Therapists’ insights into best communication practices with hand surgeons: A qualitative study

Abstract

Background

Hand injuries are treated by specialized hand surgeons and certified hand therapists (CHTs) for optimal care. Hand surgeons refer upper extremity patients to CHTs and work closely together. Hand surgeons and CHTs must collaborate effectively to optimize best practice and functional outcomes.

Purpose

To assess the perceived quality of collaboration between CHTs and orthopedic hand surgeons. In addition, to identify common characteristics within the working relationship that support an effective collaboration to facilitate optimal patient care.

Methods

This study utilized a constructivist-interpretive approach through purposive sampling of 10 practicing CHTs with frequent communication with hand surgeons. A 30-min, virtual, semistructured interview identified current CHT perceptions regarding hand surgeon collaboration. Interviews were transcribed via Zoom and confirmed via member checking. Initial codebook was developed with subsequent collaborative thematic analysis. Results: Themes emerged related to common reasons therapists reach out to hand surgeon, common obstacles faced when communicating, and elements of an ideal hand surgeon collaboration. Themes included: let’s chat, what it’s not, and help me help you! The participants defined an ideal hand surgeon collaboration as mutually respectful, interactive and face-to-face, frequent, and ongoing with opportunities for clinical advancement and collaboration to promote optimal patient outcomes.

Conclusions

By intentionally facilitating effective working relationships with hand surgeons, CHTs can promote the practice of occupational therapy, further define the role of CHTs in the healthcare realm and make lasting functional improvements for hand and upper extremity patients receiving skilled occupational therapy services.