Authors :
Anjani Nandan
Volume/Issue :
Volume 11 - 2026, Issue 10 - October
Google Scholar :
https://tinyurl.com/3sv94ucf
DOI :
https://doi.org/10.38124/ijisrt/26Oct795
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Background: Improving quality is a priority in India's public healthcare system. Initiatives such as the National Quality Assurance Standards (NQAS), LaQshya and Kayakalp have increased attention to patient safety, hygiene, clinical practices and service delivery. However, the availability of standards, training programmes and certification processes does not guarantee their consistent implementation in everyday hospital practice. Purpose: This article discusses how healthcare professionals' morale, professional ethics, accountability, leadership and organisational culture may influence the implementation and sustainability of quality standards in government hospitals. Discussion: A gap may exist between knowledge of quality standards and their consistent application in routine patient care. Staff motivation, workload, resource availability, supervisory support and institutional accountability may influence the implementation of quality procedures. Certification establishes benchmarks, but sustained improvement requires ongoing monitoring, corrective action and a culture of patient-centred care. Conclusion: Sustainable healthcare quality requires an integrated approach that combines effective quality management systems with professional commitment, supportive leadership, adequate resources and fair accountability. Quality certification should be viewed as the starting point of continuous improvement, not its final destination.
Keywords :
Healthcare Quality; NQAS; LaQshya; Kayakalp; Staff Morale; Professional Ethics; Organisational Culture; Patient Safety; Public Health; Quality Improvement.
References :
- World Health Organization, Organisation for Economic Co-operation and Development, World Bank. Delivering quality health services: a global imperative for universal health coverage. Geneva: World Health Organization; 2018. Available from: https://www.who.int/publications/i/item/9789241513906
- Ministry of Health and Family Welfare, Government of India. National Quality Assurance Standards and Assessment Tools for Public Health Facilities. New Delhi: Government of India. Refer to the applicable facility-specific edition. Available from: https://www.nhm.gov.in/New-Update-2022-24/CHProgrammes/MusQan-Guidline/MusQan_National_Quality_Assurance_Standards_and_Assessment_Tools_for_DH_and_CHC.pdf
- Ministry of Health and Family Welfare, Government of India. LaQshya: Labour Room Quality Improvement Initiative. New Delhi: National Health Mission; 2017. Available from: https://nhm.gov.in/New_Updates_2018/NHM_Components/RMNCH_MH_Guidelines/LaQshyaGuidelines.pdf
Background: Improving quality is a priority in India's public healthcare system. Initiatives such as the National Quality Assurance Standards (NQAS), LaQshya and Kayakalp have increased attention to patient safety, hygiene, clinical practices and service delivery. However, the availability of standards, training programmes and certification processes does not guarantee their consistent implementation in everyday hospital practice. Purpose: This article discusses how healthcare professionals' morale, professional ethics, accountability, leadership and organisational culture may influence the implementation and sustainability of quality standards in government hospitals. Discussion: A gap may exist between knowledge of quality standards and their consistent application in routine patient care. Staff motivation, workload, resource availability, supervisory support and institutional accountability may influence the implementation of quality procedures. Certification establishes benchmarks, but sustained improvement requires ongoing monitoring, corrective action and a culture of patient-centred care. Conclusion: Sustainable healthcare quality requires an integrated approach that combines effective quality management systems with professional commitment, supportive leadership, adequate resources and fair accountability. Quality certification should be viewed as the starting point of continuous improvement, not its final destination.
Keywords :
Healthcare Quality; NQAS; LaQshya; Kayakalp; Staff Morale; Professional Ethics; Organisational Culture; Patient Safety; Public Health; Quality Improvement.
