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Balance of power in nursing
The sharing of power in nursing
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Depending on whom you ask, profession could be defined in many different ways. The first approach to defining profession is from Catalano (2012), profession is, “A type of occupation that meets certain criteria that raise it to a level above that of an occupation” (p. 4). Catalano (2012) says that professions have a certain amount of power, have a code of ethics, and have a high intellectual level among many other things. The second approach to defining profession I found was from Morris Cogan. Cogan (1955) believes that there is no definition to profession. He says that you can go to multiple dictionaries and none of them will be identical. “To define profession is to invite controversy” (Cogan, 1955, p. 105). The third and final approach …show more content…
13). Power is extremely important in nursing. Nurses have the ability to change their patient’s mind about certain things. For instance, if a patient does not want to take a certain medication that could potentially save their life, the nurse has the power to change their mind. Catalano (2012) says, “Until nurses understand the sources of their power, how to increase it, and how to use it in providing client care, they will be relegated to a subservient position in the health-care system” (p. …show more content…
Nurses can increase their power in multiple ways. The first way is through professional unity. “The most powerful groups are those that are best organized and most united. The power that a professional organization has is directly related to the size of its membership” (Catalano, 2012, p. 16). This is the point saying that nurses need to belong to their national organization in order to increase power. Another way to gain power would be to get involved in political action. This is needed so that the nurses can be making the decisions going on in their practice. The third way to gain power is by getting a support network. “Part of the difficulty in establishing a nurse support network arises from the fact that nurses have not been in high level positions for very long” (Catalano, 2012, p. 17). In a couple of years, support networking will be easier for nurses to gain. The last way to gain power is by demonstrating the characteristics of accountability and professionalism (Catalano, 2012). Nursing has increased this by raising standards for high quality healthcare and giving peer reviews and evaluations. This gives nurses the power to govern nursing away from non-nursing
- Nurse should place the patients well being above their personal beliefs and values. They should focus on treating the patient and making sure the patient’s needs are being met. This also means that tough decisions have to be made in the process whether it goes against what the health care team wants or it goes against what Mrs. Dawson wants.
Although our main mission is to provide great care to our patients, Florence Nightingale has taught us (Burkhardt & Nathaniel 2008, 3rd Ed. P18-19) that if we do not have legislative power many of our ideas can be oppressed therefore prevent the profession from thriving. To be well organized as a profession is very important, since many of the rules and regulation that govern us often come from a legislative process. According to Burckhardt and Nathaniel, we nurses, are nearly 3 million, ( Abood, S. January 2007). In addition to our caring skills we need to enact our lobbying and legislative skills to participate in the process and help protect the legitimacy of the profession. While many lawmakers may have advisers with some medical knowledge. However, many of these lawmakers have no background in the medical field particularly in the nursing field. We must get involved, let them feel our presence, not only through voting, but al...
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
Before Nightingale, nurses were lower class citizens that were alcoholics or prostitutes with no to a little education. Florence Nightingale realized that nurses ought to have some education in caring for others and be of a higher class. In 1860, she opened the first nursing school in London that did not accept prostitutes and alcoholics. To signify Nightingale’s view of nursing, Lystra Gretter composed a Hippocratic Oath for nurses called the Nightingale pledge.
Legitimate use of power in the health care organization is a crucial process and one of the major concepts in leadership that connects with the policy analysis processes ( ). Given to the intense importance of power to the individuals, the nurses, organization or in the community, the appropriate utilization of power can assist in the maintenance of compliance with nursing managers, organization or state orders. According to ttttttttttt, the utilization of power sometime does not necessarily provide a basis for employment loyalty to the manager’s orders or the corporation. Rather, intelligent and effective leaders strive to enhance his legitimate authority with other forms of power (Anderson, & Brion, 2014). Legitimacy
Knowing the different types of power can be an asset for the nurse manager or leader. Tomey(2004) stated that “informal sources of power are related to one’s personal power rather than position power” (p.112). Nurses are encouraged to empower clients with the evidence-based knowledge to enable clients to formulate informed deisions. Formal power is the power one acquires in one’s position of authority. My manager has the authority to hire and terminate
On the path to an advanced nursing role, I have learned about the qualities that make exceptional advanced nursing role nurses. In my present Registered Nurse role I have found that I cherish values important to the success of my envisioned career. I have experienced what lack of effective leadership can entail for a nursing unit. During the progression of this class I have found that one of the best things I am doing as an RN is using persuasion as a form of starting change. In the class we learned that historically nurses have been in positions to advocate for change, however they have not been as influential as previously believed (Sullivan, 2004). At the core of effective leadership lies influence (Sullivan, 2004). According to Mintzer (2005), influencing people requires some degree of persuasion. In addition to my ability to persuade I have learned how to ...
First it is important to identify what a profession is. A profession is a paid occupation which has involved extensive or prolonged training to equip individuals within the area with skills, knowledge and competencies which provide them with the expertise they need to support their organisations.
My philosophy of nursing incorporates knowledge, compassion, competence, and respect for each patient. It is based on my personal and professional experiences, both of which have helped me to positively contribute to a patient’s recovery and wellness. These are the attributes that give me a sense of pride and strengthen my commitment to the nursing profession. This paper explores my values and beliefs relating to a patient’s care, as well as, the responsibilities of health professionals.
In every step of nursing practice, it is important that the practitioner remembers its position, and acknowledge the patient’s. In many instances, patients tend to see the provider of care as powerful and with unquestionable ideas or opinions. That would be the case of the many patients that do not understand that they have rights
It is of high importance in health care due to the fact that nurses often care for vulnerable patients who may not be able to advocate for themselves in time of needs. Nurses must show patient advocacy by assisting the patient to choose decisions that are beneficial to the patient as well as informing them of their rights (Cole, Wellard, & Mummery, 2014). Because an individual has a right to self-determination and the freedom to choose what is best for themselves, patient advocacy that involves informing the patient should always be done in a professional manner with respect, honesty and dignity (Hanks, 2008). And nurses must show empathy and support of the decision a patient makes. It is also important for nurses to respect and encourage a patient advocacy and continue to ensure the choices of their patients are honored and respected despite of their opinions or beliefs on about them.
Nursing is an extremely challenging healthcare profession. While some might think the role of a nurse is to simply administer medications, nurses must actually provide much comfort and support. The main role of a nurse is to be a patient advocate, which means the nurse must be a charge nurse, caregiver, educator, and a counselor for patients and their families. Nursing has many essential elements when practiced holistically. Advocacy includes the acts of educating, protecting, emotionally supporting, communicating as well as supporting patients in the decision-making process. The nurse’s role is to ensure that the patient is involved in all aspects of healthcare decision making and that all the patient’s needs are met, even when
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
There are a number of skills that public health nurses need to possess in order to provide ethical, client centered care. Nurses need to have the ability to identify ethical issues; use ethical decision making, understand the determinants of health; understand the basic concepts of justice, virtue and human rights; and build and maintain public trust (Thomas, 2004). These foundational skills align with the ANA code of ethics which define the ethical practice of nursing and guide nurses in their decision making. Furthermore, in our litigious society, case managers are concerned with the ethical-legal conflict in which they provide case management, obey the law, meet licensing requirement and regulations, please their employers and still act
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).