A qualitative exploration of the uses of the International Classification of Functioning, disability and health at an inpatient neurorehabilitation facility in the Western Cape, South Africa

dc.contributor.authorHall, Rehanen_ZA
dc.contributor.authorVisagie, Suronaen_ZA
dc.date.accessioned2022-06-29T13:55:36Z
dc.date.available2022-06-29T13:55:36Z
dc.date.issued2020-06
dc.descriptionCITATION: Hall, R., & Visagie, S. 2022. A qualitative exploration of the uses of the International Classification of Functioning. Disability and Health at an inpatient neurorehabilitation facility in the Western Cape, South Africa. Disability and rehabilitation, 44(4):582–589. doi:10.1080/09638288.2020.1773943
dc.descriptionThe original publication is available at https://www.tandfonline.com/journals/iidt20
dc.description.abstractPurpose of the study: The aim of the study was to describe how healthcare professionals at a neurorehabilitation facility currently use the International Classification of Functioning, Disability and Health (ICF) and to identify further possibilities for its future use. Methods: The study followed an interpretive description approach. Data were collected through four focus group discussions with 21 participants, all health care practitioners, at the study facility. Thematic analysis was conducted by coding the transcripts and generating themes. Findings: Three themes were generated: (1) Current use and gaps in use of the ICF, (2) a non-conducive environment and (3) using the ICF to facilitate holistic, patient-centred management. Current use of the ICF was limited. Gaps in use of the ICF was especially evident in goal setting practices. Goals were generic in nature and did not address participation and the environment. A lack of knowledge, debilitating interpersonal relationships and an unsupportive organisational culture created an environment non-conducive to the implementation of the ICF. Participants felt that the ICF can assist them to work more patient-centred. Conclusion: Participants perceived that the ICF has the potential to improve service delivery at the facility. The implementation process must be well structured, focus on practical use and be supported through an enabling environment created by management. IMPLICATIONS FOR REHABILITATION: The ICF is not being optimally used in clinical rehabilitation practice, however healthcare practitioners perceive the ICF to have the potential to improve rehabilitation service delivery. Concerted action is required at institutional, interpersonal and individual level to create a conducive environment that facilitates the use of the ICF during rehabilitation service delivery. The ICF can be used to construct a team assessment document that promotes patient-centred goal setting and improves interdisciplinary communication.en_ZA
dc.description.urihttps://www.tandfonline.com/doi/full/10.1080/09638288.2020.1773943
dc.description.versionPublishers version
dc.format.extent8 pages : illustrations
dc.identifier.citationHall, R. & Visagie, S. 2022. A qualitative exploration of the uses of the International Classification of Functioning. Disability and Health at an inpatient neurorehabilitation facility in the Western Cape, South Africa. Disability and rehabilitation, 44(4):582–589. doi:10.1080/09638288.2020.1773943
dc.identifier.issn1748-3115 (online)
dc.identifier.issn1748-3107 (print)
dc.identifier.otherdoi:10.1080/09638288.2020.1773943
dc.identifier.urihttp://hdl.handle.net/10019.1/125432
dc.language.isoen_ZAen_ZA
dc.publisherTaylor and Francis
dc.rights.holderAuthors retain copyright
dc.subjectPeople with disabilities -- Classification -- Western Cape (South Africa)en_ZA
dc.subjectHuman physiology -- Western Cape (South Africa)en_ZA
dc.subjectDisability Evaluation -- Western Cape (South Africa)en_ZA
dc.titleA qualitative exploration of the uses of the International Classification of Functioning, disability and health at an inpatient neurorehabilitation facility in the Western Cape, South Africaen_ZA
dc.typeArticleen_ZA
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