“Surthriving” Hand Rehabilitation: Proposing Interventions to Support Novice Occupational Therapists Working in Underserved Contexts
Table 4
Proposed interventions to address identified support and development needs.
Identified interventions (subtheme/s from which intervention was extrapolated)
A. System/service-related interventions
(i) Systemic development (1.1) (ii) Occupational therapy human resourcing in other public sector departments (1.1) (iii) Improvement in basic management of hand injuries/conditions (1.3) (iv) Strengthening human resources (medical and surgical) (1.3) (v) Strengthening referral systems (1.3; 3.4) (vi) Human resourcing of occupational therapists to reduce language discordance (1.5) (vii) Interpreters (1.5) (viii) Human resourcing (2.4) (ix) Strengthening supervision capacity (2.4) for responsive supervision (3.3) (x) Accessible (immediacy and proximity) support and supervision (3.6) (xi) Access to expertise (3.6)
B. Learning opportunities to support competency
(i) Guidance and feedback (2.1; 2.2) (ii) Support for the development of knowledge, skill, and clinical reasoning (2.1; 2.2) (iii) Accessing appropriate evidence (2.2) (iv) Management of acute conditions and injuries (2.2), chronic conditions (2.2), burnt hand (2.2), fractures (2.2), and stroke upper limb (2.2) (v) Reasoning around disability grant eligibility (2.2) (vi) Supporting adherence (2.3) (vii) Strengthening undergraduate curricula (2.4) (viii) Practical undergraduate experiences (2.4) (ix) Regular opportunities to develop knowledge and skill (2.4) (x) Strengthening resourcefulness, creativity, and innovation (2.4) (xi) Fostering enjoyable undergraduate hand therapy experiences (2.5) (xii) Strengthening occupational focus in undergraduate hand therapy teaching (2.5) (xiii) Occupation-based hand therapy opportunities (2.5) (xiv) Understanding indigenous occupations and drawing them into therapy (2.5) (xv) Supporting development of agency (3.1) (xvi) Supporting development of lifelong learning practices (3.1) (xvii) Resilience (including coping strategies, building/harnessing support networks) (3.3) (xviii) Strengthening undergraduate experiences (3.5) (xix) Individual and group reflection (3.5) (xx) Case discussion (3.5)
C. Physical resources
(i) Applications to assist with language learning and to support communication (1.5) (ii) Appropriate guidelines for managing conditions (2.2; 2.3) (iii) Appropriate home programmes (2.3) (iv) Mobile assessment and treatment resources (2.3) (v) Appropriate hand therapy resources (2.4) (vi) Resources suitable for a diverse caseload (3.2) including resources for occupation-based therapy (2.5) (vii) Activity ideas (2.5) (viii) Appropriate resources (3.4) (ix) Appropriate courses (3.5)
D. Emotional support
(i) Preparation for CS to know what to expect (all themes) (ii) Processing experiences: debriefing/sharing (all themes) (iii) Supported reflection (all themes)
