Background: leadership is a vital management skill that helps head nurses to improve organization`s efficiency.
Delegation is an inclusive process that improves the ability of nurses and self-confidence. Aim: Investigate the
relationship between leadership styles, delegation and head nurses` level of self-confidence at El Senbellawein General
Hospital. Methods: A descriptive correlational design was utilized with a sample of (56) head nurses at El Senbellawein
General Hospital. Tools of data collection were Leadership Styles, Delegation and Self-Confidence Questionnaires.
Results: There were (53.6%) of the studied head nurses had high level of laissez faire style and about two third of the
studied head nurses (67.9%) were moderate level of delegation. The majority of the studied head nurses (80.4%) had
moderate level of self-confidence. Conclusion: A statistically significant positive correlation was existed among
delegation, an authoritative and democratic leadership style. While, there was no correlation between leadership styles
and self-confidence. Recommendation: Organize for courses in training regularly to help head nurses on how to
effectively use their leadership abilities and training on using different styles of leadership. Convened seminars to
increase the awareness of head nurses regarding delegation in terms of how it can aid them to develop their mindset and
concentrate on increase education and also training on skills and nursing principles, problem solving by delegation and
call for work as a team and build trust in their staff` abilities. Build and maintain a team work spirit to increase the level
of self-confidence.