power and policy in nursing management.ppt

1. Dr. Adams/UNCWilmington
Power&Politics 1
Power and Politics
Virginia W. Adams, Ph.D.,
R.N. Dean UNCW School of
Nursing Adamsv@uncw.edu

2. Dr. Adams/UNCWilmington
Power&Politics 2
Objectives
Define politics, power and policy
Discuss the different sources of power
List reasons why nurses should know
political strategies
Describe ways to use power for
professional purposes

3. Dr. Adams/UNCWilmington
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Objective 1
Define politics, power and policy

4. Dr. Adams/UNCWilmington
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What is politics$
Influencing allocation of scarce resources,
events, decisions
Relationships within an organization
including norms, values & culture

5. Dr. Adams/UNCWilmington
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What is power?
The capacity to act and make choices and
decisions
The capacity to create order and sustain
influence

6. Dr. Adams/UNCWilmington
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Nurses have power and are powerful
In the top two professions that the public
trust most
Nurses have a measurable service
- Claire Jordan
Texas Nurses Association

7. Dr. Adams/UNCWilmington
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Economy makes up who is powerful in the
state.
Women don’t like the rules of politics,
have not historically been involved
Politics is like football

8. Dr. Adams/UNCWilmington
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What is policy?
The principles that govern action directed
toward given ends

9. Dr. Adams/UNCWilmington
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Policy Process
The course of bringing problems to
government and obtaining a reply.
The process includes agenda setting,
design, government response,
implementation, and evaluation.

10. Dr. Adams/UNCWilmington
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Public Policy
Actual directives that document
government decisions;
Also, the process of taking problems to
government agents and obtaining a
decision or reply in the form of a program,
law, or regulation.

11. Dr. Adams/UNCWilmington
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Nurses’ Role in Policy
Development
Define a health problem for a government
agency
Brief an elected official about the health
problem
Vote in all elections

12. Dr. Adams/UNCWilmington
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Relevant websites
House of Representatives
www.house.gov
Senate
www.senate.gov
North Carolina General Assembly
http://www.ncga.state.nc.us/

13. Dr. Adams/UNCWilmington
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US Senators
John Edwards
Elizabeth Dole

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Nurses’ Role in Policy
Development
Vote in all elections
Work in a campaign
Talk to the media
Serve as “Nurse of the Day”
Work on Advisory and Policy-making
Bodies

15. Dr. Adams/UNCWilmington
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Relevant websites
American Nurses Association
www.nursingworld.org
North Carolina Nurses Association
www.ncnurse.org
North Carolina Center for Nursing
www.nursenc.org
North Carolina Board of Nursing
www.ncbon.com

16. Dr. Adams/UNCWilmington
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Objective 2
Discuss the different sources of power
Legitimate Power
Informal Power

17. Dr. Adams/UNCWilmington
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Types of Power
Coercive power
Informational power
Legitimate power
Referent power
Reward power
Charismatic power
Expert power

18. Dr. Adams/UNCWilmington
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19. Dr. Adams/UNCWilmington
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There is no political gain in
silence and submission

20. Dr. Adams/UNCWilmington
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Objective 3
List reasons why nurses should know political
strategies
 Influence the healthcare decisions/resources
 Change the image of nursing
 Replace distorted stereotypes, ie physician handmaiden, cheap labor, self-
sacrificing angel of mercy, lewd sex object, vituperative harridan (abusive worn-
out horse).(Buresh and Gordon)
 Control the profession
 Bills to address the nursing shortage
 Mandatory Overtime

21. Dr. Adams/UNCWilmington
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Objective 4
Describe ways to use power for
professional purposes
Speak up, out, often
Movie-Men of Honor (court room scene)
Expert power, connection power, reward,
coercion

22. Dr. Adams/UNCWilmington
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Informed and Committed
Nurses
Political Assessment
Skills and Attitudes
Policy Changes

23. Dr. Adams/UNCWilmington
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Health Issues for the 2004
Election
Health Coverage for the Uninsured
 Managed Care and Patients’ Rights
Medicare Reform
Prescription Drug Coverage for Seniors
Long Term Care
Nursing Shortage

24. Dr. Adams/UNCWilmington
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Current health care issues
Patient Safety
Nursing shortage
Cultural Diversity

25. Dr. Adams/UNCWilmington
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Summary
Power is not a negative term.
Power and politics are interdependent.
There is no political gain in silence and
submission.
Types of power are not mutually
exclusive.

26. Dr. Adams/UNCWilmington
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Leadership
Nurses are usually lacking in risk-taking
Choose a mentor
Go for the win-win
Have a poker face
Guard your reputation
Keep the spotlight
Gain skills in negotiating conflict

27. Dr. Adams/UNCWilmington
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Questions for Discussion
1.Think about a powerful public figure
whom you admire. What contributed to
your perception of this person being
powerful?
2. Think about a powerful nurse you have
met. Identify key factors that made the
nurse powerful.

28. Dr. Adams/UNCWilmington
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Questions for Discussion
3. Review the cartoon about the American
Red Cross. Relate the cartoon to power and
image of nursing. What letter would you
write to the editor about the cartoon?
4. Describe two actions nurses can take in
the workplace to ensure their voices on
patient safety and work environment are
heard.

29. Dr. Adams/UNCWilmington
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References
Buresh, B. & Gordon, S. (2001). From Silence to Voice:
What Nurses Know and Must Communicate to the
Public. Ottowa: Canadian Nurses Association.
Carville, J. & Belaga, P. (2002). Buck up, Suck up and
Come Back When You Foul Up.
Gebbie, K. M., Wakefield, M., & Kerfoot, K. (2000).
Nursing and health policy. Journal of Nursing
Scholarship, 32 (3), 307-315.

30. Dr. Adams/UNCWilmington
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Power connects to politics
and policy!!