Abstract

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: To examine healthcare delivery services influencing patient management and seek
approaches to heighten optimisation of patient health outcomes.
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: 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: 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.