from power to empowerment: paradigm shift in leadership helen connors, phd, rn, faan, anef...
TRANSCRIPT
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From Power to Empowerment: paradigm shift in leadership
Helen Connors, PhD, RN, FAAN, ANEFUniversity of Kansas, School of Nursing
and Center for Health Informatics
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Objectives
• Discuss a historical review of nurses’ power• Describe the kinds of power nurses need for
optimum impact• Create a culture of empowerment
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Looking Back to Improve the Future
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Mother of Modern NursingIn attempting to arrive at the truth, I have applied everywhere for information, but in scarcely an instance have I been able to obtain hospital records fit for any purposes of comparison. If they could be obtained they would enable us to decide many other questions besides the ones alluded to. They would show the subscribers how their money was being spent, what amount of good was really being done with it, or whether the money was not doing mischief rather than good.”Florence Nightingale (1863).
Longman, Green, Longman, Roberts and Green: Notes on Hospitals, 1863, London, p. 176First Nurse Informatician
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Lillian Wald & Mary Breckenridge
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Power
• Having control, influence, or domination over something or someone.
• The ability to get things done, to mobilize resources, to get and use whatever is needed to meet one’s goals.
• Includes - caring practices by nurses which are used to empower patients (Benner, 2001).
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Putting Nurse’s Power in Context
• Social and Cultural – Women’s work– Domestic role– Done in private
• Educational– Taught in hospitals– By physicians– Multiple entry levels
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Multiple Levels of Power• Macro-level: systems,
organizational, societal – Professional associations– Nursing schools
• Meso-level: Power also operates in– City, county, state, and
institution decisions about resources and regulations
– Large bureaucratic organizations, corporations, ethnic or minority groups
• Micro-level: – Interpersonal or relational
levels
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Types of Power
• Legitimate – a position of power• Informational(Expert) –comes from ones
experiences, skills, knowledge• Coercive – conveyed through fear• Referent- comes from being trusted and
respected• Charisma – power legitimized by a leader’s
exceptional characteristics
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Domains of Power
• Content – ability to act according to one’s knowledge and judgement (autonomy)
• Context – control of practice/work
environment
• Competence of nursing practice- education and expertise
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Power and Empowerment
Power Empowerment
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Types of Empowerment
• Structural Empowerment – managerial practices
• Personal Empowerment – psychological state
Kanter RM. Men and Women of the Corporation. 2nd ed. New York, NY: BasicBooks; 1993
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Structural Empowerment
• Access to resources• Access to all information to get the job done
as well as about the organization• Support for job responsibilities and decision
making• Opportunity for professional growth and
development
Kanter RM. Men and Women of the Corporation. 2nd ed. New York, NY: BasicBooks; 1993
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Personal Empowerment
• Confidence in one’s own abilities• Access to power, authority and influence• Ability to make one’s own decisions• Employing your strength when dealing with
others• Having a sense of connectedness and kindness
Kanter, 1993
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The Empowered Nurse
• Nurses should practice to the full extent of their education and training (transforming practice).
• Nurses should be full partners, with physicians and other health professionals, in redesigning health care (transforming leadership)
• What does an empowered nurse look like?
(IOM, The Future of Nursing: Leading change, advancing health, 2010)
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The Empowered Student
• Nurses should achieve higher levels of education and training through improved education systems that promotes seamless academic progression (transforming education).
• How can we empower students?
(IOM, The Future of Nursing: Leading change, advancing health, 2010)
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The Empowered Patient
• The public is increasingly aware that they must assume a greater role in health care issues.
• Do you think patients want to be empowered?• What do patients/consumers need to be
empowered?
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Empowered Patient APP
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Facts from Pew Research Center
• 87% of U.S. adults use the internet. • 72% of internet users say they looked online for
health information.• Most commonly-researched topics are specific
diseases or conditions; treatments or procedures; and doctors or other health professionals.
• 60% of U.S. adults say they track their weight, diet, or exercise routine.
http://www.pewinternet.org/fact-sheets/health-fact-sheet/
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Autonomy
Competence
Mind-Mapping For use with Table Discussions
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ManagementLeadership
Just Culture
Mind-Mapping For use with Table Discussions
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Positive nursing image
Caring
Mind-Mapping For use with Table Discussions
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Professional development
Life-long learning
Mind-Mapping For use with Table Discussions
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Community outreach
Boards
Mind-Mapping For use with Table Discussions
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KEY ACTIONSFirst 3 Years
Mind-Mapping For use with Table Discussion
CommunityOutreach
Prof Dev
Mange/Lead
Positive image
Autonomy
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Mind-Mapping For use with Table Discussion
CommunityOutreach
Prof Dev
Mange/Lead
Positive image
Autonomy
SUCCESS FACTORS3 –Year Priorities
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Group Work