NURS FPX 8010 Assessment 1 Political Landscape Analysis

Student Name

Capella University

NURS-FPX 8010 Executive Leadership in Contemporary Nursing

Prof. Name:


Formal and Informal Lines of Power in Healthcare Organizations

In healthcare organizations, a variety of power lines exist, encompassing both formal and informal dimensions. The formal lines of power are clearly delineated within the organizational hierarchy, including roles such as the President, Head Nursing Official, and CFO. These roles are explicitly defined in the organizational chart, providing clarity on responsibilities. Conversely, informal lines of power are cultivated through relationships and trust-building. The Head Nursing Official, for instance, wields both formal power, defined by their position, and informal power, derived from connections and communications with others.

As a new leader in my organization, I currently possess formal power, but the development of informal power is an ongoing process. Building relationships and trust with colleagues and the organization is essential for the establishment of informal power. A balance between formal and informal power is crucial for effective leadership. Collaboration with the team, adherence to organizational policies, and openness to others’ input contribute to a positive impact within the organization.

Organizational Power Influences on Executive-Level Decision-Making

Understanding the organizational structure is paramount for effective leadership. Continuous changes in healthcare policies require leaders to comprehend the rationale behind them for successful implementation. Seeking guidance from superiors and considering the impact of policies on all stakeholders aid in decision-making. Strategic agility, the ability to adapt to new approaches and innovate, is essential for navigating change effectively (Shirey, 2015).

Leaders must possess a keen awareness to detect opportunities and decisively act on them. In the ever-changing landscape of healthcare, leaders must foster a positive and communicative environment to achieve success. Power dynamics are contingent on individual perspectives, emphasizing the need for leaders to adopt new strategies to address the evolving needs of providers and colleagues.

The Impact of Power on Organizational Policy

The current clinical director in my organization demonstrates a robust combination of formal and informal power. To contribute to transformative initiatives, I aim to introduce diverse perspectives, emphasizing inclusivity and cultural awareness. Acknowledging the political aspects within the organization, I plan to leverage my informal power to facilitate collaboration and address challenges related to patient burden and workload.

Engaging with colleagues and utilizing their input fosters a cooperative atmosphere, contributing to successful policy changes. By employing both formal and informal power, leaders can navigate organizational politics and achieve positive outcomes. The goal remains focused on patient-centered care, ensuring that organizational policies align with the diverse needs of the workforce.


Building on formal and informal lines of power is a continuous process that demands collaboration and compromise. Experience in the workplace shapes these power dynamics, with organizational charts providing a foundation for understanding roles and responsibilities. The integration of formal and informal power, exemplified by successful leaders, enhances the ability to implement new initiatives. The journey toward becoming a respected leader involves managing challenges, demonstrating effective leadership, and ultimately contributing to positive outcomes within the organization.


Shirey, M. R. (2015). Strategic Agility for Nursing Leadership. JONA: The Journal of Nursing Administration, 45(6), 305-308. doi: 10.1097/NNA.0000000000000204.

Waring, J., Bishop, S., Clarke, J., Exworthy, M., Fulop, N. J., Ramsay, A. I. G., & Hartley, J. (2018). Healthcare leadership with political astuteness (HeLPA): a qualitative study of how service leaders understand and mediate the informal “power and politics” of major health system change. BMC Health Services Research, 18(1), N.PAG. https://doi.org/10.1186/s12913-018-3728-z

NURS FPX 8010 Assessment 1 Political Landscape Analysis













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