ORGANIZATIONS, POWER, AND EMPOWERMENT

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CHAPTER 5

• ORGANIZATIONS, POWER, AND EMPOWERMENT

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UNDERSTANDING ORGANIZATIONS
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Types of Health-Care Organizations

• Private not-for-profit
• Publicly supported
• Private for-profit

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Organizational Cultures

• Artifact level
• Espoused beliefs
• Underlying assumptions

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Organizational Goals

• Survival
• Growth
• Profit
• Status
• Dominance

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Organizational Structures
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Traditional

• Hierarchical
• Ladder structure
• Employees are ranked from top to bottom
• Number of people on the bottom usually greater
  than the number on the top

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The Organizational Ladder
CEO
Administrators
Managers
Staff Nurses
Technicians (including LPNs)
Aides, Housekeeping, Maintenance
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Innovative

• Organic structure
• Emphasizes flexibility
• Less centralized
• Decisions are made by the individuals who will
  implement them
• Emphasizes autonomy

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Processes

• A way to get things done within an organization
• Two mechanisms
• Formal
• Informal

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POWER
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Definition

• Power is the ability to influence other people
  despite resistance
• Power may be actual or potential
• Power may be intended or unintended

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SOURCES OF POWER

• Authority
• Reward
• Expertise
• Coercion

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EMPOWERING NURSES
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Feeling Empowered

• Self-determination
• Meaning
• Competence
• Impact

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Contributions to Empowerment

• Manageable workload
• Reward and recognition
• Fairness

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Group Empowerment

• Professional organizations
• Collective bargaining
• Shared governance

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Enhancing Expertise

• Participate in team conferences
• CEU offerings
• Attend conferences
• Keep your reading up-to-date
• Participate in nursing research
• Observe nurse leaders

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Conclusion

• Becoming and remaining empowered requires active
  participation
• Seek organizations whose organizational culture
  is a fit with your professional goals