Introduction / Rationale: Globally, Occupational Therapy (OT) in traumatology is challenging due to limited awareness, resources, etc. Occupational therapists in acute trauma settings encounter various challenges, including patient-specific needs, interdisciplinary collaboration, and environmental constraints. LMIC where rehabilitation is an accessory, reintegration of patients into functional activities following traumatic injuries presents significant challenges, which is particularly evident in Pakistan, where, until last year, occupational therapists weren’t formally working in traumatology.
Objectives: This study aims to observe/identify the environmental factors affecting OT practice in traumatology. To lay the groundwork for future acute-care therapists to fill the gaps in rehabilitation practices in traumatology to enhance quality care.
Methods / Approach: This observational study was conducted by 10 occupational therapists across 5 wards in a semi-public trauma center. A self-designed digital checklist was used to assess environmental factors affecting OT practice during inpatient sessions. Key factors included ward hygiene, privacy, language, awareness, interprofessional collaboration, feedback, outcomes, management support., etc.
Results / Practice Implications: The digital checklist identified key environmental facilitators, ranked from highest to lowest: management support, positive patient attitudes, favorable feedback, equipment availability, and interprofessional collaboration. The primary barriers, ranging from major to minor, included inadequate ward hygiene, overcrowding, lack of privacy, limited awareness of occupational therapy, and language barriers.
Conclusion / Contribution to the occupational therapy profession: This study highlights the ups and downs faced by occupational therapists working in a semi public trauma center. Future therapists establishing OT services in trauma centers should assess similar barriers and prioritize solutions for efficient service delivery. Identified facilitators can serve as strengths. Further research is needed to optimize OT support in traumatology.