Positional Power In Health Care

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Understanding power as a component of policy making and the political process is central to understanding who is holding the cards, that is to say who or what is influencing outcomes and calling the shots. White (2016) outlines 9 sources of power and for relatability provides examples from the healthcare setting. Legitimate or positional power comes from an individual's position within an organization, this would be a manager, chief nursing officer or chief executive officer. Ideally, someone in these leadership roles would also possess expert power by virtue of their education, experience or specific skill set. These same individuals also frequently have reward power because of their ability to compensate employees for doing what they ask…show more content…
Governing bodies such a JCAHO use this type of pawer because they are able to deny accreditation or assess fines to health care organizations who do not meet their prescribed standards. Information power comes from an individual or entity having knowledge that is needed by another. In health care, both providers and nurses are in a position of power when their patients present to them wanting information such as diagnoses and test results that will help them understand and manage their current and future state of health. When an individual has relationships with (personal or professional) or access to others with any kind of power they have now armed themselves with connection power by making themselves a resource or point person A nurse with many community and professional relationships with others may have power over other candidates when it comes to being selected for a leadership position. Persuasion power in developed when an individual or group is able to convince others to support their cause or to embrace their views. This form of power requires not only education and access to data and facts, but also an innate ability to appeal to others in a way that is personalized to the…show more content…
An excellent example of this process would be the cumulative voices of all kinds of nurses in the state of Georgia (and in many other states around the nation) currently fighting in the political arena for Full Practice Authority. Though nurses can easily see the global benefit of increasing access to primary care (as well as other specialties where APRNs can and do practice) to more Georgians, empowerment can be used to garner widespread support for such policies by helping law makers to make personal connections with outcomes of expanded APRN practice initiatives as well as connections to the lives of their constituents. (Messias and Estrada,

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