The doctor giving the instructions was a male doctor .it is often perceived or if I may put it a misconception that the male gender is superior. Therefore, the female nurse took in the instructions given to her by the doctor keeping it in mind that he was superior and thus the instructions given were correct. If for instance the nurse was receiving instructions from a female doctor then they would have some doubts on the instructions given. This means that gender played a role in the situation as it influenced the way the nurse took I the instructions given Policies to address negative gender related perceptions

Within the healthcare there are various strategies hat have been put in place to ensure that negative gender related perceptions are eradicated. This includes gender awareness programs which are aimed as sensitizing the staff on the importance of gender equality. The programs entail talks on how any negative perceptions that are held against the different genders can be eradicated. There is also ensuring that the staff works together in unity without looking at their gender.

Other factors affecting power dynamics in the situations

Apart from gender there might...

This includes race whereby the nurse might not take instructions from the doctor simply because of their race.in many occasions this occurs where there are people from two different races involved in the situation. Language issue might also have an influence on the power dynamics in a situation. This is in a situation whereby the person giving the instructions and the one receiving them do not understand each other fully because of language barriers.
Recommendations on promoting effective power base

I would recommend that the doctor to be firm and accretive in his speech .this will enable him o build a stronger power base and hence the nurse will feel his power and act accordingly. If the doctor is not firm then the nurse might fail to take him seriously which might lead to some repercussions.

References

Jayme, N. (2009).Social power persuades. Retrieved June 30, 2013 from http://askthecognitivebehaviortherapist.com/2009/05/04/social-power-persuades/

Tai, B.H. (2008). Editor's Review - Power Dynamics in the Classroom. Retrieved June 30, 2013 from http://hepg.org/her/abstract/187