{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T04:10:44Z","timestamp":1764130244353,"version":"3.46.0"},"reference-count":28,"publisher":"Belitung Raya Foundation","issue":"6","license":[{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"This study was supported by the Japan Society for the Promotion of\nScience, KAKENHI","award":["JP25K02920"],"award-info":[{"award-number":["JP25K02920"]}]}],"content-domain":{"domain":["belitungraya.org"],"crossmark-restriction":true},"short-container-title":["Belitung Nurs J"],"abstract":"<jats:p>Background:\u00a0In Japan, patients receiving treatment in advanced acute care hospitals often cannot return home immediately and require ongoing hospitalization. Sequential support is crucial to facilitate long-term recovery and community reintegration. Therefore, functional assessments should extend beyond physical function to include daily activities and participation. However, how nurses across different hospital types in Japan evaluate patients\u2019 functional status using a standardized framework remains unclear.\nObjective:\u00a0This study examined how nurses in hospitals with varying care functions assess patients\u2019 functional status, focusing on the application of the International Classification of Functioning, Disability, and Health (ICF) framework.\nMethods:\u00a0A cross-sectional survey with a qualitative component was conducted in accordance with the STROBE guidelines. Participants were 200 registered nurses in Japan, each with at least three years of clinical experience. Data were collected from February to March 2025 through an online survey using a commercial research firm\u2019s verified panel of licensed nurses. Quantitative data were analyzed using descriptive statistics, chi-square tests, and one-way analysis of variance (ANOVA). In addition, open-ended responses were analyzed qualitatively to capture contextual perspectives on functional assessment.\nResults:\u00a0No significant differences were observed in discharge planning practices among the four hospital types. The Functional Independence Measure was most frequently used in recovery-phase hospitals (p &lt;0.001). Across all hospital types, assessments focused primarily on body functions and structures, while activities and participation domains received comparatively less attention. Qualitative analysis indicated that the focus of patient handovers varied by hospital function, reflecting institutional roles and priorities.\nConclusion:\u00a0Although discharge planning practices were comparable across hospital types, functional assessments remained concentrated on physical aspects, with limited attention to broader domains critical for long-term recovery. These findings highlight the need for a more comprehensive and standardized use of the ICF framework to support patients\u2019 social reintegration and continuity of care across healthcare settings.<\/jats:p>","DOI":"10.33546\/bnj.4123","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T03:51:14Z","timestamp":1764129074000},"page":"777-785","update-policy":"https:\/\/doi.org\/10.33546\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurses\u2019 functional status assessments using the International Classification of Functioning, Disability, and Health across hospital types in Japan: A cross-sectional study"],"prefix":"10.33546","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5809-9996","authenticated-orcid":false,"given":"Kanako","family":"Yamamoto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"19163","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"132579","doi-asserted-by":"crossref","unstructured":"Amsters, D., Kendall, M., Schuurs, S., & Kuipers, P. (2022). Influences on participation in life after spinal cord injury: Qualitative inquiry reveals interaction of context and moderators. Frontiers in Rehabilitation Sciences, 3, 898143. https:\/\/doi.org\/10.3389\/fresc.2022.898143","DOI":"10.3389\/fresc.2022.898143"},{"key":"132580","doi-asserted-by":"crossref","unstructured":"Brown, S. M., Bose, S., Banner-Goodspeed, V., Beesley, S. J., Dinglas, V. D., Hopkins, R. O., Jackson, J. C., Mir-Kasimov, M., Needham, D. M., & Sevin, C. M. (2019). Approaches to addressing post\u2013intensive care syndrome among intensive care unit survivors. A narrative review. Annals of the American Thoracic Society, 16(8), 947-956. https:\/\/doi.org\/10.1513\/AnnalsATS.201812-913FR","DOI":"10.1513\/AnnalsATS.201812-913FR"},{"key":"132581","doi-asserted-by":"crossref","unstructured":"Chiba, Y. (2005). Development and validation of a process evaluation scale for discharge planning [in Japanese]. Journal of Japan Academy of Nursing Science, 25(4), 39-51. https:\/\/www.jstage.jst.go.jp\/article\/jans1981\/25\/4\/25_39\/_article\/-char\/ja\/","DOI":"10.5630\/jans1981.25.4_39"},{"key":"132582","doi-asserted-by":"crossref","unstructured":"de Oliveira Almeida, K., Nogueira Alves, I. G., de Queiroz, R. S., de Castro, M. R., Gomes, V. A., Santos Fontoura, F. C., Brites, C., & Neto, M. G. (2023). A systematic review on physical function, activities of daily living and health-related quality of life in COVID-19 survivors. Chronic Illness, 19(2), 279-303. https:\/\/doi.org\/10.1177\/17423953221089309","DOI":"10.1177\/17423953221089309"},{"key":"132583","doi-asserted-by":"crossref","unstructured":"Denehy, L., de Morton, N. A., Skinner, E. H., Edbrooke, L., Haines, K., Warrillow, S., & Berney, S. (2013). A physical function test for use in the intensive care unit: validity, responsiveness, and predictive utility of the physical function ICU test (scored). Physical Therapy, 93(12), 1636-1645. https:\/\/doi.org\/10.2522\/ptj.20120310","DOI":"10.2522\/ptj.20120310"},{"key":"132584","doi-asserted-by":"crossref","unstructured":"Du Plessis, I., Hanekom, S. D., & Lupton-Smith, A. R. (2024). Physical function measures in ICU survivors, where to now? A scoping review. Southern African Journal of Critical Care, 40(2), 76-82. https:\/\/doi.org\/10.7196\/SAJCC.2024.v40i2.1742","DOI":"10.7196\/SAJCC.2024.v40i2.1742"},{"key":"132585","doi-asserted-by":"crossref","unstructured":"Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https:\/\/doi.org\/10.3758\/BRM.41.4.1149","DOI":"10.3758\/BRM.41.4.1149"},{"key":"132586","doi-asserted-by":"crossref","unstructured":"Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology, 13(1), 117. https:\/\/doi.org\/10.1186\/1471-2288-13-117","DOI":"10.1186\/1471-2288-13-117"},{"key":"132587","doi-asserted-by":"crossref","unstructured":"Hiser, S. L., Fatima, A., Ali, M., & Needham, D. M. (2023). Post-intensive care syndrome (PICS): Recent updates. Journal of Intensive Care, 11(1), 23. https:\/\/doi.org\/10.1186\/s40560-023-00670-7","DOI":"10.1186\/s40560-023-00670-7"},{"key":"132588","doi-asserted-by":"crossref","unstructured":"Hodgson, C. L., Capell, E., & Tipping, C. J. (2018). Early mobilization of patients in intensive care: Organization, communication and safety factors that influence translation into clinical practice. Critical Care, 22(1), 77. https:\/\/doi.org\/10.1186\/s13054-018-1998-9","DOI":"10.1186\/s13054-018-1998-9"},{"key":"132589","unstructured":"Ishihama, H., & Shirahase, M. (2022). Rehabilitation in long\u2011term care facilities: Practice of rehabilitation in the chronic phase of recovery [in Japanese]. Journal of Clinical Rehabilitation, 31(6), 533-540."},{"key":"132590","doi-asserted-by":"crossref","unstructured":"Kamdar, B. B., Suri, R., Suchyta, M. R., Digrande, K. F., Sherwood, K. D., Colantuoni, E., Dinglas, V. D., Needham, D. M., & Hopkins, R. O. (2020). Return to work after critical illness: A systematic review and meta-analysis. Thorax, 75(1), 17-27. https:\/\/doi.org\/10.1136\/thoraxjnl-2019-213803","DOI":"10.1136\/thoraxjnl-2019-213803"},{"key":"132591","doi-asserted-by":"crossref","unstructured":"Lima, E. A., Rodrigues, G., Mota, B. C., Castro, S. S., Mesquita, R. B., & Leite, C. F. (2024). Which components of the International Classification of Functioning, Disability and Health (ICF) are covered by cardiac rehabilitation assessment tools among individuals with heart failure? Heart & Lung, 63, 65-71. https:\/\/doi.org\/10.1016\/j.hrtlng.2023.09.010","DOI":"10.1016\/j.hrtlng.2023.09.010"},{"key":"132592","doi-asserted-by":"crossref","unstructured":"Lima, F. d. S., Carvalho, V. d. S., Bittencourt, I. S., & Fontana, A. P. (2022). Analyzes of the ICF domain of activity after a neurological early mobility protocol in a public hospital in Brazil. Frontiers in Rehabilitation Sciences, 3, 864907. https:\/\/doi.org\/10.3389\/fresc.2022.864907","DOI":"10.3389\/fresc.2022.864907"},{"key":"132593","unstructured":"Ministry of Health Labour and Welfare Japan. (2020). Utilization of ICF for community-based integrated care systems: Research on the development and dissemination of practical assessment models in medical and long-term care settings [in Japanese]. https:\/\/mhlw-grants.niph.go.jp\/system\/files\/report_pdf\/202002008A-sokatsu.pdf"},{"key":"132594","unstructured":"Ministry of Health Labour and Welfare Japan. (2022). Revision of Medical Treatment Remuneration for Fiscal 2020 [Overview] [in Japanese]. https:\/\/www.mhlw.go.jp\/content\/12400000\/001251533.pdf"},{"key":"132595","doi-asserted-by":"crossref","unstructured":"Saleh, N. E. H., Summaka, M., Zein, H., Fneish, S., Mazbouh, R., Hamieh, F., & Naim, I. (2024). ICF-based multidisciplinary approach to rehabilitation of people with disabilities: Perspective and current practices within the health, rehabilitation, integration, and research center in Lebanon. Discover Health Systems, 3(1), 58. https:\/\/doi.org\/10.1007\/s44250-024-00122-5","DOI":"10.1007\/s44250-024-00122-5"},{"key":"132596","doi-asserted-by":"crossref","unstructured":"So, C., Lage, D. E., Slocum, C. S., Zafonte, R. D., & Schneider, J. C. (2019). Utility of functional metrics assessed during acute care on hospital outcomes: A systematic review. PM&R, 11(5), 522-532. https:\/\/doi.org\/10.1002\/pmrj.12013","DOI":"10.1002\/pmrj.12013"},{"key":"132597","doi-asserted-by":"crossref","unstructured":"Toi, K., Ishiyama, D., Aoyagi, Y., Suzuki, K., Takayama, T., Yazu, H., Yoshida, M., & Kimura, K. (2024). The cutoff values of functional independence measure scores for predicting discharge destination in the early stroke phase. International Journal of Rehabilitation Research, 47(3), 185-191. https:\/\/doi.org\/10.1097\/MRR.0000000000000636","DOI":"10.1097\/MRR.0000000000000636"},{"key":"132598","doi-asserted-by":"crossref","unstructured":"Triantis, E., & Liu, K. P. Y. (2024). Activities of daily living interventions on activity performance of inpatients post-stroke: A systematic review and meta-analysis. British Journal of Occupational Therapy, 87(10), 598-613. https:\/\/doi.org\/10.1177\/03080226241255021","DOI":"10.1177\/03080226241255021"},{"key":"132599","unstructured":"Uchigashima, S. (2021). 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