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Running head: LIVING IN LIMBO1Living in the Limbo:What it is Like to be Alternate Level of Care Patient.Elena Ezhova 3305991 Athabasca University Understanding ResearchNURS 328Barbara Wilson-Keates March 19, 2019
LIVING IN LIMBO2Living in the Limbo: What it is Like to be Alternate Level of Care Patient.The purpose of this assignment is to gain an understanding of the research process by developing a research proposal. The problem and significance of the problem and available research will be discussed first. Next, I will present the research question, chosen approach and design, target and accessible population, sampling and recruitment procedures. Then, I will access the researchability and feasibility. Finally, I will conclude with an examination of what was discovered about the process of developing a research study.Over the past few decades, one of the areas of research has been the quality of life [QoL] among older adults (Broudeur, Hurrell, Stepinska, & Houxou, n.d.). QoL is a multidimensional concept that encompasses the individual’s physical health, psycho-social well-being and functioning, independence, control over life, material circumstances, and external environment (Bowling, 2007, p. 15). After hospitalization, many seniors are unable to return home as they require special care after discharge and remain in acute care for a long time as Alternate level of Care [ALC] patients (McCloskey, Jarrett, Stewart, & Nicholson, 2014, p. 88). ALC patients are patients who occupy hospital beds but do not require the intensity of services provided (CanadianInstitutes for Health Information (CIHI), 2009, p. 6). Patients with cognitive impairment, behavioural challenges, functional decline, social vulnerability, advanced age, lack of support system are frequently being designated as ALC patients (Costa, Poss, Peirce, & Hirdes, 2012, p. 172).In 2014, up to 33% of acute care beds in Canada had been occupied by ALC patients with an average length of hospital stay 380 days (Canadian Medical Association, 2016, p. 11). The Research Problem and the Problem Statement.Despite data collection since 1989, the experiences of ALC patients have not been examined yet (CIHI, 2009, p. 2). The purpose of this study is to explore the effects of prolonged,
LIVING IN LIMBO3unnecessary hospitalization on older patients.The Significance of the Problem.Canadian Medical Association (2016) indicated that extended hospitalization of the elderly might result in hospital-acquired disability (p. 12). It has been suggested that ALC patients may experience reduced QoL and a financial burden (Kuluski et al., 2017, p. 1). Assessing patient’s QoL captures patients' perspectives of their disease and treatment, their perceived need for health care, and their preferences for treatment and outcomes (Carr & Higginson, 2001, p. 1357). Full understanding of the impact of lengthy hospitalization on the patient's QoL is needed to guide targeted strategies for improving the situation.