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NHS FPX 5004 Assessment 4 Self-Assessment of Leadership, Collaboration, and Ethics

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    NHS FPX 5004 Assessment 4 Self-Assessment of Leadership, Collaboration, and Ethics

    Student Name

    Capella University

    NHS-FPX 5004 Communication, Collaboration, and Case Analysis for Master’s Learners

    Prof. Name


    Self-Assessment of Leadership, Collaboration, and Ethics

    All organizations throughout the world work following a hierarchy where the leader is the one who works hard to fulfill his duties by achieving organizational goals and mission. Leaders should have various characteristics which enable them to perform their roles and responsibilities with a commitment to desired outcomes. A leader must become a role model for their team members to make certain that team is on the right track. The focus of this assessment is to self-evaluate my leadership qualities. Moreover, I will also share the ethical dilemmas that I faced during my leadership role. 

    Section I: Leadership and Collaboration Qualities in a Leadership Role 

    Leadership Qualities and Actions in Specific Experience

    In the year 2019, after completing my 10 years of service in Adult Internal Medicine Unit as a Registered Nurse, I got the opportunity to become a head nurse and lead a team of 45 nurses and nurse assistants. My responsibilities as the head nurse were to manage unit affairs like patient care issues, staffing issues, and collaborating with the nurse manager to look after the service line concerns. Moreover, I was also responsible for taking care of administrative issues by appropriately cooperating with the concerned departments. Other than these roles, one of the major roles that I played as a head nurse was leadership role.

    My roles as a leader included; supporting and advocating on behalf of my team, helping them to help our patients in a way that patients feel valued and their needs are fulfilled, encouraging them to improve their productivity by constantly inspiring them, and assisting them in solving conflicts to provide better healthcare (Ika et al., 2019; Qtait, 2023). The shared vision of the team was to provide effective patient care using standard practices to make certain that the patients are satisfied with the healthcare quality and that their health outcomes are improved. Moreover, the goal was to ensure that the team of healthcare professionals is well-trained and has adequate competencies to provide quality healthcare to the patients, help the organization fulfill its mission, and achieve growth and success. 

    Leadership Model and Core Values

    The leadership model that I mainly used for my overall leadership role is the transformational style however, in certain cases, I used democratic leadership as well in certain situations. Transformational leaders are those who engage with their team members to pursue shared goals. These leaders are sometimes called “inspiring” leaders because they build a trusting professional relationship with the team to encourage them and make them feel valued (Collins et al., 2019). During my role as a head nurse, the core values that I used at every step were making my team members (nurses and nurse aids) feel empowered and motivated within their roles. Moreover, I build strong and accessible lines of communication so that their concerns are heard and resolved.

    My profession as a head nurse allowed me to be welcoming and friendly with my team keeping the expectations high related to patients’ health outcomes. Besides this, I also equipped a democratic style of leadership in certain situations where the consensus from my team, their ideas and thoughts, and their opinions were asked to make them feel valued in this unit. Nurse leaders should value the opinions of nurses as they are the frontline staff taking care of healthcare consumers. Leaders who apply a democratic approach foster teams’ participation in decision-making, thus improving their morale. It also improves their sense of responsibility and teamwork.

    NHS FPX 5004 Assessment 4 Self-Assessment of Leadership, Collaboration, and Ethics

    This approach assists leaders in adding core values of trust, equity, open mindset, and mutual respect within the team which improves employees’ satisfaction thus resulting in better patient outcomes (Ebrahim et al., 2022). These leadership styles were successful in achieving the shared goals of the team as evidenced by a reduced number of complaints from the employees about being frustrated in their jobs, improved patients’ satisfaction levels, and decreased number of unsafe healthcare practices within the unit. Moreover, in terms of my personal and professional growth, I was rewarded with the best leader award for the year. My nurse manager frequently appreciated my initiatives and reforms within the organization that was improving the organizational performance and consumer rates.  

    Decision-making and Effective Communication

    Throughout my role, I got several opportunities to make decisions and effectively communicate with the team. There were many decisions that I made which I am proud of. For example implementation of EMAR and bar-code medication administration. This was a reform that was initiated holistically throughout the organization. Other important decisions that I made were in terms of patient care, improving staff competencies, and enhancing unit infrastructure. One of the experiences that I remember where a staff nurse neglected a patient’s medication which resulted in adverse events for the patient.

    In this situation, I showed autocratic behavior towards the staff and reprimanded her to show the importance of patient care and unacceptance of negligence especially in terms of medication. However, I have this realization that I should have communicated with the staff before imposing a decision on how and why this incident occurred to ensure the decision is made after analyzing all facts and figures. 

    Another important role that I played was effectively communicating the vision and goals with the team members. Communication about vision in an organization by effective leaders promotes team motivation by providing them the meaningful responsibilities within their roles. It strengthens the connection between employees and the organization thus giving them the drive to work for achieving the outcomes (Gochmann et al., 2022). My approach to communicating the vision and goals was to bring everyone on one platform. I used the techniques of engagement, frequent sessions, and personal and individualized meetings where I shared these goals. Moreover, I created a delegation team under my supervision (team leaders) and meetings were conducted to ensure everything is communicated between both parties. 

    Leadership and Motivational Methods to Foster Collaboration among Stakeholders

    The collaboration between nurse leader and nurses are considered an important tool in any healthcare organization. Interprofessional collaboration and teamwork among nurses and nurse leaders can improve their abilities to collaborate effectively and provide quality care (Stucky et al., 2022). This interprofessional collaboration also motivates nurses to improve their performance levels. To foster this collaboration, nurse leaders must develop various leadership and motivational methods. As a head nurse, I made sure that my team is aware of the goals and objectives that we are carrying forward. These goals and objectives provided a direction for my team whereby I was able to develop a collaborative relationship with them.

    Other than this, I made sure that my team feels empowered and valued within their roles. To motivate them, I planned recreational activities for them, I planned appraisals, and I also rewarded them with the Star of the Month and Employee of the Month awards. These methods enabled them to efficiently work and be motivated. Additionally, I also took steps to establish communication among the staff by keeping their meet and greets, encouraging them to participate in various activities, and encouraging them to take breaks where they can foster their communication.

    For patients, I made sure that they feel comfortable and safe in the unit. I actively listened to their concerns, resolved them immediately, and provided assurance that they are taken care of by trained and qualified professionals. I made sure to meet every patient and their family at the start of the day so that their concerns can be addressed promptly. These collaborative practices ensured my professional growth and the building of a trustworthy relationship with the stakeholder to effectively collaborate and motivate them. 

    Section II: Ethical Dilemmas During Leadership Role

    Ethical dilemmas are very common in nursing practices. Nurses must consider ethical principles during their nursing practices. Similarly, some ethical dilemmas arose during my leadership role as well. These ethical dilemmas need to be solved based on codes of ethics where nurses and nurse managers can be assisted. A code of ethics established for nurses by the American Nurses Association applies to nurse leaders as well. According to these codes of ethics, nurses and nurse leader should perform their responsibilities in a manner to provide quality nursing care considering all ethical compulsions of the profession (American Nurses Association, n.d.). 

    One of the ethical dilemmas that I faced was a shortage of staff and inadequate resources in my organization. Due to the unavailability of resources, patients were suffering and were receiving poor-quality care. Moreover, the shortage of staff led to several problems for patients as well as the organization. One of the ethical principles that was obligatory to follow was justice to the patients but on the other hand, as a hospital delegate, I also had to consider the financial constraints within the hospital. To solve this issue, I considered understanding the Code of Ethics by the American College of Healthcare Executives.

    The ACHE Code of Ethics highlights a point that one of the basic objectives of healthcare leaders is to maintain and improve the quality of life and well-being of patients by creating an equitable, accessible, and effective healthcare system (American College of Healthcare Executives, 2022). This principle guided me to introduce resources that can be utilized for the long-term as well as retention of existing employees. Both of these strategies are cost-friendly and also help in improving the quality of life by providing effective healthcare. 


    In conclusion, the role of leaders is to perform their duties efficiently fostering collaboration. A leader must have abilities to ensure that the team is motivated, supported, and the goals of the organization are efficiently achieved. Effective communication and decision-making abilities also play an important part in nurse leaders’ roles and responsibilities. Furthermore, ethics and ethical principles were also incorporated to perform effective care, keeping in mind the goals and mission of the organization to provide quality healthcare, provide safety, improve patients satisfaction, and enhance the quality of life and well-being of the individuals receiving care as well as those who are providing the care. 


    American College of Healthcare Executives. (2022). Ache code of ethics. ACHE Code of Ethics. Retrieved May 7, 2023, from 

    American Nurses Association. (n.d.). Code of Ethics for Nurses. ANA. Retrieved May 7, 2023, from,ethical%20obligations%20of%20the%20profession

    Collins, E., Owen, P., Digan, J., & Dunn, F. (2019). Applying transformational leadership in nursing practice. Nursing Standard35(5), 59–66. 

    NHS FPX 5004 Assessment 4 Self-Assessment of Leadership, Collaboration, and Ethics

    Ebrahim, Z. B., Hafidzuddin, S. A., Sauid, M. K., Mustakim, N. A., & Mokhtar, N. (2022). Leadership style and quality of work life among nurses in Malaysia during the covid-19 pandemic crisis. International Academic Symposium of Social Science 2022. 

    Gochmann, V., Stam, D., & Shemla, M. (2022). The boundaries of Vision Communication—the effects of vision‐task goal‐alignment on leaders’ effectiveness. Journal of Applied Social Psychology52(5), 263–276. 

    Ika, C., Novieastari, E., & Nuraini, T. (2019). The role of head nurses in preventing interdisciplinary conflicts. Enfermería Clínica29, 123–127. 

    Qtait, M. (2023). A systematic review of head nurse leadership style and nurse performance. International Journal of Africa Nursing Sciences18, 100564. 

    Stucky, C. H., Wymer, J. A., & House, S. (2022). Nurse leaders: Transforming interprofessional relationships to Bridge Healthcare Quality and safety. Nurse Leader20(4), 375–380.