However, several global governance and policy issues control the quality and effectiveness of healthcare services in global perspective.
Kruk (2010) in the article highlights the entrance of private institutions and multi-stakeholders in the healthcare industry. On the one hand, it has resulted in greater funding and equity availability in global healthcare governance,
it has also created gaps in the traditional centralized and currently demanded non-centralized decision making environment at healthcare desk. Latest and complex technologies have facilitated the scope of healthcare service but also rippled the cross-national health markets as focus shifts from local to global health.
Increased global disparities among nations gave rise to Millennium Development Goals (MDGs) in which 189 countries became signatories. With this, eradication of poverty, gender inequality, diseases and supporting countries with vulnerable health systems became the tenets of better health performance.
In this regard, the role of entities involved namely private institutions, nurses, government and issues surrounding their functioning like their composition, degree of control and autonomy, training and development and geographical and cultural factors. has been highlighted by Kabene et al. (2006).
Healthcare services are marked by professionalism, dedication and expert service and as claimed by the authors, human resources management in this regard should enjoy a strategic position with considerable amount of decision making freedom, decentralized working environment and multifaceted professionals with understanding of finance, marketing and other domains which could help them nurture a culture supporting global health agenda.
In the light of above findings, it becomes crystal clear that responsibility and accountability is going to rise in professional nursing practice.