Firmly entrenched within the current healthcare system, nurses see first-hand various issues related to quality in addition to performance gaps. Nursing executives retain the power and agency to influence both public and organizational policies if they utilize their sources of power in an effective manner. Legitimate power within context of nursing is the power nurses incur through their status as effective and sound caregivers in addition to the critical role that nurses play within the current healthcare system. Illegitimate power within the healthcare industry refers to any coercive or divisive power that endeavors to manipulate and force via the utilization of punishment a change in the healthcare system. This deployment of power is destructive and will not cultivate dedicated healthcare professionals in the field of obstetrics. Nurses retain a power base in which they can make a certain vision of healthcare become reality through legitimate clinical power, informational clinical power, charismatic clinical power, and their extended clinical power. Because of the various dimensions of power they possess, nurses also retain coercive power in which they are in a position to punish others by virtue of the power they possess. Within the field of obstetrics, illegitimate power is most poignantly felt at the micro level because not all clinicians treat their patients in a positive manner. Due to the lack of education many girls receive on reproductive health, many girls engage in unsafe behaviors. It is the duty of a nurse working for Planned Parenthood to effectively educate their patients rather than conveying threats about unsafe practices. Illegitimate power in nursing is evident at the micro, meso, and macro levels because of the integral role nurses have in various nursing specialties.
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References
Roussel, L. (2011). Management and leadership for nurse administrators. United States: Jones & Bartlett Publishers.
Waldau, S. (2010). Creating organizational capacity for priority setting in healthcare using a bottom-up approach to implement a top-down policy decision. University Medical Dissertations. Retrieved October 5, 2015 from http://umu.diva-portal.org/smash/get/diva2:353707/FULLTEXT01.pdf
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