To evaluate the usability of the ICF core set for HSCT patients, from the perspective of nurses: a feasibility study.

Abstract

Background: After patients undergo a haematological stem cell transplantation (HSCT), they experience symptoms which affect their perceived quality of life. However, current healthcare focuses mainly on curing the disease. The International Classification of Functioning, disability and health (ICF) can be an appliance for nurses to focus on all aspects of a patient’s health, including functioning. A core set for HSCT patients has been developed and is ready for testing in daily practice. Aim: The aim of the study is to evaluate the ICF core set on its feasibility for nurses in care of clinical HSCT patients in a university hospital and to quantitatively explore the use of the ICF core set categories. Methods: This study uses a qualitative-dominant explanatory mixed methods design. Quantitative data regarding the use of the ICF core set categories with HSCT patients are collected. The qualitative part consists of semi-structured interviews with haematological nurses. Results: The results indicate that using the ICF core set for HSCT patients, to provide information about patients’ functioning, is feasible. This information is significant for multidisciplinary meetings and may impact clinical decision-making. The ICF provides awareness to patients regarding important aspects of their daily lives. The top 30% of the most used ICF categories were included in the core set for HSCT patients, except for medication (e110). Energy (b130) was most registered. Conclusion: From the perspective of nurses, all core set categories are determined to be relevant and useful in gaining information regarding functioning. Applying the ICF core set with the anamnesis and the daily consultations contributes to this information. Further research is needed to focus on the perspective of HSCT patients using the ICF core set.