The study aimed to spread the culture of efficient performance between nursing staffs, which would contribute and achieve health care quality, and to clarify the role of nursing in improving the quality of high-quality health care, as well as to clarify how to reach national standards for the quality of health care in Iraq, Therefore, the study dealt with the efficiency of nursing performance as an explanatory variable, and the quality of health care as a dependent variable. The fact that the health sector is the foundation for building a healthy society free from diseases, so hospital of IBN AL-NAFIS as an institution and it's nursing teams were taken as a community for this study. The results to be objective and reflect the reality of the quality of medical service and more accurate, the researcher used a random sampling method in the selection of the study sample consisting of 60 nurse where a questionnaire was distributed 70 were retrieved 60 of them, and the rest is not valid due not to answer on all paragraphs. Based on the measured variables of the study, diagnosis and testing correlations and influence among them, the study found a set of conclusions, including that of harmony and cooperation between members of the nursing team helps to create a good working environment to drive toward  for a better performance,

Where the teamwork is an essential ingredient to provide health care acceptable and appreciation of the beneficiaries of that service, also that training affects in the development of technical skills and management for nurses and works to improve unwanted behaviors, which would contribute to health care quality. Set of recommendations were founds based on what this study conclusions, as well as submit some proposals that enhance aspects of these topics