A Theory of the Process of Creating Power in Relationships

Brown, Carolyn L.

doi:10.1097/00006216-200201000-00004

Cited by 19 publications

(19 citation statements)

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“…On the contrary, when they have such support, they feel power and authority [9,40,41] and have more confidence to act on their own diagnoses. It is here that Arai (1997) considers the existence of support and self-confidence as a must for the implementation of knowledge and skills [42].…”

Section: Discussionmentioning

confidence: 99%

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A qualitative study of Iranian nurses' understanding and experiences of professional power

2004

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BackgroundNurses are expected to empower their clients, but they cannot do so if they themselves feel powerless. They must become empowered before they can empower others. Some researchers have emphasized that understanding the concept of power is an important prerequisite of any empowerment program. While many authors have tried to define the concept of power, there is no comprehensive definition. This paper is an attempt to clarify the concept of power in nursing. It also would present a model describing the factors affecting nurse empowerment.MethodsWe chose the grounded-theory approach for analysis of the participants' experiences and their viewpoints regarding the concept of professional power in nursing. Semi-structured interviews and participant observation methods were used to gather the data. Forty-four participants were interviewed and 12 sessions of observation were carried out. The constant comparative analysis method was used.ResultsSix main themes emerged from the data: "Application of knowledge and skills", "Having authority", "Being self-confident", "Unification and solidarity", "Being supported" and "Organizational culture and structure". According to the participants, nurses' power is influenced by these six variables. A theoretical model was designed to represent the interrelationships between these six variables.ConclusionsNurses' power depends on gaining and applying professional knowledge and skills. Delegating authority and enhancing self-confidence of the nurses also help them to apply their knowledge in practice. Unification of the nurses and their mutual support play the key roles in development of their collective power and provide a base for better working conditions, professional independence and self-regulation.

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Section: Discussionmentioning

confidence: 99%

“…Some authors believe that success in empowerment programs depends on understanding the concept of power. They emphasized that to empower nurses, the first step in the process is to determine their definition of power [9,10]. …”

Section: Introductionmentioning

confidence: 99%

A qualitative study of Iranian nurses' understanding and experiences of professional power

2004

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“…Additional external factors that are important for job satisfaction have proven to be as follows: how much responsibility the work demands, what support is available from colleagues and supervisors, and the nature of the work and organization (Karasek and Theorell, 1990;Spector, 1997;Kauffman and Kauffman, 1998;Brown, 2002). McGrath et al (2003) claim that the nursing profession is characterized by a heavy workload and that it is associated with great responsibility.…”

Section: Job Satisfactionmentioning

confidence: 99%

Working with Manchester triage – Job satisfaction in nursing

Forsgren

Forsman

Carlström

2009

International Emergency Nursing

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The rational modelling structure by which the triage method is constructed is unable to distinguish all the parameters that an experienced nurse takes into account. When the model is allowed to take precedence over experience, it can be of hindrance and contribute to certain estimates not corresponding with the patient's needs. The participants requested regular exercises solving and discussing patient scenarios. They also wanted to participate on a regular basis in the development of the instrument.

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“…The present study showed that, not only is it important for the nurse to establish a relationship with the child and his family, but it is also crucial for a nurse to establish a relationship with the medical team, especially with doctors. In this respect, Brown () argued that inappropriate emotional relationships among nurses lead to feelings of lack of control over the work environment. Consequently, nurses experience a sense of powerlessness, hopelessness, and worthlessness.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, nurses experience a sense of powerlessness, hopelessness, and worthlessness. Morse (cited in Brown, ) also believed that care is a human attribute and an interpersonal process. Moreover, the establishment of an effective relationship is necessary in professional nursing performance (Sargent, ).…”

Section: Discussionmentioning

confidence: 99%