Understanding the relational culture of healthcare workplaces: a framework to guide improvement interventions, derived from a realist evaluation of neonatal care in Kenya

Combines social network analysis with non-participant observation and in-depth interviews in a realist evaluation of neonatal care units in Kenya. The mixed-methods design uses SNA sociograms and network metrics (in-degree centrality, clustering coefficient) to triangulate qualitative findings, demonstrating how network methods can reveal the relational structures that underpin workplace culture and quality improvement in resource-constrained healthcare settings.