Health care and services system

1. Power& Politics In Health
Service
By / MahmoudShaqria
‫شقريه‬ ‫محمد‬ ‫محمود‬

2. Out lines
1. Introduction
2. Definition of power
3. Types of power
4. Sources of Power
5. Forces that increase nursing’s power base
6. Empowerment
7-How to empower nurses
8. Definition of politics
9-Strategies for politics
10. Management tips guidelines for dealing with power&
politics
11. The Importance of Power and politics

3. Introduction:-
• Power and politics are essential in health care
delivery system .
• As they are the motivational factors to worker
activity as well as, they increase organization
productivity and prevent many problems such as
absenteeism and turnover.
• So, power and politics are essential component in
effective supervision and leadership.

4. Definition of power:-
• It is the ability to influence other people despite
their resistance.
OR
• Using power, one person or group can impose
‫فرض‬ its will on another person or group

5. Types of power:-
• There are numerous types of power, many of them are
readily available ‫بسهوله‬ ‫متاح‬ to nurses, but some of them are
not:
1. Legitimate ‫:الشرعيه‬ The power based on ones position in the
formal hierarchy.
2. Reward: The promise of money, goods, services.
3. Recognition ‫:تمييز‬ or other benefits.
4. Expertise: The special knowledge an individual is believed
to possess.
5. Referent ‫:المرجع‬ The power based on identification with a
person who has resources.

6. 6. Coercion ‫:االكراه‬ The power based on fear.
7.Charismatic power:-
It is distinguished by some from referent power.
Referent power is gained only through association with powerful
others, whereas charisma is a more personal type of power
8. Informational power:-
This source of power is obtained when people have information
that others must Have to accomplish their goals.

7. sources of power:-
• Resources:-
The money, materials, and human help needed to
accomplish the work
• Support:-
Authority to take action without having to obtain
permission
• Information:-
Patient care expertise and knowledge about the
organization’s goals and activities of other
departments.

9. • There is power at the bottom of the organizational
ladder as well as at the top.
• Patients also have sources of power.
• Various groups of people in a healthcare organization
have different types of power available to them

10. ■ Managers:-
Are able to reward people with salary increases. They can also
cause economic or psychological pain for the people who work
for them.
■ Patients:-
Patients can reward health-care workers by praising them to their
supervisors
■ Nurses:-
Have expert power and authority over licensed practical nurses,
aides, and other personnel by virtue of their position in the
hierarchy. Through certification programs, awards, and the med

11. • Six driving forces that increase nursing’s power
base:-
• The timing is right.
• The size of the nursing profession.
• Nursing’s referent power.
• Increasing knowledge base and education for nurses.
• Nursing’s unique perspective ‫فريد‬ ‫.منظور‬
• Desire of consumers and providers for change.

12. • Empowerment
• It is a psychological state, a feeling of competence,
control, and entitlement.
• Empowerment:-
• It is the process by which we facilitate the participation
of others in decision making and taking action within
an environment where there is equitable distribution of
power.
• Power refers to ability, and Empowerment refers to
feelings. Both are of importance to nursing leaders and
managers.

13. The following contribute to nurse empowerment
1. Decision-making:-
Control of nursing practice within an organization
2. Autonomy:-
Ability to act on the basis of one’s knowledge and experience
3. Manageable workload:-
Reasonable work assignments.
4. Reward and recognition:-
Appreciation received for a job well done.
5. Fairness ‫-:عدل‬
Consistent ‫,ثابتة‬ equitable treatment of all staff.
6-salary:-
Adequate and satisfying salary and wages

14. 7-availability of security and insurance services
8-Adequate resources
9-staff development.
10-Effective communication
11-Effective leadership and supervision
12-support staff
13-Involvement in change process.
14-clear lines of authority and responsibility
15-use delegation appropriately.

15. • Professional organizations can empower nurses in a number of
ways:-
Collegiality: ‫الجماعية‬
The opportunity to work with peers on issues of importance to the
profession.
Commitment ‫:االلتزام‬
To improving the health and wellbeing of the people served by the
profession
Representation:
Staff nurses can represent nursing in many committee and meetings
or present the hospitals in many conferences.
Enhancement of nurses:
At the state or province and nation Competence through publications and
continuing educational level when issues of importance to nursing arise

16. Disempowerment Vs. empowerment:-
• Inability to control one’s own practice leads to frustration
and sometimes failure. Work overload and lack of
meaning, recognition, or Emotional exhaustion and
burnout.
• Nurses, like most people, want to have some power and to
feel empowered.
• They want to be heard, to be recognized, to be valued,
and To be respected.
• They do not want to feel unimportant or insignificant to
society or to the organization in which they work.

17. Define politics ‫-:السياسة‬
• The effective use of power or the art of using power
• The most important strategy is to learn to “read the
environment” (e.g. understand relationships within the
organization) through observation, listening, reading,
detachment‫انفصال‬ , and analysis
Politics:
• Activities to acquire, develop, and use power and other
resources to obtain a preferred outcome

18. Strategies for politics:-
• Become an expert handler of information and
communication.
• Be a proactive decision maker ‫استباقي‬ ‫قرار‬ ‫صانع‬.
• Expand personal resources.
• Develop political alliances and coalitions ‫.التحالفات‬
• Be sensitive to timing.
• Promote subordinate identification.
• View personal and unit goals in terms of the
organization
• Leave your ego at home in a jar ‫فى‬‫جره‬

19. • Management tips guidelines for dealing with
power, politics:-
• Do not shamed to use alliances ‫,التحالفات‬ obligation ‫,التزام‬
they can help you to protect yourself or do better job.
• Use your influence, let workers know of influence you
have inside or outside organization.
• Know your job.
• Use your power.
• Tolerate individual difference.
• Put stressful activities in perspective.
• Stay physically active.
• Have at least one person you can confide in

20. • The Importance of Power and Politics:
– Attention to the distribution of power
– Attention to the circumstances under which power is
used.
– Knowledge of tactics and strategies associated with
the effective use of power.
– To direct and control of behavior organizational
members to achieve organizational goals.