<i>“The final piece of the puzzle to fit in”</i>: an interpretative phenomenological analysis of the return to employment in New Zealand after spinal cord injury

Hay‐Smith, Jean; Dickson, B.; Nunnerley, Joanne L.; Sinnott, K. Anne

doi:10.3109/09638288.2012.737079

Cited by 50 publications

(58 citation statements)

References 22 publications

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“…Being given 'token' work which requires little training or skill is an issue emphasised by people in this population who report feeling insulted and belittled as a result of being assigned such tasks. 23 Thus it appears that job satisfaction, or perceived potential for satisfaction, has a possibly mediating role in enhancing rehabilitation outcomes and facilitating employment post SCI and so should be investigated empirically.…”

Section: Methodological Considerationsmentioning

confidence: 99%

“…22 This is despite the fact that work is viewed by people with SCI as being a central part of returning to a normal life. 14,23 Conventional wisdom generally holds that vocational considerations are inappropriate in the primary rehabilitation phase due to the significant physical and psychosocial adjustment process a person must undertake.…”

Section: Early Interventionmentioning

confidence: 99%

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Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Bloom

Dorsett

McLennan

2017

Spinal Cord Ser Cases

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INTRODUCTION:The design was a narrative review. The objective of the study was to investigate the potential for early vocational rehabilitation (VR) interventions for people with spinal cord injury (SCI) in overcoming barriers in returning to work, and to pinpoint factors contributing to effectiveness in early VR intervention for this population. The setting was at Queensland, Australia. MATERIALS AND METHODS: Synthesis of the findings of a literature search of online databases ProQuest and CINAHL, using keywords relating to the employment situation and VR of people with SCI. Themes were identified and analysed in accordance with the research objectives. RESULTS: Despite increasing government commitment to the workforce and social participation of people with disabilities, Australians living with SCI have significantly diminished employment outcomes compared with the general population. Current VR approaches usually do not commence until some months post discharge, potentially missing a window of opportunity to preserve pre-existing employment or assist in vocational decision making. The review found that there are opportunities for enhancing VR service provision following SCI, namely integrating the VR programme within the primary rehabilitation team thus facilitating early VR intervention. DISCUSSION: Emerging evidence shows promising results for early intervention in VR; however, questions remain regarding ideal intervention approaches, and it is clear that further empirical investigation is required to support the use of early intervention models post SCI. The study was sponsored by Motor Accident Insurance Commission (MAIC).

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Section: Methodological Considerationsmentioning

confidence: 99%

Section: Early Interventionmentioning

confidence: 99%

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Bloom

Dorsett

McLennan

2017

Spinal Cord Ser Cases

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“…Social supports and an appropriate work place are important factors in the return to employment process. 24 Botticello et al showed that employment leads to social participation, but the feasibility of employment depends on variations in regional economic conditions. 1 Krause et al evaluated the association of employment levels and the risk of mortality in persons with SCI.…”

Section: Khazaeipour Et Al Psychosocial Outcomes Following Sci In Iranmentioning

confidence: 99%

Psychosocial outcomes following spinal cord injury in Iran

Khazaeipour

Javidan

Kaveh

et al. 2014

The Journal of Spinal Cord Medicine

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Objective/background: In patients with spinal cord injury (SCI), SCI causes psychosocial complications that vary based on culture, conditions, and the amenities of each community. Health planners and social services should have full knowledge of these issues in order to plan schedules that address them. In this study, we aimed to understand the psychosocial problems of persons with SCI in Iran and to explore the requirements for minimizing these difficulties. Design: This was a descriptive cross-sectional study. Setting: Brain and Spinal Cord Injury Research (BASIR) Center, Tehran University of Medical Sciences, Tehran, Iran. Participants: One hundred nineteen persons with SCI referred to BASIR clinic to receive outpatient rehabilitation. Methods: In this study, trained interviewers administered a questionnaire to the participants. The questionnaire consisted of socio-demographic variables and psychosocial questions about finances, employment, housing, education, and social communication problems. Results: Psychosocial problems for persons with SCI are mainly associated with financial hardship due to unemployment and the high cost of living, followed by difficulties with transportation, house modification, education, marriage, social communication, sports, and entertainment. Psychological problems include sadness, depression, irritability/anger, suicidal thoughts, and a lack of self-confidence. The levels of the aforementioned problems differ with respect to sex. Conclusion: Persons suffering from SCI can face some serious psychosocial problems that may vary according to sex. For example, transportation difficulties can lead to problems such as unsociability. After recognizing these problems, the next step would be providing services to facilitate a productive lifestyle, enhancing social communication and psychological health, and ultimately creating a higher quality of life.

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“…[1][2][3] This is also true for people who live with heart failure. Heart failure is a chronic progressive condition caused by an inability of the heart to deliver a required amount of oxygenated blood to the body's cells and tissues.…”

Section: Introductionmentioning

confidence: 96%

Emotions and encounters with healthcare professionals as predictors for the self-estimated ability to return to work: a cross-sectional study of people with heart failure

Nordgren

Söderlund

2016

BMJ Open

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ObjectivesTo live with heart failure means that life is delimited. Still, people with heart failure can have a desire to stay active in working life as long as possible. Although a number of factors affect sick leave and rehabilitation processes, little is known about sick leave and vocational rehabilitation concerning people with heart failure. This study aimed to identify emotions and encounters with healthcare professionals as possible predictors for the self-estimated ability to return to work in people on sick leave due to heart failure.DesignA population-based cross-sectional study design was used.SettingThe study was conducted in Sweden. Data were collected in 2012 from 3 different sources: 2 official registries and 1 postal questionnaire.ParticipantsA total of 590 individuals were included.StatisticsDescriptive statistics, correlation analysis and linear multiple regression analysis were used.Results3 variables, feeling strengthened in the situation (β=−0.21, p=0.02), feeling happy (β=−0.24, p=0.02) and receiving encouragement about work (β=−0.32, p≤0.001), were identified as possible predictive factors for the self-estimated ability to return to work.ConclusionsTo feel strengthened, happy and to receive encouragement about work can affect the return to work process for people on sick leave due to heart failure. In order to develop and implement rehabilitation programmes to meet these needs, more research is needed.

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“The final piece of the puzzle to fit in”: an interpretative phenomenological analysis of the return to employment in New Zealand after spinal cord injury

Cited by 50 publications

References 22 publications

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Integrated services and early intervention in the vocational rehabilitation of people with spinal cord injuries

Psychosocial outcomes following spinal cord injury in Iran

Emotions and encounters with healthcare professionals as predictors for the self-estimated ability to return to work: a cross-sectional study of people with heart failure

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