Article

The success of the International Classification of Functioning,
Disability and Health (ICF) depends on its uptake in clinical practice. This
project aimed to explore ways the ICF could be used with an acute stroke
multidisciplinary team and identify key learning from the implementation process.
METHOD: Using an action research approach, iterative cycles of observe, plan, act
and evaluate were used within three phases: exploratory; innovatory and
reflective. Thematic analysis was undertaken, using a model of immersion and
crystallisation, on data collected via interview and focus groups, e-mail
communications, minutes from relevant meetings, field notes and a reflective
diary. RESULTS: Two overall themes were determined from the data analysis which
enabled implementation. There is a need to: (1) adopt the ICF in ways that meet
local service needs; and (2) adapt the ICF language and format. CONCLUSIONS: The
empirical findings demonstrate how to make the ICF classification a clinical
reality. First, we need to adopt the ICF as a vehicle to implement local service
priorities e.g. to structure a multidisciplinary team report, thus enabling
ownership of the implementation process. Second, we need to adapt the ICF
terminology and format to make it acceptable for use by clinicians.

Langue : ANGLAIS