Occupational Therapy for Adults With Acute Hand Conditions: A Mixed-Methods Feasibility Study.
Margo SheerinRose GalvinDamien RyanLeonora CareyAoife WhistonAoibheann CoughlanAnn-Marie MorrisseyPublished in: OTJR : occupation, participation and health (2024)
Hand injuries account for up to one third of acute hospital presentations. Current guidelines and standards of care recommend patients with hand trauma are seen by hand therapists, typically occupational therapists. This study explored the feasibility of implementing an occupational therapy-led hand therapy service for adults presenting acutely with a hand condition, using the RE-AIM framework. Purposeful sampling was used to recruit adult participants ( n = 13). Outcome measures assessing function, health-related quality of life, pain, and occupational value and competence were completed. Focus groups were completed with patients and health care professionals. Data analysis revealed improvements in outcome measures post intervention and at 6-month follow-up. Participants were receptive of therapy-led services, and barriers and facilitators to service integration were identified using the RE-AIM framework. Occupational therapy-led hand therapy clinics show potential in treating people with acute hand conditions at emergency department settings, based on RE-AIM evaluation.
Keyphrases
- healthcare
- emergency department
- liver failure
- data analysis
- mental health
- primary care
- randomized controlled trial
- respiratory failure
- end stage renal disease
- newly diagnosed
- quality improvement
- clinical trial
- chronic kidney disease
- intensive care unit
- pain management
- neuropathic pain
- spinal cord injury
- climate change
- ejection fraction
- extracorporeal membrane oxygenation
- clinical practice
- health information