Power
Chapter 17
Terry W. Miller, PhD, RN


Power has been described in multiple ways. This chapter focuses upon the definition and sources of power. Emphasis is placed upon power recognition at the personal, professional, and organizational level. The association of connection power and its effects upon relationships is reviewed.

The author defines power as the ability to create, get, and use resources to achieve one’s goals. Power allows for the ability to influence other’s thinking and behavior. It is important to understand personal power because it is linked to how individuals perceive power, how others perceive the individual and the extent of an individual’s impact upon others or events. Those who have a strong sense of self-awareness often feel empowered at a personal level.

Those who are perceived as experts in health care have an increase amount of authority and influence. Two suggested ways to become an expert are:
1. to be introduced and promoted, which validates expertise
2. to become an expert based upon knowledge and skills gained that are demonstrated through practice
There is a synergistic affect with power as one grows because the more nurses believe that they can influence through their efforts and make a difference, the greater their sense of developing power. It is hoped that nurses use power to motivate, accomplish goals, and provide safe and effective care.

Sources of power vary depending upon the situation. There are conscious and unconscious factors that allow individuals to influence others. It is believed that nurses exert influence from one or a combination of the following power sources detailed in this chapter: expert, legitimate, referent, reward, connection, and information power.

The idea of empowerment is a common practice in nursing because it allows for the facilitation and participation of individuals in decision making where action can be taken with an equitable distribution of power. A detailed framework for becoming empowered is included.