Power Nursing Relationships

Historically, power relationships in nursing have been predominantly vertically derived (hierarchical) and directed because nursing has almost always been an employed profession; the nurse is generally an employee and, therefore, is subordinated to traditional employment conditions and legal requisites (p. 55). However, the key to achieving successful outcomes rest in the knowledge and expertise of the members. Therefore, active participation and dedication are imperative. Shared governance committees are also crucial when an institution hopes to achieve better patient outcomes.