NURS FPX 5007 Assessment 2 Managing the Toxic Leader

Client Name

Capella University

NURS-FPX5007

Instructor’s Name

August 2024

Managing the Toxic Leader

 Leaders always play a critical role in managing the staff, offering support to the team, increasing the efficiency of the workers, and improving organizational outcomes (Mazzetti & Schaufeli, 2022). The support of leaders helps the staff in efficiently dealing with patients, improving patient outcomes, and reducing disparities however in some cases the lack of support from leaders leads to the ineffective performance of the team members which results in increasing patient health issues. The unsupportive and toxic behavior of leaders decreases team efficiency and the constant toxic behavior of a leader can disturb the whole organization which will hurt on a large scale. Their behavior can identify the toxicity of the leader with the team, limited transparent communication with the staff, and selfish acts during the wrong hours. 

Managing the toxic traits of the leaders is very important for the staff so that they can work efficiently and effectively and generate improved patient outcomes (Satiani & Satiani, 2022). A few strategies that can be used to manage the toxicity of the leader include reporting the toxic behavior, transparent communication about the irresponsibility of the leader, involvement of legal departments, and documentation of team responses regarding the toxic behavior of the leader. This assessment is based on the case study regarding the toxic behavior of Jackie who is a nurse manager in an inpatient psychiatric. It will evaluate the performance of Jackie and highlight the toxic behavior and the standard violation by Jackie during his leadership. An improvement performance plan will be created to improve the performance of Jackie as a leader.

Evaluation of Jackie’s Performance

Jackie’s behavior towards his staff members and team members reflects the need for improvement so that they can increase their work efficiency regarding patient outcomes. The irresponsibility of Jackie towards his job lacked seriousness towards the issues addressing the team members like Kyle who was new in his field and needed advice and guidance from Jackie to handle the vulnerable patients, and most importantly lack of transparent and honest communication. Jackie continuously gives the impression of unprofessionalism by canceling meetings at the last minute without any notice and arriving late at important conferences regarding patient care. Jackie shows unsuitable behavior by making an inappropriate outfit appearance and doing flirtatious activities with a junior nurse Martin which highly reflects a sense of irresponsibility and disregard of professionalism. The neglect of serious problems of the team members and lack of accountability and responsibility along with unprofessionalism clearly defines the toxic behavior of Jackie.

Violation of Standards of Professional Performance

Jackie violated many rules of leadership performance and negatively impacted the team members’ performance, ultimately resulting in bad patient outcomes. The violation of two standards of professional performance by Jackie is given below;

Professional Responsibility

Late arrivals at the meetings and the cancellation of the meetings at the last minute without informing anyone from the team show severe irresponsible behavior of Jackie. Team members who need guidance regarding specific patient conditions cannot coordinate and communicate with Jcakie due to her lack of professionalism. Kyle when trying to communicate with Jackie regarding the issue, delayed the response by asking for mail to schedule a meeting but Kyle has not yet received the answer to the mail. This type of behavior negatively impacts the team members and the patients which on the whole impacts the organization.

Ethical Conduct

Jackie breaks the ethical conduct of the workplace by wearing informal outfits in the healthcare facility and flirting with the junior nurse, Martin. This unethical behavior is highly against professionalism and creates a disturbance in the workplace environment. 

Conclusion Based on Assessment of Performance

The behavior of Jackie at the workplace is highly unprofessional and to create a performance improvement plan for Jackie these issues need to be well-documented so that they can be addressed accurately and rightly without any issues left behind. A single unresolved issue can lead to high disturbance in the work environment and badly impact the efficiency and effectiveness of the staff members which will result in inefficient patient handling and increasing patient disparities.

Implications of Jackie’s Behavior On Organizational Mission, Vision, And Goals

The unprofessional behavior of Jackie will have a huge number of negative implications on the mission, vision, and goals of the organization. The organization will only be successful if it can provide high-quality health care to the patients by providing highly efficient staff that can handle the worst situations easily and effectively. The effectiveness of the staff only depends on the support and professional guidance of healthcare professionals of the organization, leaders, and managers. Collaboration of interdisciplinary teams and healthcare professionals and leaders can create patient outcomes that are unimaginable and have a great positive influence on the organization (Bendowska & Baum, 2023). In some cases, the toxic behavior of the leaders can create hindrances and hurdles in achieving positive and efficient patient outcomes thus disturbing the whole structure of the organization. It will cause a lot of major issues to the organization that will go against the mission of the organization about providing health to all and the vision of making high-quality health the fundamental right of humans.

The unprofessional behavior of Jackie will also impact the organization negatively by increasing the number of health disparities and reducing the quality of care provided to the patients. In the case of the study, Jackie’s lack of support for the team and canceling the meetings can leave a patient like K.C. in bad health, which will badly impact K.C. and the other patients and staff members. Moreover, not responding to the needs of the team regarding certain health issues Kyle wants guidance in the case of K.C. but Jackie was not available to give advice to Kyle or support him in handling the escalating situation of K.C. The unethical conduct of Jackie will create a sense of disregard for professional performance in the team members which will hurt their performance in the case study Kyle was waiting for an email response from Jcakie for the discussion of K.C.’s situation but instead of getting a reply, Kyle witnessed the flirting attitude of Jackie with junior nurse Martin.

Consequences for the Organization

The organization will face a lot of setbacks in providing high-quality care to the patients and maintaining a suitable work environment. Jackie’s unprofessional behavior will have negative consequences for the organization by damaging the best quality health and care standards of the organization and by disrupting the morale of the other team members. A few consequences are given below;

Reduction in Team Morale

The unprofessional behavior of Jackie will impact negatively the team morale by canceling the meetings at the last moment, uninformed delays in responding to emails, and arriving late at work making the others wait.

Endangering Patient Health and Safety

The unresponsive and irresponsible behavior of Jackie will have a great negative impact on patient care and safety. As in the case of many patients like K.C. If a timely response is not provided in healthcare then the situation can get worse and will become impossible to handle (Cullati et al., 2019). Thus escalating patient conditions will not only have negative consequences for the workers but also for the other patients. 

Ethical and Regulatory Problems

The unethical behavior of Jackie and inappropriate outfits for the workplace will negatively impact the organization and the staff members resulting in breaking the sustained and balanced work environment of an organization.

Adverse Impact on Team Members

The unprofessional behavior of Jackie and lack of accountability will decrease the organization’s reputation and negatively affect the mission of the organization regarding high-quality health and safety for the patients. This negative impact on the organization will ultimately badly impact the team members.

Action Plan To Improve Jackie’s Performance

Jackie’s negative behavior adversely impacts the patients, staff members, and the organization and to create positive changes in the behavior of Jackie it is important to design and build an action plan that can improve Jackie’s attitude towards accountability and responsibilities. The action plan should address all the problems regarding Jackie’s unprofessional behavior including poor communication, irresponsible attitude, lack of accountability, and so on. The performance action plan should make sure that Jackie visits the inpatient care units to identify, and analyze the health issues of the patients and the difficulties faced by the team members in handling those issues to develop a strategy that can help them in efficiently dealing with the patients. Efficient patient dealing will generate positive and improved patient outcomes which will eventually positively impact the organization (Bhati, 2023). Moreover, the plan must consider the enhanced transparent communication of the leader with the team members to keep their morale high and build the trust of the team leader for any difficult issues. This action plan will overall generate positive implications for the patients, staff members, and the organization.

Clear Performance Expectations

The performance expectations of Jackie in the context of the performance action plan need to be clear and honest. The goals must be achievable and should address the major problems of the organization and the patients (Boeykens et al., 2022). A few performance expectations are given below;

Punctuality

Jackie should be punctual and arrive at the workplace timely without any delays. She should visit the inpatient unit timely and attend the conferences and meetings with full preparedness and a positive attitude. 

Responsibility and Accountability

Jackie needs to be responsible for the trust and morale of his team by providing guidance and support to them in their time of need and helping them increase their work efficiency by providing them the opportunities to interact with professionals for advice.

Transparent Communication

The communication between Jackie and team members needs to be transparent and appropriate regarding scheduled meetings or any kind of other activities that are designed to address the needs of the patients for better patient outcomes.

Performance Plan Integration with TeamSTEPPS

The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) provide help in designing a performance plan that can improve the quality of health and enhance patient safety (Kuriyan et al., 2020). The major components of Jackie’s improvement performance plan in the context of TeamSTEPPS are effective leadership, efficient communication, team support, and situation handling.

NURS FPX 5007 Assessment 2 Conclusion

Leaders are the pillars of any organization as they can increase the success rate of an organization and they can also create negative consequences for the organization (Khan et al., 2020). Toxic behavior of leaders like Jcakie includes lack of communication, irresponsibility, lack of accountability, insufficient support, and poor patient outcomes. Toxic leadership can impact negatively the team members, patients, and the organization so to improve the toxic behavior of the leader careful and strict measures and strategies need to be implemented so that the environment of the workplace does not get disturbed (Wolor et al., 2022). The performance plan should address the toxic attitude of Jackie by introducing improved strategies like clear communication with the team members, providing efficient support to team members, and maintaining the ethical decorum of the organization.

NURS FPX 5007 Assessment 2 References

Bhati, D. (2023). Improving patient outcomes through effective hospital administration: A comprehensive review. Cureus, 15(10), 1–12. https://doi.org/10.7759/cureus.47731

Boeykens, D., Boeckxstaens, P., Sutter, A., Lahousse, L., Pype, P., Vriendt, P., & Velde, D. (2022). Goal-oriented care for patients with chronic conditions or multimorbidity in primary care: A scoping review and concept analysis. PLOS ONE, 17(2), e0262843. https://doi.org/10.1371/journal.pone.0262843

Bendowska, A., & Baum, E. (2023). The significance of cooperation in interdisciplinary health care teams as perceived by polish medical students. International Journal of Environmental Research and Public Health, 20(2). https://doi.org/10.3390/ijerph20020954

Cullati, S., Bochatay, N., Maitre, F., Laroche, T., Juge, V., Blondon, K. S., Perron, N., Bajwa, N. M., Vu, N., Kim, S., Savoldelli, G. L., Hudelson, P., Chopard, P., & Nendaz, M. R. (2019). When team conflicts threaten the quality of care: A study of health care professionals’ experiences and perceptions. Mayo Clinic Proceedings, 3(1), 43–51. https://doi.org/10.1016/j.mayocpiqo.2018.11.003

Khan, H., Rehmat, M., Butt, T. H., Farooqi, S., & Asim, J. (2020). Impact of transformational leadership on work performance, burnout, and social loafing: A mediation model. Future Business Journal 6, 40. https://doi.org/10.1186/s43093-020-00043-8.

Kuriyan, A., Kinkler, G., Cidav, Z., Kang, C., Eiraldi, R., Salas, E., & Wolk, C. B. (2020). TeamSTEPPS to improve collaboration in school mental health: Protocol for a mixed-method hybrid effectiveness-implementation study. JMIR Research Protocols, 10(2). https://doi.org/10.2196/26567

Mazzetti, G., & Schaufeli, W. B. (2022). The impact of engaging leadership on employee engagement and team effectiveness: A longitudinal, multi-level study on the mediating role of personal- and team resources. PLOS ONE, 17(6), 1–25. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0269433

Satiani, B., & Satiani, A. (2022). Recognizing and managing a toxic leader: A case study. Physician Leadership Journal, 9(5), 23–27. https://doi.org/10.55834/plj.6849841215

Wolor, C. W., Ardiansyah, A., Rofaida, R., Nurkhin, A., & Rababah, M. A. (2022). Impact of toxic leadership on employee performance. Health Psychology Research, 10(4). https://doi.org/10.52965/001c.57551

Scroll to Top