Return to Work for People with Hand Injuries: Strategies and Barriers

Authors

  • Michelle Elizabeth Uys M Occupational Therapy (Stellenbosch University). B Occupational Therapy (Stellenbosch University), Department of Health & Rehabilitation Sciences, Division Occupational Therapy, PO Box 241, Cape Town, 8000. Tel.: +27 729399527; Email: michelleelizabethuys@gmail.com http://orcid.org/0000-0003-2565-9402
  • Helen Buchanan Division of Occupational Therapy, University of Cape Town, F56 Old Groote Schuur Hospital Building, Observatory, 7925, Cape Town, South Africa http://orcid.org/0000-0001-5540-9928
  • Lana van Niekerk Department of Health & Rehabilitation Sciences, Division of Occupational Therapy, University of Stellenbosch,PO Box 241, Cape Town, 8000 http://orcid.org/0000-0003-0003-6006

DOI:

https://doi.org/10.17159/2310-3833/2020/vol50no2a7

Abstract

Introduction: The socio-economic burden of a hand injury in South Africa is substantial, particularly for manual labourers 
whose job tasks are physically demanding and require hand function. Barriers to participation in work occur on an economic, 
social and level, as well as on a therapist and client-specific level.
Aim: This study aimed to identify the strategies and barriers encountered by occupational therapists in work-related transitions after a serious hand injury.
Methods: A descriptive cross-sectional design was utilised. A questionnaire was developed for the study through a rigorous development
development process that included piloting. The final instrument was disseminated as an online questionnaire to occupational 
therapists working within the field of return-to-work and hand injuries. As no data were available on the number of 
occupational therapists working within this field, convenience sampling was used with snowballing as a strategy to increase the number of possible respondents. Data were exported into Microsoft Excel and descriptive analyses were conducted.
Results: Forty three occupational therapists completed the questionnaire. Respondents mostly focused on treating 
components of function (100%), addressing activities of daily living (97.67%) and issuing home programmes (97.67%) as direct 
intervention strategies to facilitate work-related transitions. One of the least used strategies was issuing assistive devices for 
work (30.23%).  The least used work-specific strategies included conducting worksite visits, observing clients (or proxies) completing work tasks in the workplace and implementing work trials.  Financial support and compensation were viewed as both an asset and a barrier.
Conclusion: Without knowledge about the representability of the study sample, the results of this study cannot be generalised.
However, the therapists who responded to the questionnaire were offering a range of strategies to address work-related 
transitions for people with serious hand injuries, despite the numerous barriers that exist.

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Author Biographies

  • Michelle Elizabeth Uys, M Occupational Therapy (Stellenbosch University). B Occupational Therapy (Stellenbosch University), Department of Health & Rehabilitation Sciences, Division Occupational Therapy, PO Box 241, Cape Town, 8000. Tel.: +27 729399527; Email: michelleelizabethuys@gmail.com
    Qualifications: M Occupational Therapy (SU). B Occupational Therapy (SU)
  • Helen Buchanan, Division of Occupational Therapy, University of Cape Town, F56 Old Groote Schuur Hospital Building, Observatory, 7925, Cape Town, South Africa

    Qualifications: PhD (University of Cape Town), MSc (University of Cape Town), BSc (University of Cape Town)

    Position: Associate Professor, Department of Health & Rehabilitation Sciences, Division of Occupational Therapy, University of Cape Town

  • Lana van Niekerk, Department of Health & Rehabilitation Sciences, Division of Occupational Therapy, University of Stellenbosch,PO Box 241, Cape Town, 8000

    Qualifications: , PhD (University of Cape Town), M O T (University of the Free State), B O T (University of the Free State)

    Position: Associate Professor, Department of Health & Rehabilitation Sciences, Division of Occupational Therapy; Stellenbosch University,

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Published

01-09-2020

Issue

Vol. 50 No. 2 (2020): South African Journal of Occupational Therapy

Section

Research Articles

License

Copyright (c) 2020 South African Journal of Occupational Therapy

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to Cite

Uys, M. E., Buchanan, H., & van Niekerk, L. (2020). Return to Work for People with Hand Injuries: Strategies and Barriers. South African Journal of Occupational Therapy, 50(2), 52-61. https://doi.org/10.17159/2310-3833/2020/vol50no2a7
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