Multiprofessional Team and ICF

Tempest, S., Harries, P., Kilbride, C. & De Souza, L. (2013) Enhanced clarity and holism: the outcome of implementing the ICF with an acute stroke multidisciplinary team in England.  Disability and Rehabilitation, 35(22), 1921-1925; 10.3109/09638288.2013.766272

This article is freely available at: http://informahealthcare.com/doi/pdf/10.3109/09638288.2013.766272

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 Rehabilitation

  • The 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.

3 thoughts on “Multiprofessional Team and ICF

  1. Stephanie Tempest

    Hello,

    Thank you for reviewing our article in your journal club.

    Your debate about the use of action research is highly relevant; one if its greatest strengths is its use to explore, in the clinical setting, topics where little or no evidence exists. And to my knowledge, our work on the use of the ICF within the MPST remains the only current evidence of its kind. But, you’re right, the findings can’t be generalised in the traditional sense – more we ask the reader to think about our messages and critically explore their relevance to their own clinical settings.

    In a shameless plug (!), there is a companion article: Tempest, S; Harries, P; Kilbride, C; De Souza, LH. To adopt is to adapt: The process of implementing the ICF with an acute stroke multidisciplinary team in England. Disability and Rehabilitation, 34(20): 1686 – 1694, Oct 2012
    http://informahealthcare.com/doi/abs/10.3109/09638288.2012.658489

    In reading both, you will be able to get a picture of the ‘complete’ journey i.e. the process of implementing the ICF with the MPST and the outcome of doing so. I hope this might be of some interest to you.

    Many thanks again,
    Stephanie Tempest

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