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...Iosr journal of nursing and health science jnhs e issn p volume issue ver ix mar apr pp www iosrjournals org staff performance appraisal system its relation to their job satisfaction empowerment developing tool amal refaat youssif nermin mohamed eid sanaa moustafa safan m sc in professor prof assist administration faculty menoufia university abstract pas plays a vital role overall success an organization appropriate could possibly increase nurses provide better services the clients aim this study was assess at selected hospitals menoufiya governorate develop for design analytical research setting menoufyia egypt namely shebin el kom teaching hospital helal subjects systemic random sample used select convenience sampling technique head snowball employed panel delphi tools nurse s questionnaire consisted pa b c form results majority were dissatisfied with currently low there significant relationship between studied moderately empowered furthermore conclusion is not implemented effectivel...