The (im)possibilities of returning to work after a stroke

Norstedt, Maria

doi:10.3233/wor-172521

Cited by 11 publications

(14 citation statements)

References 20 publications

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“…The article explores and identifies practices, experiences and understandings regarding disclosure of invisible disabilities at work that affect these persons' work situation. My theoretical understanding is that individuals' scope for action in his/her everyday life is influenced not only by his/her experiences, but also by interactions and social factors such as institutional practices and discourses (Norstedt 2015(Norstedt , 2017Smith 2005Smith , 2006 This requires focusing on persons with invisible disabilities and representatives from different workplaces who encounter people with invisible disabilities on a professional basis. Thus far, most previous studies on disclosure of invisible disabilities at work have concerned either the persons who have invisible disabilities or the attitudes of employers.…”

Section: Introductionmentioning

confidence: 99%

Work and Invisible Disabilities: Practices, Experiences and Understandings of (Non)Disclosure

Norstedt

2019

Scandinavian Journal of Disability Research

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Invisible disabilities involve dilemmas that differentiate them from visible disabilities. However, little is known about the situation persons with invisible disabilities face at work, as empirical studies are scarce. The present article contributes in-depth knowledge of practices, experiences and understandings that affect the work situation for people with invisible disabilities in a Swedish context. The article draws on qualitative, in-depth interviews with 10 persons with invisible disabilities and seven persons who -in their professional work as employers, HR managers, medical doctors or psychologists in the occupational healthcare -regularly have dealings with persons with invisible disabilities. The analysis shows how practices, experiences and understandings regarding disclosure differ between the two groups of informants -differences that lead to dilemmas for the persons with invisible disabilities. These results indicate that persons with invisible disabilities are in a vulnerable position despite the fact that working life in Sweden is relatively well-regulated.

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Section: Introductionmentioning

confidence: 99%

Work and Invisible Disabilities: Practices, Experiences and Understandings of (Non)Disclosure

Norstedt

2019

Scandinavian Journal of Disability Research

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“…Regarding level of disability, intention to return to work was found to be higher among stroke survivors with mild disability. The reason for this could be that people with mild disability perceive return to work to be a more attainable goal (Norstedt, 2017;Schwarz et al, 2017). Higher functional ability at discharge is an enabling factor for meeting the physical, cognitive, and psychosocial occupational demands for return to work (Brannigan et al, 2017;Edwards et al, 2018;van Velzen et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Intention to Return to Work after Stroke Following Rehabilitation in Ontario

Duong¹,

Egan²,

Meyer³

et al. 2020

Can J Occup Ther

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Background. Returning to work is important for many people following stroke. An estimate of the prevalence of people intending to return to work post-stroke would be helpful in planning services supporting work reintegration. Purpose. This study examined the prevalence of intention to return to work after discharge among stroke rehabilitation inpatients. Methods. We performed secondary analysis of National Rehabilitation Reporting System data for all stroke rehabilitation inpatients across Ontario (2012–2017). Intention to return to work was examined by gender, age, and level of disability. Findings. Among 25,691 stroke rehabilitation inpatients, 4,668 (18.2%) were employed pre-stroke and 2,039 (43.7%) of them intended to return to work. Intention to return to work was somewhat higher among younger and middle-aged stroke survivors and those with mild disability. Implications. Providers and planners should be aware that almost half of previously employed stroke-rehabilitation inpatients may be seeking services to assist with return to work.

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“…The psychosocial challenges following a stroke are known to influence the recovery process of the individual as well as making it difficult to maintain family life, employment and social networks [3][4][5][6]. Anxiety, depressive symptoms, social isolation, fatigue, aphasia and cognitive decline are well documented risk factors for wellbeing [7][8][9] and affect the possibility of living a meaningful life following a stroke [10].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation

Martinsen

Kitzmüller

Mangset

et al. 2021

BMC Health Serv Res

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Background Persons with stroke are susceptible to psychosocial problems, and express disappointment at how health care professionals fail to meet their psychosocial needs following discharge to home. The responsibility of nurses and occupational therapists in stroke rehabilitation is to assist the persons and their families during the recovery and adjustment process. A home-based dialogical intervention aiming to enhance psychosocial support was therefore developed and tested in a randomized controlled trial. This study is a part of the process evaluation conducted alongside the trial. The aim was to explore the nurses’ and occupational therapists’ experiences of conducting the intervention. Methods Eighteen nurses and four occupational therapists participated in six focus groups to explore their experiences when providing the intervention. The themes discussed in the focus groups were the aspects that facilitated the delivering of the intervention and the challenges they encountered during the study period. The interviews were analysed using qualitative content analysis. Results The analysis generated two themes. The theme Developing a supportive relationship to facilitate the adjustment process following stroke had two subthemes: Getting personally involved and Handling challenges. This theme reveals how the nurses and occupational therapists experienced their relationship with the persons with stroke and potential threats which challenged them while conducting the intervention. The theme Developing professional skills in providing psychosocial support had two subthemes: Becoming confident in conducting dialogues and Integrating psychosocial topics. This theme reveals the aspects that the nurses and occupational therapists perceived as facilitating the development of their professional skills in conducting the dialogues. Conclusion Delivering the psychosocial intervention was perceived as deeply meaningful and increased the nurses’ and occupational therapists’ understanding of how to support stroke survivors to live with the consequences of stroke. However, balancing the professional and the personal relationship was challenging. A basic educational programme, training, supervision and having dedicated time were crucial elements to instil confidence in professionals conducting theme-based dialogues to promote post-stroke psychosocial well-being. Individual clinical experience and knowledge of stroke care were considering important to enable professionals to integrate psychosocial rehabilitation into community health care. Trial registration ClinicalTrials.gov, NCT 02338869, registered 10/04/2014.

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The (im)possibilities of returning to work after a stroke

Abstract: Conflicting institutional practices connected to the discourses of normality and employability contribute to the difficulties that persons who have had a stroke face when trying to return to work after recovery.

Cited by 11 publications

References 20 publications

Work and Invisible Disabilities: Practices, Experiences and Understandings of (Non)Disclosure

Work and Invisible Disabilities: Practices, Experiences and Understandings of (Non)Disclosure

Intention to Return to Work after Stroke Following Rehabilitation in Ontario

Nurses’ and occupational therapists’ experiences of conducting a home-based psychosocial intervention following stroke: a qualitative process evaluation

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