The Hidden Threat: Narcissists in Nursing

While most nurses excel in their clinical responsibilities, some individuals with latent narcissistic traits can pose significant risks, particularly in leadership roles. However, the real challenge lies not in the narcissists themselves, but in the enablers who allow these individuals to continue their toxic behaviors.

The Reality of Narcissism in Nursing

Narcissists may not thrive in the clinical environments of hospitals and clinics. Stepping into the realm of leadership, they might struggle with the realities of patient care, where genuine compassion and emotional intelligence are paramount. However, it is crucial to note that they do exist. What often goes unnoticed, and often amplified, are the enablers within the nursing profession. These enablers make up the majority, creating a culture that allows toxic behaviors to flourish.

The Damage Caused by Enablers

Enablers enable toxic behavior by:

Allowing harmful individuals to continue their practices without intervention. Making excuses and justifying actions that would otherwise be considered unacceptable. Refusing to create and maintain professional boundaries. Avoiding or actively discouraging others from speaking up about inappropriate behavior. Engaging in gaslighting and other manipulative tactics to silence critics.

These behaviors often result in significant harm to colleagues and patients, creating a toxic work environment that can lead to burnout and poor patient outcomes.

The Importance of Honesty and Accountability

It would be ideal if the nursing profession were more honest and reflective about its shortcomings. Unfortunately, many nurses and nursing leadership may not possess the same level of moral fortitude as they claim.

Case Study: A Narcissist Nurse Manager

One such case involved a nurse manager diagnosed with Narcissistic Personality Disorder (NPD) who was eventually fired after a 90-day probation period. Her toxic behavior and harm to several nurses and patients at previous hospitals have been well-documented.

I had the misfortune of working under her supervision, during which I endured one of the most traumatic periods of my 24 year career as a Registered Nurse. Multiple colleagues spoke of the severe harm she had caused in previous roles, and I reported her to the California Board of Registered Nursing, only to have the complaint dismissed.

Now, with a revised and detailed complaint, we are seeking justice for the nurses who were harmed and the patients who were put at risk due to her actions.

While some boards of nurses require self-reporting for certain conditions like Borderline Personality Disorder, Narcissistic Personality Disorder is often overlooked despite its potential to cause significant harm.

It is essential to address these issues with comprehensive policies and transparent reporting mechanisms to ensure patient safety and protect the integrity of the nursing profession.