Organisational factors influencing non-pharmacological management of type 2 diabetes mellitus (T2DM) in public hospitals across Lagos, Nigeria: A qualitative study of nurses' perspectives.
Adult
Attitude of Health Personnel
Decision Making, Organizational
Delivery of Health Care
/ organization & administration
Diabetes Mellitus, Type 2
/ epidemiology
Female
Health Knowledge, Attitudes, Practice
Health Services
/ standards
Hospitals, Public
/ organization & administration
Humans
Male
Middle Aged
Nigeria
/ epidemiology
Nurses
/ organization & administration
Perception
Practice Patterns, Nurses'
/ organization & administration
Qualitative Research
Socioeconomic Factors
Surveys and Questionnaires
Treatment Outcome
Management
Nigeria
Organisational factors
Public hospital
Type 2 Diabetes Mellitus
Journal
Diabetes research and clinical practice
ISSN: 1872-8227
Titre abrégé: Diabetes Res Clin Pract
Pays: Ireland
ID NLM: 8508335
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
18
11
2019
revised:
24
03
2020
accepted:
24
06
2020
pubmed:
3
7
2020
medline:
29
10
2020
entrez:
3
7
2020
Statut:
ppublish
Résumé
The prevalence and incidence of Type 2 Diabetes mellitus (T2DM) are significantly increasing in Nigeria. Effective management of the condition, in clinical settings, can be achieved with a minimal financial cost, but this is often overlooked. It is crucial to understand organisational factors influencing non-pharmacological management of T2DM in Nigerian public hospitals for effective management of patients diagnosed with the condition. To examine healthcare delivery services influencing patient management and seek approaches to heighten optimisation of patient health outcomes. Adopting a qualitative case study design, we used the Constant Comparative Method and semi-structured questions to interview17 nurses in public hospitals across Lagos. Using the five stages of the Framework Analysis process, the transcribed interviews were thematically analysed. Nurses suggested that a complex, multifaceted system constituted organisational factors influencing T2DM management in public hospitals across Lagos, Nigeria. Specific factors identified were levels of available information and knowledge, relationship, policy and decision-making management. These factors were, in turn, linked to political, infrastructural, health professional and the environments within which patients were given health services. The study revealed a significant gap in the organisation of care for individuals diagnosed with T2DM in public hospitals across Lagos. Timely and affordable strategies have been highlighted to secure effective care delivery to patients.
Sections du résumé
BACKGROUND
BACKGROUND
The prevalence and incidence of Type 2 Diabetes mellitus (T2DM) are significantly increasing in Nigeria. Effective management of the condition, in clinical settings, can be achieved with a minimal financial cost, but this is often overlooked. It is crucial to understand organisational factors influencing non-pharmacological management of T2DM in Nigerian public hospitals for effective management of patients diagnosed with the condition.
AIM
OBJECTIVE
To examine healthcare delivery services influencing patient management and seek approaches to heighten optimisation of patient health outcomes.
METHODS
METHODS
Adopting a qualitative case study design, we used the Constant Comparative Method and semi-structured questions to interview17 nurses in public hospitals across Lagos. Using the five stages of the Framework Analysis process, the transcribed interviews were thematically analysed.
RESULTS
RESULTS
Nurses suggested that a complex, multifaceted system constituted organisational factors influencing T2DM management in public hospitals across Lagos, Nigeria. Specific factors identified were levels of available information and knowledge, relationship, policy and decision-making management. These factors were, in turn, linked to political, infrastructural, health professional and the environments within which patients were given health services.
CONCLUSIONS
CONCLUSIONS
The study revealed a significant gap in the organisation of care for individuals diagnosed with T2DM in public hospitals across Lagos. Timely and affordable strategies have been highlighted to secure effective care delivery to patients.
Identifiants
pubmed: 32615277
pii: S0168-8227(20)30540-4
doi: 10.1016/j.diabres.2020.108288
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
108288Subventions
Organisme : Medical Research Council
ID : MR/K02325X/1
Pays : United Kingdom
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.