Using the International Classification of Functioning, Disability and Health (ICF) to promote biopsychosocial clinical reasoning and person-centred practice (PCP) in two multi-disciplinary teams
Year: 2020
Type: dissertation
Abstract: Using the International Classification of Functioning, Disability and Health (ICF) to promote biopsychosocial clinical reasoning and person-centred practice (PCP) in two multi-disciplinary teams.Background: The ICF has been advocated as a way to enhance the biopsychosocial analysis of functioning and as a vehicle for implementing PCP.PCP has been recommended as a model to address contemporary healthcare needs.This action research study has identified factors required to facilitate biopsychosocial clinical reasoning and promote PCP through the implementation of the ICF.Setting and aims: Two multi-disciplinary teams, with different contexts, cultures and characteristics, participated in this study.One was community-based, included all members within the study group and sought to promote biopsychosocial multidisciplinary clinical reasoning.The other was unit-based, utilised a sub-group of research participants and required a clinical reasoning model that embraced all disciplines and enhanced PCP.Methods: Data were generated through the use of iterative action research cycles which employed a variety of qualitative and quantitative methods.Findings were analysed through immersion and thematic analysis and descriptive statistics.Key findings were drawn from across all the data sources.Findings: Through the process of developing and implementing ICF-based clinical reasoning tools six themes emerged.The need for: a shared team culture aligned to that of the organisation; a resilient and innovative team culture and; the adaptation of the ICF to the context of practice reflecting the patients', teams' and organisational needs and capabilities.When present, these led to: enhanced communication and reasoning between team members and with patients; a greater awareness of the biopsychosocial needs of individuals and; enriched PCP.Conclusions: This thesis makes an original contribution about the prerequisites, contextual conditions, modifications and developments required to implement the ICF to promote biopsychosocial clinical reasoning and PCP.
Author: Richard David Jefferson
Language: English
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3048330315