Research Article| Volume 8, ISSUE 1, P42-45, February 2010

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Do Leadership Skills Impact Clinical Decisions Made by Ward Managers?

      I am employed as a lecturer at a School of Health Sciences in the South of England. My interest in the theory of decision making developed whilst undertaking a clinical decision-making module during my Master of Science program. I have since been a module leader for clinical assessment and decision making, teaching qualified nurses undertaking further study. My previous role in clinical practice as a senior sister/ward manager offered me the opportunity to undertake a leadership program. The ward manager's role encourages practitioners to make their decision making transparent.
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        • Fatchett A
        Nursing in the new NHS: modern, dependable? Bailliere Tindall, London, UK2001
        • Department of Health
        The NHS plan. Department of Health, London, UK1999
        • Thompson C
        • Dowding D
        Clinical decision making and judgement in nursing. Churchill Livingstone, London, UK2002
        • NHS Management Executive
        A vision for the future. Department of Health, London, UK1993
        • Department of Health
        Making a difference: strengthening the nursing, midwifery and health visiting contribution to health and healthcare. Department of Health, London, UK1999
        • Johns C
        Clinical supervision as a model for leadership.
        J Nurs Manag. 2003; 11: 25-34
        • Offredy M
        The application of decision making concepts by nurse practitioners in general practice.
        J Adv Nurs. 1998; 5 (28;): 998-1000
        • Orme L
        • Maggs C
        Decision making in clinical practice: how do expert nurses, midwives and health visitors make decisions?.
        Nurse Educ Today. 1993; 13: 270-276
        • Hoffman K
        • Donoghue J
        • Duffield C
        Decision-making in clinical nursing: investigating contributing factors.
        J Adv Nurs. 2004; 45: 53-62
        • The Leadership Qualities Framework
        The NHS Institute for Innovation and Improvement Web site.
        (Accessed January/February 2006.)
        • Marquis BL
        • Huston CJ
        Leadership roles and management functions in nursing theory & application. 4th ed. Lippincott Williams & Wilkins, London, UK2003
        • Carney M
        Leadership in nursing: where do we go from here? The ward sisters challenge for the future.
        Nurs Rev. 1999; 17: 13-18
        • Manley K
        Organisational culture and consultant nurse outcomes: part 1. organisational culture.
        Nurs Stand. 2000; 14: 34-38
        • Kosinska M
        • Niebroj L
        The position of a nurse leader.
        J Nurs Manag. 2003; 11: 69-72
        • Sofarelli D
        • Brown D
        The need for nursing leadership in uncertain times.
        J Nurs Manag. 1998; 6: 201-207
        • Jooste K
        Leadership: a new perspective.
        J Nurs Manag. 2004; 12: 217-223
        • Bower F
        Nurses taking the lead. Personal qualities of effective leadership. W. B. Saunders Company, London, UK2000
        • Aitken LM
        Critical care nurses' use of decision making strategies.
        J Clin Nurs. 2003; 12: 476-483
        • Hedberg B
        • Satterlund Larsson U
        Observations, confirmations & strategies-useful tools in decision making process for nurses in practice?.
        J Clin Nurs. 2003; 12: 215-223
        • Bruner JS
        • Goodnow J
        • Austin G
        A study of thinking. Wiley, New York, NY1956
        • Schaefer J
        The interrelatedness of the decision making and the nursing process.
        Am J Adv Nurs. 1974; 18 (74;): 52-55
        • Benner P
        From novice to expert: power and excellence in nursing practice. Addison Wesley, Menlo Park, CA1984
        • Elstein AS
        • Shulman LS
        • Sprafka SA
        Medical problem solving: an analysis of clinical reasoning. Harvard University Press, Cambridge, MA1978
        • Grohar-Murray ME
        • DiCroce HR
        Leadership and management in nursing. 3rd ed. Prentice Hall, Upper Saddle River, NJ2003
        • Higgs J
        • Titchen A
        Practice knowledge and expertise in the health professions. Butterworth Heinmann, Oxford, UK2001
        • Cook MJ
        • Leathard HL
        Learning for clinical leadership.
        J Nurs Manag. 2004; 12: 436-444
        • Critchley D
        Developing leaders making the best use of national leadership programmes.
        Nurs Manag. 2001; 8: 32-33
        • Distefano SM
        • Nicholson Bledsoe D
        A balanced approach to leadership.
        Nurse Lead. 2003; 1: 32-35