The Theory Of Power As Knowing Participation In Change

The Theory Of Power As Knowing Participation In Change Is Derived From

The theory of power as knowing participation in change is derived from Rogers’ postulates and principles. This theory emphasizes the importance of freedom to act, individual choices, and awareness. It posits that power involves understanding what actions to take, feeling free to take those actions, and doing so intentionally (Smith & Parker, 2015). An essential component of this theory is the active participation of individuals in the change process, which requires conscious awareness and informed decision-making. For individuals to effectively participate, they must be actively involved and aware of the changes they are making or experiencing, which enhances their sense of empowerment and control.

In nursing practice, this theory can be applied across various areas, particularly when caring for individuals facing issues such as low self-esteem, hopelessness, trauma, or other psychological concerns (Smith & Parker, 2015). The theory underscores the importance of respecting patient autonomy and facilitating informed participation in health-related decisions. It supports a model where patients are empowered to understand their condition and actively choose their treatments, thereby fostering a collaborative relationship between nurses and patients.

Applying this theory to Gloria’s case exemplifies its practical relevance. Gloria initially was hesitant about undergoing surgery, favoring prayer as her primary treatment approach. Her beliefs were rooted in traditional and non-traditional healing practices, and she was not ready to accept surgical intervention. However, as her understanding of her condition evolved and she recognized the importance of surgery for her health, she began to participate knowingly in her treatment plan. Her willingness to consider the surgical option indicates she exercised her freedom to choose, felt free to participate in her care, and engaged actively with her healthcare decisions, aligning closely with the principles of the theory of power as knowing participation in change.

By ensuring Gloria’s participation was informed and voluntary, nurses supported her autonomy and facilitated a holistic approach to her care. Such application reinforces the importance of patient-centered care, where patients’ beliefs, preferences, and readiness are recognized and integrated into the treatment plan. The nurses’ role, in this case, extends beyond providing care to include education, counseling, and support that empower the patient to participate knowingly in decisions affecting her health.

The theory is also aligned with the American Association of Colleges of Nursing (AACN) Essential I, which emphasizes the importance of using scientific knowledge and understanding to inform nursing practice (AACN, 2011). According to this essential, nurses should utilize their scientific understanding—such as principles from the theory of power as knowing participation in change—to develop and implement effective care plans that respect patient autonomy and promote active participation. This ensures that care is not only evidence-based but also tailored to individual patient needs and preferences, fostering better health outcomes and patient satisfaction.

References

• AACN. (2011). AACN Resources to Facilitate Integration of the Essentials of Master’s Education in Nursing. Nurse Educator, 36(5), 218. https://doi.org/10.1097/nne.0b013eb78
• Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice. FA Davis.