Early Work-Related Interventions in a Medical Rehabilitation Setting

2006 ◽  
Vol 1 (1) ◽  
pp. 74-86
Author(s):  
Brigitte A.G. van Lierop ◽  
Frans Nijhuis
Keyword(s):  
Return To Work ◽  
Integrated Approach ◽  
Complete Separation ◽  
Medical Rehabilitation ◽  
Severe Illness ◽  
Work Activities ◽  
Work Related ◽  
Work Resumption

AbstractEarly work-related interventions are extremely difficult when an employee is on long-term absence and in medical rehabilitation because of a severe illness or injury. The role of the medical rehabilitation setting is often focused on care and cure; there is little focus on work and work resumption. In this respect health care can hinder employees in their work resumption and in their focus on work. In this study, an intervention was undertaken to increase the focus on return to work in the medical rehabilitation setting with the aim of an integrated approach to return to work. The intervention was carried out in eight rehabilitation settings. During implementation, four different organisational models related to the return-to-work activities were recognised, varying from an integration of return-to-work activities within medical rehabilitation to a complete separation of the medical rehabilitation and the return-to-work activities. Every centre reported an increase of work-related activities and an increase in the return-to-work rate of employees was found.

scholarly journals Return to Work Among Stroke Survivors

2019 ◽  
Vol 67 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Kristin D. Ashley ◽  
Loretta T. Lee ◽  
Karen Heaton
Keyword(s):  
Occupational Health ◽  
Return To Work ◽  
Quantitative Research ◽  
Stroke Severity ◽  
Stroke Survivors ◽  
Factors Affecting ◽  
Work And Employment ◽  
Subsequent Failure

Despite improvements in the treatment of stroke, many individuals still face cognitive, emotional, and physical impairments. Stroke is a leading cause of serious long-term disability and subsequent failure to return to work (RTW). The purpose of this literature review was to synthesize and discuss the literature relevant to factors affecting RTW for stroke survivors, summarize the identified gaps, and discuss steps occupational health nurses can take to facilitate RTW among stroke survivors. A literature search was conducted using the keywords: “stroke,” “cerebrovascular disease,” “return to work,” and “employment.” After excluding articles based on inclusion/exclusion criteria, 19 quantitative research articles were reviewed. Consistent themes found in the literature affecting RTW following stroke included physical, social, and cognitive factors. One of the most consistent predictors of RTW found was stroke severity. Individuals who experienced a mild to moderate stroke, those of Caucasian ethnicity, and higher socioeconomic levels were more likely to RTW. Findings suggest the importance of future studies to examine factors among African American stroke survivors that predict RTW and the role of occupational health nurses.

Gender Differences in Personal and Work-Related Determinants of Return-to-Work Following Long-Term Disability: A 5-Year Cohort Study

2012 ◽  
Vol 22 (4) ◽  
pp. 522-531 ◽  
Author(s):  
Valérie Lederer ◽  
Michèle Rivard ◽  
Samia Djemaa Mechakra-Tahiri
Keyword(s):  
Gender Differences ◽  
Cohort Study ◽  
Return To Work ◽  
Work Related

Use of Motivational Interviewing to Improve Return-to-work and Work-related Outcomes: A Review

2014 ◽  
Vol 20 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Kathryn M. Page ◽  
Irina Tchernitskaia
Keyword(s):  
Literature Review ◽  
Return To Work ◽  
Motivational Interviewing ◽  
Work Disability ◽  
Clinical Settings ◽  
Negative Effects ◽  
Work Related ◽  
Health Behaviour Change ◽  
Behavioural Factors

Work-based return-to-work (RTW) interventions can help to reduce the duration and cost of work disability, and in turn, prevent the negative effects of long-term sickness absence. However, there are a number of complex cognitive, affective and behavioural factors that can impact an individual's confidence, motivation and willingness to RTW that need to be addressed to facilitate effective outcomes. This literature review investigates evidence for the use of motivational interviewing (MI) for improving return-to-work (RTW) and employment outcomes. Whilst evidence for the efficacy of MI in clinical settings to motivate health behaviour change is strong, more research is needed to determine whether MI can be usefully applied to improve RTW and other work-related outcomes.

scholarly journals The Role of Trait and State Perfectionism in Psychological Detachment From Daily Job Demands

2019 ◽  
Author(s):  
Dorota Reis ◽  
Elisabeth Prestele
Keyword(s):  
Role Ambiguity ◽  
Job Demands ◽  
Personal Characteristics ◽  
Personal Characteristic ◽  
Work Related ◽  
Psychological Detachment ◽  
Path Models ◽  
Strain Responses

Psychological detachment has been proposed to be a mediator of the relations between an individual’s responses to stressful work-related experiences and mid- and long-term health. However, the number of studies that have specifically examined the role that personal characteristics play in these associations is considerably small. One personal characteristic that might specifically interfere with psychological detachment is perfectionism, which has been considered an important vulnerability factor for the development of psychological disorders. Hence, the goal of this registered report was to extend research on psychological detachment by introducing trait and state perfectionism as moderators of the aforementioned relations. We conducted an experience sampling study with three measurement occasions per day over the course of 3 working weeks (N = 158 employees; M = 41.6; 67% women). Multilevel path models showed that perfectionistic concerns consistently determined strain responses at between- and within-levels of analyses even after the effects of job demands (i.e., unfinished tasks and role ambiguity) and detachment were accounted for. However, we found no evidence for the proposed moderation effects. The theoretical implications for the understanding of the processes proposed in the stressor-detachment model are discussed.

Regaining Our Place as a Species among Species

2013 ◽  
pp. 254-268
Keyword(s):  
Complete Separation ◽  
Human Species

Civilization may not have that much long-term value for our species because it fosters fairly complete separation from the ecosystem. Ultimately, our survival rests with our being able to use our knowledge to respect the ecosystem and to live within its limits. The most distinctive characteristic of the human species is our ability to accumulate knowledge of our surroundings and act on the basis of that knowledge. Our species goal may be to determine the role of our kind of being in a universe mostly otherwise not conscious of itself.

Key Push and Pull Factors Affecting Return to Work Identified by Patients With Long-Term Pain and General Practitioners in Sweden

2019 ◽  
Vol 29 (11) ◽  
pp. 1581-1594 ◽  
Author(s):  
Tove Lundberg ◽  
Stina Melander
Keyword(s):  
Return To Work ◽  
General Practitioners ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Factors Affecting ◽  
Individual Motivation ◽  
Push And Pull Factors ◽  
Work Related ◽  
Push And Pull

Research shows that working is positive for people with long-term pain but that work-related support from health professionals is inadequate. One explanation for this inadequacy is that patients and providers differ in terms of perspectives on motivation to work. In this article, we compare factors that 31 patients and 15 general practitioners consider important to promote return to work for people with long-term pain. We analyzed the interviews with thematic analysis and a motivational push and pull framework to cover different motivational factors, societal and individual, that might push or pull patients from or toward work. Providers said that a difference between working and nonworking patients is their level of individual motivation, while the patients’ stories showed that the main difference was the physical (non)ability to push themselves to work. We suggest that work-related support can be improved by addressing such differences in clinical practice.

scholarly journals Return to Work after Common Mental Disorders: A Qualitative Study Exploring the Expectations of the Involved Stakeholders

2020 ◽  
Vol 17 (18) ◽  
pp. 6635
Author(s):  
Jessica Scharf ◽  
Peter Angerer ◽  
Gesine Müting ◽  
Adrian Loerbroks
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Return To Work ◽  
Health Care Professionals ◽  
Common Mental Disorders ◽  
Qualitative Interviews ◽  
Occupational Physicians ◽  
Return Process

Common mental disorders (CMDs) are risk factors for long-term sickness absence and unemployment. Therefore, return-to-work (RTW) processes have been introduced to facilitate the return of employees. As the success of RTW processes is considered to be determined by the cooperativeness of the involved stakeholders, we aimed to investigate the views of those stakeholders to disclose potentially diverging expectations. Qualitative interviews were conducted (08/2018-04/2019) among five stakeholder groups: returnees with a diagnosed CMD who were eligible for a RTW process; health care professionals nominated by the returnees; supervisors, colleagues and occupational physicians (the latter three groups were not nominated by the returnees). In total, 24 returnees, 13 health care professionals, 13 occupational physicians, 9 supervisors and 9 colleagues were interviewed (68 interviews in total). Potentially diverging expectations of the stakeholders related to whether diagnoses need to be disclosed by returnees. Agreement existed in terms of the need for a trustful relationship between employees and occupational physicians to initiate a RTW process early. As the understanding of all stakeholders’ viewpoints is one of the main factors promoting a successful RTW, we explored the expectations of those involved in the RTW process. One implication of our findings is to strengthen the role of occupational physicians, who could coordinate the return process.

Return to Work after a Myocardial Infarction: The Influence of Background Factors, Work Characteristics and Illness Severity

1986 ◽  
Vol 14 (4) ◽  
pp. 183-195 ◽  
Author(s):  
John Gunnar Mæland ◽  
Odd Erik Havik
Keyword(s):  
Myocardial Infarction ◽  
Return To Work ◽  
Rural Areas ◽  
Total Sample ◽  
Clinical Severity ◽  
Stepwise Discriminant Analysis ◽  
Related Factors ◽  
Work Related ◽  
Clinical Complications ◽  
Work Resumption

The relationship between return to work (RTW) within 6 months after a myocardial infarction (MI) and selected demographic factors, characteristics of prior work situation, pre-MI health status, and clinical severity of the MI has been studied in 249 patients below 67 years of age living in urban and rural areas of Western Norway. At the follow-up 8 out of 10 urban patients and 6 out of 10 rural patients were back at work. The RTW rate for the total sample was 73%. Age below 51 years, high educational and income level, working in tertiary industries, and in a job characterized by low physical activity and little psychosocial stress were all factors associated with a favourable work resumption. Multivariate analyses showed that socioeconomic or work-related factors could not fully explain the urban-rural differences in RTW. Stepwise discriminant analysis identified the following factors as important and independent predictors for RTW: Place of residence, age, education, perceived job stress, and clinical complications during hospitalization. Failure to return to work after a MI can be explained by a number of individual and social factors and only to a limited degree by the medical status of the patient. More knowledge is needed concerning the socio-cultural differences among both patients and attending physicians in attitudes towards work resumption after a MI.

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