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10 pages/≈2750 words
5 Sources
Health, Medicine, Nursing
Research Proposal
English (U.S.)
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Original Research 10 Strategic Points Draft (Research Proposal Sample)


Consider a potential gap in the literature that is emerging from your ongoing reading in your field of interest including no less than five specific research studies. Using the information from those research studies, state the potential gap that you identified and describe how it emerged from the studies you read.
Based on that identified gap, draft the 10 Strategic Points for a potential dissertation research study.


Ten Strategic Points for a Quantitative Study
Evaluation of Surveillance of Maternity Surgical Site Infections in Public Hospitals
Literature Review
Background of the Problem
According to World Health Organisation Fact Sheet (2014), new-borns delivered in low-income hospitals are at a twenty times higher rate risk of nosocomial than in higher-income hospitals. In low-income hospitals, surgical site infections are very rampant .These form of nosocomial infections are on the rise especially in the public hospitals. Puerperal infections remain a major concern and one of the major reasons for maternity deaths and morbidity. Surgical site infections emergent from caesarean deliveries are core risk factors. Physicians and care provides play a crucial role in care delivery but little is known of their total influence on surveillance of hospital acquired infections. Surveillance is a crucial tactic for the prevention and control of these hospital acquired infection but it is still not clear how to effectively carry this out in the maternity wards especially in public hospitals and the role the care providers play in this.
Theoretical Foundations
Commitment to Change Model (Mazmanina, E & Mazmanina, A., 1999)
Trans-theoretical Model of Behaviour Change (Prochaska & Velicer, 1997).
Themed Reviews on the Topic
Prevalence of Surgical Site Infections
According to a survey by Kimura et al (2007), the rate of surgical site infections was 5.89 percent with a total of forty seven cases. Harrington (2014) considers surgical site infections to contribute to sixteen percent of nosocomial infections which consequently have damaging health effects. Thomas (2000) identifies nosocomial infections among birthing women an eminent danger that has been ignored and not efficiently controlled with the proper surveillance. He challenges the inflexible routine hospital-based maternity care. Conroy et al., (2012) posit that caesarean surgical deliveries increase the risk of puerperal infections to up to 5 to 20 times. They report a pregnancy-related mortality ratio of 14.5 per 100,000 live births in the United States. Ten percent of these relate to puerperal infections. The data of the same in low-income hospitals is lacking but is certainly alarmingly high due to ignorance of sterile techniques, incompetency, ignorance, staffing burdens, malpractices, negligence, limited access to antibiotics and improper surveillances.
Role of healthcare providers in surveillance of maternity surgical site infections
Cross infections could result exogenously from external contaminations such as poor hygiene by the operating theatre staff (Gould, 2013). Sub-optimal professional practice by health care providers leads to surgical site infections (McHugh,2011).Woodhead et al.,(2002) elucidate that there are reviewed standard operating theatre protocols and procedures to mitigate surgical site infections but practically only the traditional rituals are followed rather than abiding by the well conducted trials.
Importance of surveillance in prevention of surgical site infections
Habarth et al (2003) indicated, in their systematic review, that at least twenty percent of all the nosocomial infections are likely preventable. Revelas (2012) recommends persistent strict surveillance by hospital staff to cont

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