Recently, I heard someone say she was having a hard time getting a problem solved because she wasn't in a position of authority. Her feelings of helplessness and frustration led her to question if her work made any difference. The conversation weighed heavy on my mind because I've been there. The role of trauma program manager requires the ability to monitor standards of care, maintain adherence to trauma regulations, and coordinate a system of care that seemingly touches every unit and department within a hospital. I am held accountable for the results of the team.

I've heard it said "when we use position power to get something done, we remove the other person's sense of autonomy. We may or may not get compliance, but we rarely get commitment." As a leader, teamwork and shared commitment are invaluable.

Would having and using a position of authority get to the desired result? Would it be best for the team?

Leading by influence results in more than a final product. It motivates and inspirers those involved and profoundly changes things. There is no leader without a follower.

Andy Andrews' (2009) book, The Butterfly Effect, is a small collection of stories that support the belief that the single action of a single person at a single moment in time impacts the world forever. Norman Borlaug engineered a seed product resistant to disease. Little did he know that in that single moment he would save billions of people from famine. Or, that the bravery and determination of a schoolteacher would lead to the strength of a nation to stand against the barbaric actions of Adolf Hitler. The book goes on and on with stories of how action and influence have a rippling effect far beyond the imagination.

To think my actions and influence will impact others more than I can ever imagine is daunting. Just like you, I want to leave a positive mark on the lives of those around me. I want to inspire rather than belittle the contributions and autonomy of others. This requires purposeful and deliberate actions. Here are the top 10 I try to live by:

1. Share in the work. If I believe in my team, I must support my team members and roll up my sleeves.

2. Stay positive. I want others to feel good about the work they are doing. They make a difference.

3. Be approachable. I want others to comfortable around me and know I respect them.

4. Maintain consistency. I want to be credible.

5. Grasp accountable. Hold myself and others accountable to commitments.

6. Meetings = opportunities. Be attentive, prepared, and engaged.

7. Change perspective. It helps maintain objectivity and improves communication.

8. Listen actively. It helps me understand others and conveys I care.

9. Be real. Keep my values and actions aligned.

10. Follow through. Keeping my commitments builds trust.

Being a positive influence on others has lasting effects.

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