الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The healthcare system has been traditionally a mechanistic and herarchical system. Registered nurses suffer from frustration and lack of particition management or care decisions, and that can lead to a lack of self-esteem satisfattion.nurses are creative and need to bein the middle of making decisions in health care organizations. Shared governance creates a more positive and productive tmosphere for registered nurses and provides better quality outcomes for patients.Nursing shared governance has been widely used to empower nurses in practice settings for decades. Also, improving empowerment of staff nurses may help in bringing about a positive change in the healthcare system, as affects nurses work satisfaction levels, improves retention of nurses, and the quality of patient care. As well as acceptance and implementation of the shared governance resulted in increased nursing satisfaction, increases nurses’ perceptions of opportunities for professional growth, promotion and enhanced patient outcomes in many health care organizations.