The implementation of the 'International Classification of Functioning, Disability and Health' (ICF) in daily practice of neurorehabilitation: an interdisciplinary project at the Kantonsspital of Lucerne, Switzerland

Hp, Rentsch; Bucher, Peter O.; Nyffeler, Dommen; Wolf, Cynthia; H, Hefti; Fluri, E.; Wenger, Ursula; Wälti, Charlotte; Boyer, I

doi:10.1080/0963828031000069717

Cited by 115 publications

(16 citation statements)

References 9 publications

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“…[11,12]) and expert opinion (e.g. [4]) have supported the use of the ICF to aid communication within clinical practice and this project provides empirical evidence to substantiate this belief.…”

Section: Discussionmentioning

confidence: 80%

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Enhanced clarity and holism: the outcome of implementing the ICF with an acute stroke multidisciplinary team in England

Tempest

Harries

Kilbride

et al. 2013

Disability and Rehabilitation

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Purpose:Although it is recommended that the ICF (International Classification of Functioning, Disability and Health) should be implemented to aid communication within multidisciplinary stroke services, there is no empirical evidence to demonstrate the outcomes of such implementation. Working with one stroke service, this project aimed to address this gap and sought to evaluate the outcomes of implementing an ICF-based clinical tool into practice. Method:Using an action research framework with mixed methods, data were collected from individual interviews, a focus group, questionnaires, email communications, minutes from relevant meetings and field notes. Thematic analysis was undertaken, using immersion and crystallisation, to define overall themes. Descriptive statistics were used to analyse quantitative data. Data from both sources were combined to create key findings.Results:Three findings were determined from the data analysis. The ICF (1) fosters communication within and beyond the multidisciplinary stroke team; (2) promotes holistic thinking; and (3) helps to clarify team roles.Conclusions:The ICF enhanced clarity of communication and team roles within the acute stroke multidisciplinary team as well as with other clinicians, patients and their relatives. In addition, the ICF challenged stroke clinicians to think holistically, thereby appropriately extending their domain of concern beyond their traditional remit.Implications for RehabilitationThe ICF is a globally accepted framework to describe functioning and is in use in a variety of clinical settings. Yet, the outcomes of using it in clinical practice have yet to be fully explored.This study found that the ICF enhanced clarity of communication and team roles within an acute stroke multidisciplinary team and to others beyond the team, including clinicians, patients and their relatives.Using the ICF also challenged clinicians to think holistically about patient needs following a stroke.

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Section: Discussionmentioning

confidence: 80%

“…Nonetheless, 173 papers focused on using it in clinical practice, albeit mainly anecdotal reflections, or applying it in theory. The ICF has potential to improve team communication [11,12]; enhance inter-agency communication [13,14]; help clinicians construct a broader view of disability [15–17]; and clarify team roles [18,19]. …”

Section: Introductionmentioning

confidence: 99%

Enhanced clarity and holism: the outcome of implementing the ICF with an acute stroke multidisciplinary team in England

Tempest

Harries

Kilbride

et al. 2013

Disability and Rehabilitation

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“…Although the interviewees agreed that the common language of the ICF simplifies interdisciplinary communication [25], some felt that more research is needed about ICF-based assessments before ICF can be usefully implemented. Other authors have also advocated developing additional psychometric tests for the ICF categories and validating the ICF qualifiers before putting ICF into more widespread use [14].…”

Section: Discussionmentioning

confidence: 99%

Challenges and potential improvements in the admission process of patients with spinal cord injury in a specialized rehabilitation clinic – an interview based qualitative study of an interdisciplinary team

Röthlisberger

Boes

Rubinelli

et al. 2017

BMC Health Serv Res

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BackgroundThe admission process of patients to a hospital is the starting point for inpatient services. In order to optimize the quality of the health services provision, one needs a good understanding of the patient admission workflow in a clinic. The aim of this study was to identify challenges and potential improvements in the admission process of spinal cord injury patients at a specialized rehabilitation clinic from the perspective of an interdisciplinary team of health professionals.MethodsSemi-structured interviews with eight health professionals (medical doctors, physical therapists, occupational therapists, nurses) at the Swiss Paraplegic Centre (acute and rehabilitation clinic) were conducted based on a maximum variety purposive sampling strategy. The interviews were analyzed using a thematic analysis approach.ResultsThe interviewees described the challenges and potential improvements in this admission process, focusing on five themes. First, the characteristics of the patient with his/her health condition and personality and his/her family influence different areas in the admission process. Improvements in the exchange of information between the hospital and the patient could speed up and simplify the admission process. In addition, challenges and potential improvements were found concerning the rehabilitation planning, the organization of the admission process and the interdisciplinary work.ConclusionThis study identified five themes of challenges and potential improvements in the admission process of spinal cord injury patients at a specialized rehabilitation clinic. When planning adaptations of process steps in one of the areas, awareness of effects in other fields is necessary. Improved pre-admission information would be a first important step to optimize the admission process. A common IT-system providing an interdisciplinary overview and possibilities for interdisciplinary exchange would support the management of the admission process. Managers of other hospitals can supplement the results of this study with their own process analyses, to improve their own patient admission processes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2399-5) contains supplementary material, which is available to authorized users.

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“…The main conclusions from the clinically focused papers were that the ICF has the potential to improve team communication (e.g. Rentsch et al, 2003;Steiner et al, 2002), enhance inter-agency communication (e.g Martinuzzi et al, 2008;Darzins, Fone and Darzins, 2006), help clinicians construct a broader view of disability (e.g. O'Donovan, Doyle and Gallagher, 2009; Raggi, Leonardi, Cabello and Bickenback, 2010) and clarify team roles (Tempest and McIntyre, 2006;Mitchell, 2008).…”

Section: Introductionmentioning

confidence: 99%

Engaging with clinicians to implement and evaluate the ICF in neurorehabilitation practice

Tempest

Jefferson²

2015

NRE

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INTRODUCTION: Although deemed a globally accepted framework, there remains scare evidence on the process and outcome of implementing the International Classification of Functioning, Disability and Health (ICF) within neurorehabilitation. OBJECTIVES: This review briefly explores the existing, broader literature and then reports on two action research projects, undertaken in England, specifically within stroke and neurorehabilitation. Working with participants, including clinicians from in-patient and community settings, there are now 35 different ways identified for the use of the ICF. CONCLUSION: The outcome of the first project highlights that using the ICF enhances communication within and beyond the acute stroke service, fosters holistic thinking and clarifies team roles. To adopt it into clinical practice, the ICF must be adapted to meet local service needs. The use of action research has facilitated the knowledge translation process which has enabled the ICF to become a clinical reality in neurorehabilitation, with clinicians identifying a range of potential uses.

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The implementation of the 'International Classification of Functioning, Disability and Health' (ICF) in daily practice of neurorehabilitation: an interdisciplinary project at the Kantonsspital of Lucerne, Switzerland

Abstract: Implementation improved considerably the quality of interdisciplinary work processes and contributed to a more systematic approach to rehabilitation tasks by the team members.

Cited by 115 publications

References 9 publications

Enhanced clarity and holism: the outcome of implementing the ICF with an acute stroke multidisciplinary team in England

Enhanced clarity and holism: the outcome of implementing the ICF with an acute stroke multidisciplinary team in England

Challenges and potential improvements in the admission process of patients with spinal cord injury in a specialized rehabilitation clinic – an interview based qualitative study of an interdisciplinary team

Engaging with clinicians to implement and evaluate the ICF in neurorehabilitation practice

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