Description
Citation:
Harmse S, Casteleijn D & Jacobs K. (2025). Utilizing nominal group technique to achieve consensus on a clinical decision-making tool for vocational rehabilitation at a grassroots level in South Africa. Work: A Journal of Prevention, Assessment & Rehabilitation. Retrieved from: https://doi.org/10.1177/10519815251375814.
Summary of the article
Occupational therapists delivering vocational rehabilitation (VR) services at a grassroots level in South Africa often lack the knowledge, skills, and confidence required for effective practice. The absence of defined procedures and protocols further limits VR services. To address these barriers, three tools have been developed to support evidence-based, context-specific clinical reasoning: the Return-to-Work Decision Tree, the Performance-Based Assessment Tool, and the Job Match Tool. This study aimed to establish consensus on the acceptability and utility of these tools in facilitating occupational therapists’ clinical reasoning during VR assessment and intervention.


This CPD helped build on my knowledge and further equipped me as a novice OT to practical evidence-based tools relevant to a South African context.