Original Research 10 Strategic Points Draft (Research Proposal Sample)

Ten Strategic Points for a Quantitative Study
NAME
INSTITUTION
COURSE AND PREFIX NUMBER
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 control and prevent hospital acquired infections. Proper surveillance can be useful in identifying and control of the surgical site infections risk factors.
Summary
Background
There is need to evaluate the surveillance of maternity surgical site infections in low-income hospitals
Gap of the Research
To assess the surveillance by healthcare practitioners in curbing surgical site infections during hospital-based maternal care.
Prior Studies
Previous researches have reported continued rigidity, traditional and habitual practices in hospital based maternity care. They indicate need for behaviour change among healthcare practitioners as a crucial step in mitigating surgical site infections during deliveries.
Quantitative Study
There exist instruments, measures and data sources for collecting data on the variables.
Significance of the Research
The study will add to the limited crucial research on the role of healthcare providers in the surveillance of the increasing surgical-site infections during deliveries in low income hospitals.
Problem Statement
It is not known if the healthcare providers affect the effectiveness of the surveillance of maternity surgical site infections in low income hospitals.
Sample
Location: United States
Population: Low income Public Hospitals
Sample and Sample size: The research needs at least thirty rural public hospitals. The research will involve obstetrics staff, surgeons, surveillance nurses, operating theatre nurses, midwives and surgical nurses.
Research Questions
Question 1
What role to healthcare providers play in the surveillance of maternity nosocomial infections?
Question 2
Do healthcare providers promote the effectiveness of the surveillance of maternity nosocomial infections?
Question 3
Are the health care providers in low-income hospital more prune to cause maternity surgical site infections?
Hypotheses/Variables
H1A
There is a connection between health care providers and maternity nosocomial infections surveillance
H1B
There is no connection between healthcare providers and surveillance of maternity nosocomial infections.
H2A
Health care providers influence the effectiveness of surveillance of maternity nosocomial infections.
H2B
Health care providers do not influence the effectiveness of surveillance of maternity nosocomial infections.
H3A
Health care providers in low-income hospitals are more prone to cause maternity surgical site infections
H3B
Health care providers in low-income hospitals are less prone to cause maternity s...