Understanding return to work behaviours: promoting the importance of individual perceptions in the study of return to work

Shaw, Lynn; Segal, Ricardo; Polatajko, Helen; Harburn, Karen L.

doi:10.1080/09638280110066299

Cited by 74 publications

(40 citation statements)

References 13 publications

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“…The idiographic analysis also revealed distinctive issues in the lifeworlds of each participant that influenced return to work, supporting previous research that demonstrates both personal and environmental factors as jointly influencing this process [33].…”

Section: Critical Evaluationsupporting

confidence: 57%

What are the experiences of adults returning to work following recovery from Guillain-Barré syndrome? An interpretative phenomenological analysis

Royal

Reynolds

Houlden³

2009

Disability and Rehabilitation

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. What are the experiences of adults returning to work following recovery from Guillain-Barre´ syndrome? An interpretative phenomenological analysis. Disability and Rehabilitation, 31(22): 1817-1827. AbstractPurpose. Guillain-Barre´ syndrome (GBS) is a transient inflammatory disorder affecting peripheral nerves, characterised by weakness and numbness in limbs, upper body and face. Residual problems affect a large minority, and complicate return to work. This qualitative study explored the experiences of people who returned to work following their diagnosis of GBS and recovery, to gain insight into factors that facilitated or inhibited this process.Method. Five people participated in in-depth interviews. Individual and common experiences were explored through interpretative phenomenological analysis.Findings. Three recurring themes are presented: the perceived value of work; losing and recovering a familiar identity at work; and dilemmas around using support and adaptations at work. Certain individual issues also emerged but are beyond the scope of this article. Participants tended to measure their recovery in terms of returning to work yet continued to experience certain physical and psychosocial difficulties at work related to GBS, which required active coping strategies. Limited public awareness of GBS was perceived as a hindrance when returning to work.Conclusion. This study provides a rich account of the experiences that people encounter returning to work following GBS. Rehabilitation specialists may offer more effective preparation for this process, drawing upon the issues identified.

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Section: Critical Evaluationsupporting

confidence: 57%

What are the experiences of adults returning to work following recovery from Guillain-Barré syndrome? An interpretative phenomenological analysis

Royal

Reynolds

Houlden³

2009

Disability and Rehabilitation

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“…Sampaio 31 argues that absenteeism reinforces in the workers the extent of their disability, especially by the loss of the social role derived from their work. The workers corroborated the evidence that RTW success does not necessarily imply full recovery from injury 12 . The perception of pain, grip strength and functional disability in particular improved over the first months after the return to occupational activities.…”

Section: Discussionsupporting

confidence: 70%

“…External factors such as domestic environment, leisure and social support can act as facilitators or barriers to work participation 10 . Psychological and clinical characteristics, economic aspects and workplace organizational, psychosocial and physical factors are being associated with RTW 9,11,12 . However, it is not yet possible to accurately predict which workers with recent hand trauma will develop a chronic disability.…”

Section: Introductionmentioning

confidence: 99%

Fatores associados ao retorno ao trabalho após um trauma de mão: uma abordagem qualiquantitativa

Cabral¹,

Sampaio²,

Figueiredo³

et al. 2010

Rev. bras. fisioter.

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Objectives: To describe workers who returned to work after a hand injury and to analyze the factors associated with this outcome three years after discharge from rehabilitation. Methods: An observational, cross-sectional study was carried out with triangulation of quantitative and qualitative methods. The quantitative analysis used a database with sociodemographic, functional and clinical information on 35 individuals who were classified into two groups (return/no return to work). Multivariate analysis was conducted using the CART (Classification and Regression Tree) algorithm to assess the predictive value of four models, thereby identifying workers who had returned or not returned to work. Using the results from the statistical analysis, a semi-structured form was prepared for interviews, which were conducted with seven workers randomly selected from the sample. Results: Out of the 35 workers who participated in this study, 30 returned and five did not return to work. The majority were male, married and of low educational level, and the mean age was 37 years. The variables with the greatest predictive power were grip strength, occupational performance scores, occupational category and age. The qualitative analysis confirmed the multifactorial nature of the return to work and demonstrated that the presence of a professional to follow-up the process, adjustments to the workstation and working hours (to enable treatment continuity) and also accident benefits may contribute to a successful return. Conclusions: This study showed the complexity of the return to work by workers with hand injuries, highlighting a number of factors associated with this outcome and the importance of individualized assessment centered on the worker.Key words: return to work; work accident; hand trauma. ResumoObjetivos: Descrever os trabalhadores que retornaram ao trabalho após um trauma de mão e analisar os fatores que se associaram a esse desfecho após três anos da alta da reabilitação. Métodos: Foi realizado um estudo observacional, de corte transversal, com triangulação dos métodos quantitativo e qualitativo. A análise quantitativa utilizou um banco de dados com informações sociodemográficas, funcionais e clínicas referentes a 35 indivíduos, classificados em dois grupos (retornou/não retornou ao trabalho).Foi conduzida análise multivariada, utilizando o algoritmo CART (Classification and Regression Tree) para avaliar o valor preditivo de quatro modelos, identificando trabalhadores que retornaram ou não ao trabalho. A partir dos resultados da análise estatística, foi elaborado um roteiro semiestruturado para as entrevistas que foram realizadas com sete trabalhadores selecionados aleatoriamente da amostra. Resultados: Dos 35 trabalhadores que participaram deste estudo, 30 retornaram e cinco não retornaram ao trabalho. A maioria era do sexo masculino, com média de idade de 37 anos, casada e de baixa escolaridade. As variáveis com maior força preditiva foram força de preensão, escores do desempenho ocupacional, categoria ocupacion...

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“…Despite the limited research, the severity of stroke sequelae frequently has been shown to modulate return to work, with more severe impairments reducing the chance that the stroke survivor will return to work 486,[491][492][493][494] ; accordingly, amelioration of these impairments with the rehabilitation methods discussed in previous sections of the present statement might facilitate vocational reintegration. However, Shaw and colleagues 495 found that individuals' perception of their impairment level was key to returning to work, and thus, it may be that absolute impairment is less important than stroke survivors' beliefs in their abilities (ie, a personal factor within the ICF model). Koch and colleagues 490 found that the individuals who returned to work in their study demonstrated greater patience, determination, and sense of humor than individuals who did not.…”

Section: Return To Workmentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Miller¹,

Murray²,

Richards³

et al. 2010

Stroke

685

412

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Understanding return to work behaviours: promoting the importance of individual perceptions in the study of return to work

Abstract: Insights into an individual's perceptions of their impairment and the personal relevance of work can promote a better understanding of return to work behaviour. Integrating individual perceptions is essential to advancing a multidimensional approach in return to work research.

Cited by 74 publications

References 13 publications

What are the experiences of adults returning to work following recovery from Guillain-Barré syndrome? An interpretative phenomenological analysis

What are the experiences of adults returning to work following recovery from Guillain-Barré syndrome? An interpretative phenomenological analysis

Fatores associados ao retorno ao trabalho após um trauma de mão: uma abordagem qualiquantitativa

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

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