An exploratory study of the relational ties between the Nigerian national health policy and patient safety

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Odeyemi, PO, 2023. An exploratory study of the relational ties between the Nigerian national health policy and patient safety. PhD, Nottingham Trent University.

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Abstract

The global perspective that national health policies (NHP) are highly influential in achieving safer healthcare services in every nation often comes under scrutiny, especially in sub-Saharan African countries, based on the limited availability of studies that could provide insight into the magnitude of healthcare problems before solutions can be suggested. As a response to the need for further studies in the field of patient safety (PS), this research critically explored the role of the Nigerian National Health Policy (NNHP) in achieving positive patient outcomes in clinical practice in Nigeria.

The study goal is achieved through an ethnographic research approach while fulfilling the research process by applying the methodological framework of Actor-network theory (ANT) as an interpretive qualitative research method. The twin methods of observation and semi-structured interviews were conducted among policy administrators and clinicians in Abuja, Nigeria, at the Federal Ministry of Health (FMoH) and in four acute care settings. An actor-network was established and interpreted through Bruno Latour’s four moments of translation.

The interpretation of the actor-network revealed the instability of patient safety (PS) in the network because of constant interference by mediators (that which changes and detracts the actant from following the pathway of the relational ties, such as the nature of the national health policy, political influences, health financing and policy mobility that were isolated as the main detractors) and intermediaries (something that transports meaning without transformation such as the presence of other national policies related to health matters and locally developed clinical practice policies). All these accounted for the identified disconnect between the national health policy and clinical practice.

Recommendations include suggestions for establishing clinical governance leadership, improving policy processes, and evaluating PS health policies in practice.

Item Type:	Thesis
Creators:	Odeyemi, P.O.
Contributors:	Name Role NTU ID ORCID Gibson, L. Thesis supervisor UNSPECIFIED UNSPECIFIED Love, K. Thesis supervisor UNSPECIFIED UNSPECIFIED
Date:	October 2023
Rights:	The copyright in this work is held by the author. You may copy up to 5% of this work for private study, or personal, non-commercial research. Any re-use of the information contained within this document should be fully referenced, quoting the author, title, university, degree level and pagination. Queries or requests for any other use, or if a more substantial copy is required, should be directed to the author.
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Ward
Date Added:	06 Jan 2025 15:07
Last Modified:	06 Jan 2025 15:07
URI:	https://irep.ntu.ac.uk/id/eprint/52779