NURS FPX 5007 Assessment 2 Managing the Toxic Leader


NURS FPX 5007 Assessment 2 Managing the Toxic Leader

NURS FPX 5007 Assessment 2 Managing the Toxic Leader


Capella university

NURS-FPX 5007 Leadership for Nursing Practice

Prof. Name


Managing the Toxic Leader

Effective Leadership in Healthcare Settings

Effective leadership is crucial for the success of any organization, particularly in healthcare settings such as hospitals. Competent leaders empower their teams, enhance productivity, and achieve organizational goals through strategic planning, collaboration, and effective communication (Monroe, 2019). In healthcare, leadership significantly influences workplace culture, directly impacting the quality of patient care delivery. It is imperative for leaders to foster a supportive atmosphere for healthcare workers, enabling them to meet benchmarks and enhance standards of nursing practice and care delivery (Monroe, 2019).

Case Study – Head Nurse Performance Evaluation

In a case study examining the performance of a head nurse in a psychiatry unit, several concerning behaviors were identified. The head nurse, Jackie, exhibited a leadership style that contradicted established guidelines. Despite her role in leading patient care conferences, Jackie frequently missed these sessions, hindering collaboration and effective patient-centered care (Monroe, 2019). Moreover, her unprofessional conduct, including failure to communicate schedule changes and inappropriate attire, negatively impacted team morale and productivity. Jackie’s behavior also violated professional standards outlined by the American Nurses Association (ANA), particularly regarding relationships with co-workers and patient responsibility (Monroe, 2019).

Organizational Mission, Vision, and Goals

Jackie’s actions conflicted with the healthcare facility’s mission of providing exceptional patient care and improving community well-being. Her inability to collaborate with her team and prioritize patient care undermined the organization’s goals of enhancing healthcare performance and patient experiences (Huang et al., 2021). Furthermore, Jackie’s behavior did not align with the organization’s core values, compromising its ability to achieve its mission and objectives.

Action Plan to Improve Leadership Performance

To address Jackie’s deficiencies in leadership and professionalism, a Performance Improvement Plan (PIP) will be implemented. During this process, an Acting Nurse Manager will temporarily assume leadership responsibilities, leading conferences and addressing team concerns. Specific expectations for Jackie include punctuality, timely communication, adherence to dress code guidelines, and ethical conduct in the workplace (Monroe, 2019). The implementation of evidence-based collaboration techniques, such as the TeamSTEPPS framework, will further support improved performance and patient outcomes (Cooke & Valentine, 2021).

At the conclusion of the PIP period, Jackie’s performance will be evaluated to determine her suitability to resume her role as nurse manager. Additionally, the performance of the Acting Nurse Manager will be assessed to identify potential candidates for future leadership positions (Oberle, 2022).


Aghamohammadi, F., Imani, B., & Koosha, M. M. (2021). Operating room nurses’ lived experiences of ethical codes: a phenomenological study in Iran. International Journal of Nursing Sciences, 8(3), 332-338.

Cooke, M., & Valentine, N. M. (2021). Improving teamwork and communication in schools of nursing: a quality improvement approach using TeamSTEPPS. Journal of Nursing Care Quality, 36(3), 285-290.

Huang, N., Qiu, S., Yang, S., & Deng, R. (2021). Ethical leadership and organizational citizenship behavior: mediation of trust and psychological well-being. Psychology Research and Behavior Management, 655-664.

Miles, J. M., & Scott, E. S. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5-11.

NURS FPX 5007 Assessment 2 Managing the Toxic Leader

Monroe, H. A. (2019). Nurses’ professional values: influences of experience and ethics education. Journal of Clinical Nursing, 28(9-10), 2009-2019.

Olson, L. (2021). Envisioning an ethical climate in nursing education programs. Online Journal of Issues in Nursing, 26(1), 1-10.

Warshawsky, N., & Cramer, E. (2019). Describing nurse manager role preparation and competency: findings from a national study. JONA: The Journal of Nursing Administration, 49(5), 249-255.


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