Using the ICF in nursing practice in the Netherlands H.A. Stallinga, RN, policy adviser, University Hospital Groningen T. van Achterberg, PhD RN, University.

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Using the ICF in nursing practice in the Netherlands H.A. Stallinga, RN, policy adviser, University Hospital Groningen T. van Achterberg, PhD RN, University Medical Centre Nijmegen WHO-FIC, October 24, 2003

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 A mutual project (Sept Sept.2002) Three University Hospitals AMC, Amsterdam AZG, Groningen UMCN, Nijmegen National Centre for Nursing and Care LEVV, Utrecht Nursing Science UMCN, Nijmegen

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 ICF and Nursing Classification of human functioning Useful tool in patient files ‘Reveal’ patient care Multidisciplinary focus management and research purposes

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 Aim Exploring the usefulness of the ICF to nurse provide patient care.

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 Research questions 1.What parts of the ICF are used in the context of nurse provided hospital based care? 2.Which features of the ICF hinder use of the classification by nurses and should be improved in future revisions?

multi 7.Geriatric diagnostic center, assessment multi 5. Transition form stroke intramural AZG Groningen multi 8. neuro: care needs & transfer mono 10. assessment tools 4 wards mono 9. classifying diagnoses UMCN Nijmegen multi 4. critical pathway multi 3. patient files mono 2. assessment & discussion mono 1. 3 standard care plans AMC Amsterdam metho d 6. Transition form stroke transmural

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 Some Figures 24 instruments developed Instrument development involved: + 45 experts, +190 professionals, +150 patients Implementation involved: 50 wards/units Evaluation involved: + 40 experts, +300 professionals, +450 patients

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 Use of the ICF in instruments 4%37%5 out of 5Environment 4%19%9 out of 9Participation 3%38%9 out of 9Activities 9%53%8 out of 8Body Functions 75%29%8 out of 8Body Structures 4-digit codes 3-digit codes Chapters results

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 Topics that could not be derived Missing items Neglect Homesickness Groin Physical sensation like itch Mucous membranes Experiences results More detail emotional functions (152) happiness - fear defecation functions (b525) constipation - diarrhea

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 The ICF qualifiers Adjusted rephrasing the meaning of each of the five points of the scale choosing a scale with a smaller range Potential problems results

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 Comments made by application developers and users The scope of the ICF A rich source of topics with relevance to nursing care Reduction in the variety of terms used in patient care. Useful in multidisciplinary communication Neutral terms results

H.A. Stallinga, University Hospital Groningen. WHO-FIC, October 24, 2003 Conclusion Study new/alternative qualifiers Missing aspects Exploring the ICF in all domains of nursing care Introducing ICF in nursing curricula ICF is useful in nursing ICF can be improved from a nurse’s perspective