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Title: To adopt is to adapt: The process of implementing the ICF with an acute stroke multidisciplinary team in England
Authors: Tempest, S
Harries, P
Kilbride, C
De Souza, LH
Keywords: ICF;Health;Implementation;Stroke
Issue Date: 2012
Publisher: Informa Plc.
Citation: Disability and Rehabilitation, 34(20): 1686 - 1694, Oct 2012
Abstract: Purpose: 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.
Description: Copyright @ 2012 Informa Plc. The article can be accessed from the link below.
This article has been made available through the Brunel Open Access Publishing Fund.
ISSN: 0963-8288
Appears in Collections:Community Health and Public Health
Brunel OA Publishing Fund
Dept of Clinical Sciences Research Papers

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