Paper
Friday, July 15, 2005
Terminological Analysis of Disabilities of Stroke Patients Related to ICF
Hillegonda A. Stallinga, MSc, RN, Nursing Affairs, Academisch Ziekenhuis Groningen, Groningen, Groningen, Netherlands, Huib Ten Napel, RN, VTV, Dutch WHO-FIC CC / RIVM Bilthoven, Bilthoven, Utrecht, Netherlands, and Gerard Jansen, MS, Health Sciences, Groningen University Medical Center, Groningen, Netherlands.
Learning Objective #1: Insight in the terminological analysis that took place in a controlled environment, the Surgical Procedure Editing Tool |
Learning Objective #2: Insight in the use of ICF as an unambiguous language |
AIM: The aim of this study was to attain a valid matching onto the International Classification of Functioning, Disability and Health (ICF) of terms referring to nine selected disabilities in stroke patients. The nine disabilities were selected from a transfer-form for stroke patients. With a valid match onto the ICF, the terms can be used for disambiguous communication in patient care, research purposes, registration and management information. METHOD: A terminological analysis has been carried out. In this qualitative research, a categorial structure has been developed showing the internal cohesion of terms. The analysis was performed in a controlled environment; the Surgical Procedure Editing Tool (SPET). Data were collected, using in-depth-interviews. The ten participants are caregivers of stroke patients. FINDING: A categorial structure has been developed for at least nine disabilities. By analysing the disabilities within this categorial structure, their meaning has been lined out enabling a correct mapping onto the ICF. CONCLUSION: Compared to matching based on face-validity, this research project lead to a 25% quality improvement of mapping. The terminological analysis makes a large contribution to an unambiguous use of terms by the participants. Recommendations are to analyse more disabilities in with this method in order to evolve the draft categorial structure into a knowledge-model for stroke patients, relevant for this area of expertise.