power, influence and effective clinical leadership
TRANSCRIPT
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
Objectives
Define significance of influence and its
relationship to power and leadership.
Discuss opportunities for clinical leaders to
exert influence within organizations.
Pow e r• POTENTIAL for influence to
bring about desired outcomes• Power—Influence Feedback loop• 5-7 types of power base
(Yukl, 2006)
Power
Personal
Referent
Expert
Network
Positional
Legitimate Reward
CoerciveInformation
Power Bases
Ambition
Energy
Focus
Self-Knowledge
Confidence
Empathy
Tolerates Conflict
Pfeffer, 2010
Essential Qualities:Power & Influence
Esse ntia l Qua litie s Activity
Activity Debrief
KRH MSU
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?
Power Bases
Influence TacticsCompliance
Commitment
Resistance
Influence Outcomes
Feser, 2016
Proactive Influence Tactics
Knight, 2018
BrandConnections
Competencies(Clinical, Communication, Operations)
Building Your Power & Influence
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
Negotiation Skills• Emotional Intelligence• Crisis Response• Communication
Active Listening Mirroring Silences
The DJ Voice
Tactical Empathy
Calibrated Questions
Voss, 2016
Negotiation Tactics
• People say yes to those they like
• Rely on reciprocity• Consider precedent• Have a strategy
Cialdini, 2018
Ge tting to “ Ye s”
Strategy without tactics is the slowest route to victory. Tactics without strategy is the noise before defeat.
Sun Tzu
• 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
