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Surprisingly little research has been conducted on what constitutes an effective vision, and yet leaders are widely exhorted to employ visions. A research model is proposed for investigating relationships between effective vision components and the performance of hospital wards, as measured by patient and nursing staff satisfaction. The model, expressed both graphically and as three research propositions, proposes that vision attributes of brevity, clarity, abstractness, challenge, future orientation, stability, and desirability, and vision content relating to patient and nursing staff satisfaction, can directly affect performance. However, the model also predicts indirect effects on performance mediated by six intervening variables.