Achieving fair and equal access to professional development for nurses and healthcare providers in the private sector has been difficult in the past. Education has sometimes been viewed as expensive and time-consuming, with staff release for learning difficult to achieve especially acute staff shortages are a definable obstacle already to effective treatment provision. However, it is vital to the principle of performance improvement and the pursuit of standardizing quality outcomes that healthcare provision be based on the active pursuit of staff excellence. This is to be seen as a far more desirable approach to personnel orientation than the imposition of sanctions for poor performance. Central to this is the need for improvement of the local facility's knowledge economy. To this extent, knowledge must be improved and standardized regarding operational aspects such as the activation of clinical best practices, the morale and cooperation of healthcare professionals, and the overall improvement of healthcare organization methods and health service distribution methods. Underpinning this is a systematic approach which creates an active interest by healthcare professionals in gaining greater knowledge and ensures that knowledge is shared quickly and with clarity.

In light of the findings attained by this proposal, it is essentially clear that our nursing home must create an environment where quality-based performance and outcomes can flourish. In order for this to occur, this account produces the recommendation that it is necessary to develop a greater clarity of objectives, a sharper focus on priorities and system-wide base of support for the transition to these standards. This process is essential if key stakeholders such as staff, healthcare system users and sources of financial resource are to be receptive to the necessary changes which must take place.

High quality performance or the achievement of positive quality outcomes in healthcare are founded on effective team-working. Although individuals make an important personal contribution, the outcome of the care process is reliant on the effectiveness of the nursing staff's internal orientation. Thus, the improvement of team process will constitute yet another recommendation related to the options offered to the nursing home's administrative leadership. At its most fundamental level, team work is a multidisciplinary term which inherently pools collective knowledge and a diverse skill set in order to deliver improved outcomes for individual patients. More complexly speaking, it is the web of relationships between departments...

Linked to this is the emerging disciplinary consensus on the value of teams within and betwixt organisations as complex adaptive systems.
Further recommendations focus on the aforementioned pathways to quality outcome and knowledge economy improvements. Pathways will aim to support planned and systematic personal and professional development and incorporate into it components such as personal development plans for the staff. Such development scheme are recommended to be based on competency frameworks for every level, supplemented by pre-pathway career counsel and the availability of ongoing support.

It is also recommended that the special insights of healthcare system users be considered in constructing an understanding of that which is needed to actualize quality outcome improvements. Understanding the perception of the patient can help to convey with lucidity the form that quality improvement success will take. The constitution of benchmarks can therefore be more closely informed by the oft-ignored perception and experience of the system user. As a recommendation to the nursing care setting, this will be an important means to bringing about a change in the way the organization, healthcare provision teams and associated individuals work in concert to achieve critical and sustainable change.

Works Cited

Burgess, M.M. (2003). What difference does public consultation make to ethics? Electronic Working Papers Series. W. Maurice Young Centre for Applied Ethics, University of British Columbia.

Cho, I. & Park, H. (2003). Development and evaluation of a terminology-based electronic nursing record system. Journal of Biomedical Informatics, 36(4), 304-312.

Cooymans, M.P.M. And Hintzen, E.F.M. (2000) Winst en Waarden. Deventer and Den Bosch: Samson.

DoH. (2004) Quality Standards. The Department of Health.

Green, J. & Thorogood, N. (1998) Analysing Health Policy. Longman London.

Miller, J.F. (2007). Hope: A Construct Central to Nursing. Nursing Forum, 42 (1).

Newman, Margaret. (2004). Health as Expanding Consciousness. Nursing Theory. Online at http://www.healthasexpandingconsciousness.org/

Raingruber, Bonnie. (2003). Nurture: The Fundamental Significance of Relationship as a Paradigm for Mental Health Nursing. Psychiatric Care, Vol. 39.

Weingourt, Rita. (1998). Using Margaret a. Newman's Theory of Health with Elderly Nursing Home Residents. Perspectives in Psychiatric Care, Vol. 34.