people)
Personal Power
your credibility, trustworthiness, reputation
Principle-Centered Power
based on honor, respect, loyalty, and commitment (loyal to you people and organization)
Leadership Power
capacity to create order from conflict, contradictions, and chaos
Power
the ability to influence others to achieve your goals
What are the sources of power?
coercive
reward
expert
legitimate
referent
information
connection
Coercive power
based on the penalties or punishments a manager can impose.
Who has coercive power?
Nurse managers who can impose reprimands or undesirable assignments.
How can coercive power be used positively?
enforcing rules consistently to correct dangerous behaviors (always give warnings)
How can coercive power be used negatively?
making threats, showing favoritism, or punishing without proper investigation.
How can coercive power be used in an organization?
use clear rules, consistent consequences, private reprimands, and corrective plans to maintain safe behaviors
Reward Power
based on the manager's ability to offer inducements or benefits in exchange for cooperation
Who has reward power?
nurse managers who can grant benefits like paid educational leave.
How can reward power be used positively?
granting paid education leave to reward overtime cooperation
How can reward power be used negatively?
using rewards in a manipulative way or promising what cannot be delivered
How can reward power be used in an organization?
use fair, desired rewards to motivate staffâoffer opportunities, recognize contributions, and keep promises
Expert Power
based on possession of unique knowledge, skills, or competence
Who has expert power?
experienced nurse managers with advanced education who guide newer nurses
How can expert power be used positively?
giving evidence-based advice that helps others solve problems
How can expert power be used negatively?
using expertise to shut others down or acting carelessly/inconsistently
How can expert power be used in an organization?
share knowledge, explain why actions matter, provide evidence, listen to concerns, and act decisively when needed
Legitimate Power
based on the authority given by position and rank in the organizational hierarchy
Who has legitimate power?
nurse managers who direct schedules or staffing based on budget needs
How can legitimate power be used positively?
making clear, polite requests that support the unit's mission
How can legitimate power be used negatively?
exceeding one's authority or imposing requirements unfairly
How can legitimate power be used in an organization?
make clear requests, explain your reasoning, follow proper channels, and verify compliance respectful
Referent Power
based on admiration, respect, or identification with the individual
Who has referent power?
well-liked, admired nurses whom new graduates seek out for advice
How can referent power be used positively?
acting supportive and keeping promises, building trust
How can referent power be used negatively?
using likeability to influence others inappropriately
How can referent power be used in an organization?
share knowledge, explain why actions matter, provide evidence, listen to concerns, and act decisively when needed
Information Power
based on access to valued data or insider information
Who has information power?
nurse managers who know about pending organizational changes
How cna information per be used positively?
sharing important information at staff meetings to improve communication
How can information power be used negatively?
withholding information to control others
How can information power be used in an organization?
build trust by supporting others, keeping promises, doing favors, and showing genuine positive regard
Connection Power
based on formal or informal links to influential or prestigious individuals
Who has connection power?
nurse managers connected to influential individuals (e.g., a board member)
How can connection power be used positively?
leveraging connections to help the team or advocate for resources
How can connection power be used negatively?
using connections to protect favored employees unfairly
How might connection power be used within an organization?
use relationships with influential individuals to advocate for your team, gain resources, or support organizational goals
What is "image as power" for nurses?
the perception by others that a nurse is powerful, which gives the nurse influence even without formal authority
Why is introducing yourself with name, eye contact, and a handshake powerful?
It instantly communicates confidence and positions the nurse as an equal professional.
How can attire contribute to an image of power?
Professional, intentional attire and good grooming symbolize success and authority.
How can data strengthen a nurse's power image?
Using facts and figures to support decisions and influence policy.
What is a powerful partnership?
Collaborating with people outside nursing using shared credit, constructive criticism, and fact-based conversation.
Why should nurses know who the power brokers are?
Building relationships with influential people increases support and leadership opportunities.
What is shared visioning in relation to power?
Creating a common future direction collaboratively to increase influence.
What strategies can nurses use to influence others?
Professional communication, positive attitude, networking, using data, and maintaining visibility.
Politics
the art of influencing the allocation of scarce resources including money, time, personnel, and materials
Why is politics considered a means to an end?
Because it is used to influence events and the decisions of others.
Why is politics an interpersonal endeavor?
Because it requires communication and persuasion skills to influence people.
Why is politics a collective endeavor?
Because effective political action requires support and participation from many people.
What role does analysis play in politics?
It involves examining the situation, issue, or problem and planning appropriate actions.
How does image relate to politics?
A strong professional image increases influence and strengthens political effectiveness.
What are the steps in political action?
1. determine what you want
2. learn about the players and what they want
3. gather supporters and form coalitions
4. be prepared to answer opponents
5. explain how what you want can help them
How to work worth public officials?
0 be respectful
- build relationships
- keep in touch
- arrive informed
- understand the issue
- be a constructive opponent
- be realistic
- be helpful
How do nurses achieve power within their community?
- support health and human welfare legislation
- submit stories of courage, achievement, and independence to the media
- communicate objections to demaening roles in media productions
- maintain high standards of professionalism competence
- deliver sensitive nursing care to clients
- serve as experts by providing testimony
- serve in advisory roles
How does a bill become a law in Illinois?
A bill is introduced in either the House or Senate, then sent to a committee for review and possible changes. If approved, it goes to the full chamber for debate and a vote. After passing one chamber, it goes to the other chamber and repeats the committee and voting process. If both chambers pass the same version, the bill is sent to the Governor, who can sign it, veto it, or issue an amendatory veto. The legislature may override a veto with a three-fifths majority. A bill becomes law when the Governor signs it, the veto is overridden, or the Governor does nothing for 60 days.
What actions can the Illinois Governor take on a bill, and how does that affect whether it becomes law?
The Governor can sign the bill (it becomes law), veto it (the General Assembly can override with a three-fifths vote), or issue an amendatory veto (requesting specific changes). If the Governor takes no action within 60 days, the bill automatically becomes law.