Power In Health Care

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Another perception from Marxists argues that power is based on access to interconnected resources like political influence, wealth, economics and education. These resources within the society are not evenly distributed and as such, those with power control the resources through rewards or even withdrawal of the resources (Daly, Speedy & Jackson, 2013). In the context of nursing, power is the empowerment of patients through person centred care practised by nurses, it can also be associated with dominance over a person or situation, control or influence through skill and knowledge, for example, the dominance of medical practitioners over other health practitioners (Manojlovich, 2007). An example of the impact of power and control on the nursing …show more content…

Healthcare system in Australia is a multi-layered network of services that consist of funding from the government, individuals and the private sector (i.e. independent health providers, regulatory bodies and private health insurers (Biggs, 2013). Because of the complexity of the Australian health care sector, multiple decisions are made by key players who are responsible for deciding on how services should be delivered, organised and funded (Collyer, Willis & Lewis, 2017). These key players as described by Collyer et al. (2017) are termed gatekeepers in medical sociology literature. The concept of a gatekeeper within the Australian healthcare system is reserved for general practitioners (GP) or medical doctors. Medical doctors in this context have significant dominance or power to control critical resources and even health practitioners like nurses. In Australia, the services of medicine remain essential to the social environment and the government and has therefore achieved dominance, financial gain and superiority (Kenny & Dukkett, 2004). Friedson (1970) argued that the principal reason for medical dominance in this country is due to the level of authority doctors have attained to coordinate and assess the work of other health …show more content…

The government which comprises of the Commonwealth, State and Territory government is responsible for regulating the health care system, policy making and funding (Queensland Health, 2017; Biggs, 2013). Because of the role of the government within the hierarchical structure of the Australian health care system, nurse professionals generally lack any involvement in decision making, as such, they are left with little or no power to influence changes or create a positive nursing work setting, both of which are crucial to safeguarding patient safety (Kearin, Johnston, Leonard & Duffield, 2007). According to Rafael (1996), the influence of hierarchy and power within the health care system can also be viewed as an outcome of male dominance and a direct opposition of care, which is underpinning the nursing profession and traditionally associated with femininity (as cited in Manojlovich, 2007). The stereotypical view and gendered nature of the nursing profession have created an oppressive environment in health care settings and limits the full potential of nurses to exert power and control (Daly et al.,

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