“…Previous studies appear to suggest that leadership is a major factor in influencing the matronsÕ effectiveness (Cole 2002, Barbour & Dodd 2007, Dealey et al 2007, Smith 2008b. When highlighting the importance of effective leadership, many studies advocate a transformational leadership style for matrons (Hill & Hadfield 2005, Keeley et al 2005, Scott et al 2005, Dealey et al 2007, Clark 2008, Koteyko & Nerlich 2008. However, attributes and actions associated with transformational leadership may not be adequate or broad enough to meet the demands of senior nursing roles within the NHS (McIntosh & Tolson 2008).…”