Power, Influence and Effective Clinical Leadership
Transcript of Power, Influence and Effective Clinical Leadership
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Power, Influence and Effective Clinical Leadership
Michael UrtonDNP, APRN, AGCNS-BCDirector, CNS Program, ECUCNS-Ambulatory, Duke University Hospital
Kristi Reguin-HartmanMSN, APRN, ACNS-BCAdoptions & Outcomes Manager, Philips Global Enterprise Clinical Instructor, ECU
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Objectives
Define significance of influence and its
relationship to power and leadership.
Discuss opportunities for clinical leaders to
exert influence within organizations.
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Pow e r• POTENTIAL for influence to
bring about desired outcomes• Power—Influence Feedback loop• 5-7 types of power base
(Yukl, 2006)
Power
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Personal
Referent
Expert
Network
Positional
Legitimate Reward
CoerciveInformation
Power Bases
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Ambition
Energy
Focus
Self-Knowledge
Confidence
Empathy
Tolerates Conflict
Pfeffer, 2010
Essential Qualities:Power & Influence
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Esse ntia l Qua litie s Activity
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Activity Debrief
KRH MSU
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Ability and actions used to cause change in an intended way in an individual or group
• Behaviors• Emotional state,• Perceptions, beliefs, attitudes
U.S. Army, 2011
What Is Influence?
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Power Bases
Influence TacticsCompliance
Commitment
Resistance
Influence Outcomes
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Feser, 2016
Proactive Influence Tactics
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Knight, 2018
BrandConnections
Competencies(Clinical, Communication, Operations)
Building Your Power & Influence
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Good leaders know which “buttons” to push in each situation and each individual person or group
Research has suggested Reward, coercive:associated with
compliance
Referent, expert: associated with job
satisfaction
Excessive formal power:curbs motivation,
creativity
US Army, 2011, Feser, 2016
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Negotiation Skills• Emotional Intelligence• Crisis Response• Communication
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Active Listening Mirroring Silences
The DJ Voice
Tactical Empathy
Calibrated Questions
Voss, 2016
Negotiation Tactics
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• People say yes to those they like
• Rely on reciprocity• Consider precedent• Have a strategy
Cialdini, 2018
Ge tting to “ Ye s”
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Strategy without tactics is the slowest route to victory. Tactics without strategy is the noise before defeat.
Sun Tzu
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• Cialdini, R. (2018). Harnessing the science of persuasion. In Influence and Persuasion (HBR Emotional Intelligence Series). Harvard Business Review.
• Feser, C (2016). When Execution Isn’t Enough.: Decoding inspirational leadership. Wiley• Knight, R. (2018). How to increase your influence at work. Harvard Business Review.
https://hbr.org/2018/02/how-to-increase-your-influence-at-work• Pfeffer, J. Power: Why Some People Have It and Others Don’t . Harper Collins.• Sherman (2018). Leadership influence and power. Nurse Leader, 16(1), 6-7• US Army (2011). Knowledge, Skills, and Abilities for Military Leader Influence.
https://apps.dtic.mil/sti/pdfs/ADA540059.pdf• Voss, C. (2016). Never Split the Difference: Negotiating as if your life depending on it. Penguin
Random House. UK.• Yukl, G & Michel, JW (2006). Proactive influence tactics and leader member exchange. In Power
and influence in organizations: New empirical and theoretical perspectives (pp 87-103). Information Age Publishing.
References