Background-Applying a shared governance strategy could develop collaboration between health care personnel, increase their confidence; develop their personal and professional skills; and increase their professional profile and accountability. Purpose-developing a suggested shared governance strategy for Suez Canal University hospital, Egypt: through, measuring shared governance among health care personnel at the hospital, analyzing the shared governance, and developing and validating a shared governance strategy. Design/methodology/approach-a methodological design was utilized to conduct the study. the study sample was composed of 825 health care personnel with different categories (Physicians, Accountants, Nurses, Pharmacists, Dieticians, and Social workers). Index of Professional Governance was used and a suggested shared governance strategy was developed and validated. The fieldwork lasted from April to October 2019. Findings-The study revealed that health care personnel' ages ranged between 30 and 40 years, median 35.0, Their median years of total and hospital experience were 11.0 years. 71.5% of them reported that hospital governance has done primarily by hospital management with some staff input. As well, the highest percentages of them reported the same results regarding all shared governance dimensions. The shared governance among health care personnel at Suez Canal University hospitals was generally low, the hospital had the dominant in total scores of governance 96.6% and all shared governance dimensions. Originality/value-Despite the vast number of published researches that dealt with Shared governance as a decentralized approach that gives nurses greater authority and control over their practice, there is a limited focus in studying shared governance among healthcare personnel as a whole, especially the university hospitals, which represent scientific models in providing ideal care. Recommendations, it is a priority for university hospitals to enhance the application of the suggested shared governance strategy or a suitable governance model that focuses on strong leadership and a sound shared governance infrastructure; for allowing a professional practice environment.

Background The Five Moments for Medication Safety tool are critical times when a patient's or caregiver's actions can significantly lower the risk of damage linked with their medication(s). Aim The aim of this study was two-fold: (a) to investigate the effectiveness of nurses’ application of the World healthcare organization' Five moments for medication safety tool on patients in long-term care units, and (b) to determine the relationship between nurses and patients’ outcomes before and after the application of World healthcare organization' Five moments for medication safety tool. Method an intervention research design was conducted/ A quasi-experimental research study with two groups (nurses and patients), pre-test post-test design was conducted, A sample included all nurses who were working in Long-Term Care Units at Alexandria' New Medical Center, Egypt (N = 55) and a proportional sample of 35 patients at Long-Term Care Units. The World Health Organization's Five Moments for Medication Safety tools were used to measure study variables. Results there were significant differences between patients' and nurses’ outcomes regarding their application of the World Health Organization's five moments for medication safety tool at the two evaluative times of intervention (pre and post) where (P = < 0.001*). there was a positive significant correlation between nurses’ and patients’ outcomes in the overall responses especially the Second Stage (Taking medication), and Fourth Stage (Reviewing medication) where (p = < 0.001*). the intervention had a large effect on the overall patients’ outcome, with an effect size (of 0.873). Conclusion Patients can play a vital role in preventing medication errors when they have been educated about their medications and encouraged to ask questions and seek satisfactory answers. Also, nurses have an important role in medication management by informing, supporting, representing, and involving all relevant parties. Therefore, they should be reinforced by continuous education and training to take up this role.