Chapter 5 Organizations Power and Empowerment Types of

Chapter 5 Organizations, Power, and Empowerment

Types of Health Care Organizations • Private not-for-profit • Publicly supported • Private for-profit

Understanding Organizational Culture • Artifact level • Espoused beliefs • Underlying assumptions

Organizational Goals • • • Survival Growth Profit Status Dominance

Organizational Structures • Traditional • Hierarchical • Employees are ranked from top to bottom • Number of people on the bottom usually greater than the number on the top • Authority resides at the top • Power is distributed

The Organizational Hierarchy CEO Administrators Managers Staff nurses Technicians (including LPNs) Aides, housekeeping, maintenance

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

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

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

Sources of Power • • Authority Reward Expertise Coercion

Who Has the Power? • • Managers Clients Assistants Nurses

Empowering Nurses • Feeling Empowered Includes • • Self-determination Meaning Competence Impact

Contributors to Empowerment • • Decision-making Manageable workload Reward and recognition Fairness

Group-Level Empowerment • Professional organizations • Collective bargaining • Shared governance

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

Conclusion • Becoming and remaining empowered requires active participation • Seek organizations whose organizational cultures are a fit with your professional goals