Admin 2 Power

8/3/2019 Admin 2 Power

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POWER, POLITICS

DELEGATIONS,

AND LABOR RELATIONS


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POWER

Described as the ability to create, get, and useresources to achieve ones goals. If the goals are

self-determined , there is an implication of evengreater power than if the goals are made by orwith others.

It can be seen at various levels: personal,professional, and organizational.

Power, regardless of level, comes from the abilityto influence others or affect others thinking orbehavior.


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SOURCES OF POWER

1. Expertise (Fisher& Koch, 1996)

- the greater the power nurses proficiency in

performing their role, the greater their expertpower. Derived from knowledge and skills.

2. Legitimacy (Fisher & Koch, 1996)

- derived from the position a nurse holds in agroup, and it indicates the nurses degree ofauthority. Based on such factors as licensure,academic degrees, certification, experience inthe role, and title/position in the institution.


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3. Reference (charism) (Fisher & Koch, 1996)

- derived from the admiration, trust, and respect

that people feel toward an individual, group or

organization. The referent person has the ability

to inspire confidence.

4. Reward and Coercion

- the ability to reward or punish others as well as

to create fear in others to influence them to

change their behavior.


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5. Connection

- both personal and professional relationships are

part of a nurses connections. People who are

strongly connected to others, have enhanced

resources, capacity for learning and information

sharing, and increase their overall sphere of

influence. Teamwork, collaboration, networking,and mentoring are some of the ways in which

nurses can become more connected and,

therefore, more powerful.


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6. Information

- based on the information that any person can

provide to the group. If one knows how to get it

and what tot do with it, the greatest power may

be information. Information leaders provide a

sense of stability with the use and synthesis of

information.


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USE OF POWER

Many nursing authors support nurses

involvement in developing and using power in

public policy and health care politics.

Nursing involvement in power and politics

includes using power to improve the position of

patients and nurses.

Nurses can use power in the legal system, their

professional nursing organizations, and the

media to work to improve care.


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Many nurse believe that it is helpful to become

active participants in some formal part of the

nursing profession such as the Philippine NursesAssociation, or any nursing specialty

organizations.

Ultimately, health care will be defined and

controlled by those wielding the most power. Ifnurses fail to exert political pressures on health

policy makers, they will lose ground to others

who are more politically active.


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Nurses strengthen their power by taking ownership of

their problems in serving patients. Leddy and Pepper

(1998) stated, When nurses blame others suchphysicians, administrators, or politicians for the state

of the health care delivery system, they weaken their

position and power base.

Historically, some stakeholders in health care have

never supported nursing as a profession oracknowledged professional roles for nurses. So nurses

must stand up, compete, negotiate and collaborate

with others who lobby health care.


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NURSE SENSITIVE

OUTCOMES:

To be most politically active, nurse must be ableto clearly articulate at least four dimensions ofnursing to any audience or stakeholders:

What nursing is?

What distinctive services nurses provide toclients?

How nursing benefits clients?

What nursing services cost in relation to otherhealth care organizations?


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A PLANFOR PERSONAL

POWER

3 ways to imagine the future:

a. What is possible

b. What is probable

c. What is preferred


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A nurse who wants to experience a

preferred future should think about

what is happening to the nurse as a

person and as a nurse, what

possibilities the nurse faces as a

person and as a nurse, and what thenurse is going to do about it.


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STEPSFORDEVELOPING

PERSONALPOWER

Assess personal needs, patient and community

needs and professional needs. Get involved

beyond direct patient care.

Maintain and develop your expertise. Attend

continuing education conferences, professional

organizations and community meetings.

Read current journals and books in your clinical

practice area. Consider to returning school for a

higher degree.


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Network with others and ask questions. Listen toall sides of the story. Analyze the answers to yourqueries and set priorities for action.

Make a plan with the information acquired. Knowthat there will be always be more information toanalyze.

Take action and evaluate the outcomes.

Report, publicize, and lobby the groups politicalcause. And work for health care regulations thatserve patient needs.


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DELEGATION


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PERSPECTIVESON

DELEGATION

Florence Nightingale is quoted as saying, But

the again to look to all these things yourself does

not mean to do them yourself.. But can you notinsure that it is done when not done by yourself?

Delegation is particularly needed because of the

advent of cost containment, the shortage of

nurses, increases in patient acuity levels, anelderly chronic population and advances in

health care technology.


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DELEGATION

Is defined as the transfer of responsibility for

the performance of an activity from one

individual to another while retainingaccountability for the outcome.

Example: the nurse, in delegating an activity to an

unlicensed individual transfers the responsibility

for the performance of the activity but retains

professional accountability for the overall care.


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2 TYPESOF PATIENT CARE ACTIVITIES

THATMAYBE DELEGATED:

Direct Patient Care Activities

- these data are reported to the RN, who uses the

information to make a clinical judgement about

patient care.

- Activities delegated to UAP do not include health

counselling or teaching, or require independent,

specialized nursing knowledge, skill orjudgement.


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Nursing judgement is defined as the

process by which nurses come to understand the

problems, issues or concerns of patients, to

attend to salient information and to respond to

patient problems in concerned and involved

ways.


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DIRECTPATIENTCAREACTIVITIES

INCLUDES:

Assisting the patient with feeding, drinking,

ambulating, grooming, toileting, dressing and

socializing.

Also involves collecting, reporting and

documenting data related to these activities.


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INDIRECTPATIENTCARE

ACTIVITIES

- are necessary to support patients and their

environment and only incidentally involve direct

patient contact. These activities assist in

providing a clean, efficient, and safe patient care

milieu. They typically encompass chore services,

companion care, housekeeping, transporting,clerical, stocking and maintenance task.


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FIVERIGHTSOFDELEGATION

1. Right task

2. Right circumstances

3. Right person

4. Right direction and communication

5. Right supervision


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OBSTACLESTODELEGATION

Fear of being disliked

Inability to give up any control of the situation

Inability to prioritize using Maslows Hierarchy of

Needs

Lack of confidence to delegate to staff who were

previously ones peers


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Inability to communicate effectively and develop

working relationships with other team members

Thinking of oneself as the only one who can

complete a task the way it is supposed to be

done

Lack of knowledge of the capabilities of staff,

including their competency, experience, and level

of education


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NURSINGTASKSTHATMAYNOT

BEDELEGATED:

Assessment

Planning of nursing care and evaluation of the

clients response to the care rendered

Implementation that requires judgement

Health teachings

Medications


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TASKSTHATAREMOSTCOMMONLY

DELEGATED:

Noninvasive and nonsterile treatments

Collecting, reporting and documentation of data

such as:

Vital signs, height, weight, intake and output,

capillary blood and urine test for sugar and

hematest results

Ambulation, positioning and turning

Transportation of the client within the facility


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Personal hygiene, and elimination including

cleansing enemas

Feeding, cutting up of food, or placing of meal

trays

Socialization activities

Activities of daily living

Reinforcement of health teaching planned or

provided by the RN


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NURSINGTASKSTHATMAYNOTBEROUTINELY

DELEGATED:

Sterile procedures

Invasive procedures, such as inserting tubes in a

body cavity or instilling or inserting substances

into an indwelling tube

Care of the broken skin other than minor

abrasions or cuts generally classified as requiring

only first aid treatment

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