Management of Power Paper

Management of Power Paper

Management of Power Paper

The ultimate power in any organization is the ability of a leader to influence others. Managing an institution does entail not only monetary aspects but also the management of human resources. The main pillar that drives performance in an institution is the people tasked with the daily operations in an organization (Purwanto et al., (2020). While some managers use reward, expert, coercive, referent powers, others use legitimate power. However, the source of power used by leaders always depends on various factors that prompt such leaders to apply such powers. The purpose of this paper is to explore the impact of transformational power as leadership style and organization structures that support an effective power in management.

Leadership Styles

Effective leadership style applied in the health care industry is essential in strengthening and integrating the level of health care delivery. In the recent past, the high quality of services offered in the health care institution often depended on the input of the nurses. Effective leadership that cares about the well-being of nurses would provide nurses with the urge to raise the standards in health care delivery (Purwanto et al., (2020). Leadership has been defined as the connection between individuals leading and those being led. Despite the significance of numerous leadership styles in the health care setting, the transformational leadership style has been effective in the modern universe because of the integration that the sector requires to attain the highest level of service delivery.

Transformational leadership is the main ingredient that aids in establishing effective nursing surrounding that would be an aid in the attainment of objectives. This kind of leadership focuses on working with a team in creating change. Besides, it entails guiding a vision through inspiration and executing transformation tandem with the committed group of people (Li et al., 2019). Transformation leadership style would first dwell on developing a team that would be working within a given favorable environment to realize a particular change in the health care institution. The kind of work in a health care institution requires teamwork. This entails building a team among all the health care workers who will have a major role in offering exceptional services. This would not come from the leader watching from a distance and issuing roles, but it would be coming from acting as an example that nurses and all health care workers would be following. The power that a transformational leader is that of influencing people towards success.

Authentic leadership is also forming part of the success required in healthcare. This style is where the leaders are genuine, self-aware, and truthful on everything taking place. Such leaders are able to inspire loyalty and trust of the employees by displaying their feeling on the employee performance (Boamah, 2018). On the other hand, ethical leaders align employees with behaving according to the set principles and values that everyone knows as the common good. These leaders teach high integrity, fairness, trust, and honesty levels. However, the transformational leadership style allows a leader to gain the highest power to influence employees towards performance in the considered leadership styles.

Organizational Structures

Shared governance is significant in nursing practice as it gives the nurses power to make decisions, procedures, and processes that positively impact patient outcomes. Transformational leadership is all about devolving the governance structure to allow each employee to have a role in designing the success of healthcare services. Nurses spend more time with patients. They tend to have a comprehensive understanding of the needs of the patients. The shared governance structure gives employees the power to decide on treatment and care interventions that would positively impact patients (Boamah, 2018). This structure is different from a centralized form of government where all decisions and actions are from the management. The employees lack the ability to give their opinions on the issues they feel should be addressed and how they need to be addressed at the institution.

Evidence

The study authored by Li et al. (2019) contends that transformational leadership positively impacts the behavior of employees. The power of a leader to design the behavior of employees is achievable through this leadership. The results of transformational leadership have been evident in many companies in the recent past, implying that it has a positive role in designing an organization’s success. Besides, the leadership style allows the manager to develop the power of designing sustainability.

Boamah (2018) also gives an illustrative example of transformational leadership’s effect in achieving patient care quality. Nurses are the pillars of success in healthcare. Thus, empowering them and allowing them to be part of the management system heightens their ability to meet the needs of patients. This study supports the importance of transformational leadership in meeting the desired patient quality.

The article authored by Purwanto et al. (2020) compares transformation leadership and transactional leadership in public health and finds out that transformational leadership has a greater impact on meeting healthcare needs. The center of performance in healthcare relies on healthcare management’s relationship with the healthcare workers. This article augments the idea of the authors in asserting that the transformational leadership style has a positive impact on healthcare leadership.

Conclusion

Leadership styles have a great impact on the success of the healthcare system. Transformational leadership allows leaders to gain the power of influencing leaders towards meeting the target objectives in health. However, effective leadership must align with a shared governance structure that supports the power given to the employees.

References

Boamah, S. (2018). Linking nurses’ clinical leadership to patient care quality: The role of transformational leadership and workplace empowerment. Canadian Journal of Nursing Research, 50(1), 9-19. https://doi.org/10.1177%2F0844562117732490

Li, H., Sajjad, N., Wang, Q., Muhammad Ali, A., Khaqan, Z., & Amina, S. (2019). Influence of transformational leadership on employees’ innovative work behavior in sustainable organizations: Test of mediation and moderation processes. Sustainability, 11(6), 1594. https://doi.org/10.3390/su11061594

Purwanto, A., Bernarto, I., Asbari, M., Wijayanti, L. M., & Hyun, C. C. (2020). Effect of transformational and transactional leadership style on public health centre performance. Journal of Research in Business, Economics, and Education, 2(1). http://e-journal.stie-kusumanegara.ac.id/

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NR531 Case Study Background Information
St. Louis Medical Center (SLMC)

St. Louis Medical Center (SLMC) has proudly served Summerville, Ironridge and the surrounding communities of Chamberlain County, South Carolina, for over 50 years. The organization has remained a key component in maintaining the health of the community at large. SLMC has over 500 physicians, approximately 450 nurses, and is one of the largest employers of the Chamberlain County area. SLMC takes pride in its ability to remain a leader in the healthcare industry statewide. The hospital has a continuous commitment to delivering the highest quality care by addressing crucial issues, such as patient safety, technology, and expanding services to meet community needs. SLMC has placed special emphasis on optimizing the quality of life of all those served by expanding beyond the traditional focus on medical needs to the needs of the whole person.
SLMC has seen a sharp increase in the number of hospital admissions of elderly patients with heart failure and cardiovascular disease. Specifically, in the last 3 years, SLMC has had a 10% increase each year in the number of heart failure hospital admissions, of which, most were readmissions in the same year. Even though there is an increasing trend in the number of patients 65 years and older with heart failure on a national level, Summerville, in particular, has had to treat explosive numbers of this vulnerable population.

Market Analysis
Summerville, SC History
Summerville is a city in South Carolina in the United States. It is bounded by Ironridge, SC, on the West, the Atlantic Ocean on the South and East, and Chamberlain 2 Island on the North. According to city records, the city has a total land area of 2.99 square miles. The city government consists of a Mayor, three township supervisors, and a solicitor. Summerville has its own police department.
By 1790, Summerville had become a thriving village with business houses dispersed among the huts and log cabins. In 1817, a stage coach stop was added to this growing town. Harvey Summer, a successful logger, purchased a large parcel of ground and began to sell off lots. This brought more people to the town that was subsequently named after him. Summerville added a steel mill, and Mr. Summer’s logging company was relocated there. By 1940, Mr. Summer’s descendants opened an auction house after closing the logging company. This was a huge commercial attraction for the area and Summerville continued to grow. Other businesses moved to Summerville. This commercial core was the beginning of the Summerville we know today.
Summerville has been thriving in this challenging economic time and has increased its population by 10% since 2016. This is an upscale community with modern, well-maintained homes. The SLMC is located within the Summerville city limits. There is also a city hall with a WIC office, movie theatre, shopping center, restaurants, grocery store, and several homes that line the Summerville streets. This is a suburban area with modern looking buildings and clean streets. There is a taxi service as well as a bus that transports people around Summerville and into Ironridge.
Summerville, SC Statistics
Population in August, 2018: 16,599 SC: 4,625,364 (2018, 24th largest state)
Females: 8,598 (51.8%) SC Females: 51.3%
Males: 8,001 (48.2%) SC Males: 48.7%

White: 60% SC White: 66.2% (2018, ranked 26th)
Black: 23% SC Black: 27.9% (2018, ranked 14th)
Hispanic: 9.5% SC Hispanic: 5.1% (2018, ranked 30th)
Asian: 7.5%

Age
Median age: 64.3 years SC median age: 37.9 years
Under 18: 18.7% Under 18: 23.7% (2018)
Between 18–64: 62.8% Between 18–64: 62.6% (2018)
65 and older: 18.5% 65 and older: 13.7% (2018)

Education
Residents 25–64 years old with high school diploma: 88.6%
SC residents 25–64 years old with high school diploma: 86.4% (2018)
Residents 25 years and older with associate degree or higher: 34.5%
Associate degrees: 10.3%
Baccalaureate degrees: 18.7%
Master’s degrees: 4%
Post Master’s: 1.5%

SC Residents 25 years and older with associate degree or higher: 30.7%

Income per capita: $74,900 SC income per capita: $33,884 (2018—ranked 45th in U.S.)
Median household income: $68,594
SC median household income: $42,580

Health Statistics
Births
Live births: 124 Teen moms: 14 out of the 124
White: 69 White: 4
Black: 41 Black: 4
Hispanic: 11 Hispanic: 5
Asian: 3 Asian: 1

Abortions: 12
White: 4
Black: 2
Hispanic: 5
Asian: 1
Infant mortality: 7
White: 2
Black: 2
Hispanic: 3
Deaths: 79
Death rate: 4.8 per 1,000
Causes of Death
White Black Hispanic Asian
Heart disease 12 6 2 1
Malignant neoplasms 10 4 3 1
Accidents 3 3 2 2
Cerebrovascular accident 3 2 1 0
Chronic lower respiratory disease 2 1 1 0
Alzheimer’s disease 2 2 1 0
Diabetes 2 1 1 0
Pneumonia 2 2 2 0
Influenza 1 1 1 0
Kidney disease 0 1 1 0

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Ironridge, SC History
Ironridge is a city in South Carolina in the United States. It is bounded by Summerville, SC, on the East, the Atlantic Ocean on the South and West, and Chamberlain 1 Island on the North. According to city records, the city has a total land area of 2.95 square miles. The city government consists of a Mayor and City Council. The City Council has five members, including its president, secretary, solicitor, and treasurer. Ironridge has its own police department.
Ironridge was founded in 1887 as a company town by J.J. Newberry Company as the site for its foundry. The foundry employed as many as 6,000 workers in its prime. In 1900, 20,966 people lived in Ironridge. In 1992, the J.J. Newberry Company went out of business and the foundry was closed.
Ironridge has been hit hard by the economic decline of our time and is in a critical stage of urban decay or urban blight. It has lost more than 20% of its population from 2018 and continues to deal with a large number of homeless people, increased illegal drug use, and high crime rate. Ironridge has grungy and dilapidated buildings and homeless people clearly evident on the streets. The mental health clinic and in-patient facility located in Ironridge typically treats 40–60 patients every day. Ironridge is also home to an OB/GYN out-patient clinic. The industrial area near the bridge leading to Summerville has a disaster occurring. There is a taxi service as well as a bus that transports people around Ironridge and also into Summerville.
Ironridge, SC Statistics
Population in August, 2018: 12,682 SC: 4,625,364 (2018, 24th largest state)
Females: 6,899 (54.4%) SC Females: 51.3%
Males: 5,783 (45.6%) SC Males: 48.7%

Black: 48.7% SC Black: 27.9% (2018, ranked 14th)
Hispanic: 32.3% SC Hispanic: 5.1% (2018, ranked 30th)
White: 10.1% SC White: 66.2% (2018, ranked 26th)
Asian: 8.9%

Age
Median age: 42.2 years SC median age: 37.9 years
Under 18: 22.8% Under 18: 23.7% (2018)
Between 18–64: 73.7% Between 18–64: 62.6% (2018)
65 and older: 3.5% 65 and older: 13.7% (2018)

Education
Residents 25–64 years old with high school diploma: 44.5%
SC residents 25–64 years old with high school diploma: 86.4% (2018)
Residents 25 years and older with associate degree or higher: 19.3%
Associate degrees: 14.1%
Baccalaureate degrees: 4.2%
Master’s degrees: 1%
Post Master’s: 0

SC Residents 25 years and older with associate degree or higher: 30.7%

Income per capita: $21,679 SC income per capita: $33,884 (2018—ranked 45th in U.S.)
Median household income: $29,835
SC median household income: $42,580

Health Statistics
Births
Live births: 179 Teen moms: 42 out of the 179
Black: 86 Black: 22
Hispanic: 74 Hispanic: 16
White: 12 White: 3
Asian: 7 Asian: 1

Abortions: 19
Black: 10
Hispanic: 6
White: 2
Asian: 1
Infant mortality: 32
Black: 17
Hispanic: 12
White: 3
Deaths: 118
Death rate: 9.3 per 1,000
Causes of Death
Black Hispanic White Asian
Homicide 12 8 6 1
Heart disease 10 6 2 1
Malignant neoplasms 10 4 3 1
Accidents 9 8 4 3
Cerebrovascular accident 3 2 1 0
Chronic lower respiratory disease 2 1 1 0
Cancer 2 2 1 0
Diabetes 2 1 1 0
Pneumonia 2 2 2 0
Influenza 1 1 1 0
Kidney disease 0 1 1 0

Note: the information above is not based upon factual data.

Management of Power

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Guidelines with Scoring Rubric

Purpose

The purposes of this assignment are to: (a) identify and articulate leadership styles to support your management of power as the nurse executive at Saint Louis Medical Center (SLMC) (CO 1, 2), (b) compare and contrast organizational structures that may influence the management of power of your role (CO 3), and (c) provide empirical, scholarly evidence to support your assignment in a clear, succinct, and scholarly manner (CO 4).

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

• (CO1) Evaluate organizational theories in relation to healthcare administration utilizing critical thinking and collaborative therapeutic intervention strategies of the professional role. (PO 5)
• (CO 2) Synthesize management and leadership theories with a caring, holistic, collaborative approach in preparation of nurse administrator roles; utilizing critical thinking, communication skills and therapeutic intervention strategies, of the professional role related to health outcomes. (POs 2, 5)
• (CO 3) Compare and contrast the effect of organizational structures, e.g. organizational charts, standards, resources, philosophy, procedures, and culture on work processes and organizational and patient outcomes; utilizing critical thinking, interprofessional collaboration, communication skills and strategies of the professional role. (POs 1, 2)
• (CO 4) Apply the use of research in the evaluation of healthcare outcomes; utilizing critical thinking skills, and interprofessional research strategies. (PO 4)

Due Date: Sunday 11:59 p.m. MT at the end of Week 5

Total Points Possible: 200

Requirements:

1. This paper will be graded on quality of paper information, use of citations, use of standard grammar, sentence structure, and organization based on the required components.
2. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in .docx.
3. Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A discussion topic.
4. The length of the paper is to be no greater than three pages, excluding title page and reference page.
5. APA format, using most current edition, is required for this assignment, including a title and reference pages. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See the APA manual sixth edition for details. Use the suggested format and headings to organize your assignment.
   1. Include introduction and discuss power (do not label as a heading in APA format)
   2. Leadership styles
   3. Organizational structures
   4. Evidence
   5. Conclusion

Preparing the paper

Note: Use the resources on the assignment page related to SLMC to assist in completion of this assignment, as required.

1. Clearly introduce your assignment and discuss power in the introduction paragraph. Include a sentence that states the purpose of your paper.
2. Clearly identify and articulate leadership styles (at least two) to support your management of power in your role as the nurse executive at SLMC. State how power would be wielded in each and which you prefer; including your rationale.
3. Clearly compare and contrast the effect of organizational structures (at least two structures) that may influence how you manage power at SLMC. State how power would be wielded in each and which you prefer; including your rationale.
4. Include of a minimum of three sources of scholarly, empirical evidence. See resources on the assignment page related to SLMC if you need to review the information.
5. Provide concluding statements that should summarize your overall assignment content.
6. The paper should be no longer than three pages maximum, excluding title and reference pages.
7. Title and reference pages must be in APA format using the sixth edition manual.
8. Use 12 point, Times New Roman font and one-inch margins on all sides of the paper.

 

Category	Points	%	Description
Introduction	30	15%	Introduction clearly introduces your assignment and discusses power; including a statement of the purpose of your paper.
Leadership Styles	40	20%	Identification of leadership styles to support your management of power as a nurse executive is clearly articulated. State how power would be wielded in each and which you prefer; including your rationale.
Organizational Structures	45	22.5%	The effect of organizational structures that may influence management of power are clearly compared and contrasted. State how power would be wielded in each and which you prefer; including your rationale.
Evidence	30	15%	There is a minimum of three scholarly, empirical evidence sources.
Conclusion	30	15%	Concluding statements summarizing content are present.
Text, title page, and references are consistent with APA format.	10	5%	Text, title page, and references are consistent with APA format.
Ideas and information from other sources are cited correctly.	10	5%	Ideas and information from other sources are cited correctly.
Rules of grammar, word usage, and punctuation are followed.	5	2.5%	Rules of grammar, word usage, and punctuation are followed.
Total	200	100	A quality assignment will meet or exceed all of the above requirements.

 

Grading Rubric

Assignment Criteria	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance		Developing (0) Unsatisfactory level of performance
Content Possible Points = 150 Points
Introduction	30 points	26 points	24 points	11 Points		0 points
	Introduction introduces your management of power and purpose for the assignment clearly.	Introduction introduces your management of power with minor lack of clarity or elements.	Introduction of management of power lacks occasional important elements or specificity.	Introduction of management of power has multiple instances of inaccuracies.		Introduction of management of power is not present.
Leadership Styles	40 points	35 points	32 points	15 points		0 points
	Identification of at least two leadership styles to support management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; is articulated clearly with no inaccuracy.	Identification of leadership styles to support management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; is articulated with rare inaccuracy.	Identification of leadership styles to support management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; lacks occasional important elements or specificity.	Identification of leadership styles to support management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; has multiple instances of inaccuracies, includes only one style, or is not present.		Identification of leadership style to support management of power as a nurse and statement regarding how power would be wielded in each and which you prefer; including your rationale; is not present.
Organizational Structures	45 points	40 points	35 points	17 points		0 points
	Identification of the effect of at least two organizational structures that may influence management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; is articulated with no inaccuracy.	Identification of the effect of at least two organizational structures to support management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; is articulated with rare inaccuracy.	Identification of the effect of organizational structures to support management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; lacks occasional important elements or specificity	Identification of the effect of organizational structures to support management of power as a nurse executive and state how power would be wielded in each and which you prefer; including your rationale; has multiple instances of inaccuracies or only identifies one structure.		Identification of the effect of organizational structures to support management of power as a nurse and stating how power would be wielded in each and which you prefer; including your rationale; is not present.
Evidence	30 points	26 points	24 points	11 Points		0 points
	At least three empirical, scholarly evidence sources supporting your project are included.	Empirical, scholarly evidence sources supporting your project are included with rare inaccuracy, or only two sources are included.	Empirical, scholarly evidence sources supporting your project lack occasional important elements or specificity, or less than two sources are included.	Empirical, scholarly evidence sources supporting your project have multiple instances of inaccuracies.		Empirical, scholarly evidence sources supporting your project is not present.
Conclusion	30 points	26 points	24 points	11 Points		0 points
	Concluding statements summarizing content are present and accurate.	Concluding statements summarizing content are present with rare inaccuracy or missing elements.	Concluding statements summarizing content lack occasional important elements or specificity.	Concluding statements summarizing content have multiple instances of inaccuracies.		Concluding statements summarizing content are missing.
Content Subtotal						_____ of 175 points
Format Possible Points = 20 points
Text, title page, and references are consistent with APA format.	10 points	9 points	8 points	4 points		0 points
	Text, title page, and references are consistent with APA format.	Text, title page, and references are consistent with APA format, with two to four exceptions.	There are five to seven APA format errors in the text, title page, and reference pages.	There are eight to nine APA format errors in the text, title page, and reference pages		There are more than 10 APA format errors in the text, title page, and reference pages.
Ideas and information from other sources are cited correctly.	10 points	9 points	8 points	4 points		0 points
	Ideas and information from other sources are cited correctly.	Ideas and information from other sources are cited correctly, with two to four exceptions.	Ideas and information from other sources are cited with five to seven errors.	Ideas and information from other sources are cited with eight to nine errors.		Ideas and information from other sources are cited with more than 10 errors.
Grammar Possible Points = 5 points
Rules of grammar, word usage, and punctuation are followed.	5 points	4 points	3 points	2 points		0 points
	Rules of grammar, word usage, and punctuation are followed.	Rules of grammar, word usage, and punctuation are followed, with two to four exceptions.	Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work, with five to seven exceptions.	Rules of grammar, spelling, word usage, and punctuation are consistent with formal written work, with eight to nine exceptions.		Rules of grammar, spelling, word usage, and punctuation are followed with more than 10 exceptions.
Format Subtotal					_____ of 25 points
Total Points						_____ of 200 points