Power and politics are essential components in healthcare delivery and effective leadership. There are various types and sources of power available to different groups like managers, nurses, and patients. Nursing can empower itself through decision making, autonomy, and developing expertise. Understanding politics involves learning to read relationships and using strategies like developing alliances to achieve preferred outcomes. Managing power and politics requires using influence, knowing your job, and tolerating differences.

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.