Client experiences in work rehabilitation in Sweden: a one‐year follow‐up study

Wallstedt-Paulsson, Eva; Erlandsson, Lena‐Karin; Eklund, Mona

doi:10.1002/oti.223

Cited by 6 publications

(4 citation statements)

References 19 publications

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“… 22 The literature reviews of RTW interventions have in general found no or only a weak effect of RTW programs which include coordinator support, 23 , 24 whereas others stress the importance of cooperation during the RTW process. 25–27 …”

Section: Introductionmentioning

confidence: 99%

How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

Svärd¹,

Friberg²,

Azad³

2021

JMDH

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Purpose People with multimorbidity face a range of barriers in healthcare, and there is little knowledge about their challenges with regard to return-to-work (RTW). Rehabilitation coordinators, a new function in Swedish healthcare, support people in the RTW process. The present study had two aims: to explore what problems and barriers people with multimorbidity experience during their rehabilitation and RTW process and to explore in which domains the coordinators’ support is perceived to be of importance. Methods Interviews were conducted with 12 persons with multimorbidity who had contact with a rehabilitation coordinator during their sickness absence. Thematic analysis was guided by the case-management ecological model; this analysis was revised and adapted to the Swedish context. Results The participants experienced problems in all domains of the model, namely: “the healthcare system”, “the labor market and the workplace system”, “the sickness insurance system”, and “the personal system”. Rehabilitation programs that did not accommodate combinations of diseases, social complexities and needs were felt to lead to worse symptoms, thus hindering rather than promoting RTW. An overall finding regarding support by coordinators is that interventions, regardless of domain, were felt to be valuable for people with multimorbidity. The coordinator was perceived to give most support by providing advice about and coordination with healthcare and employers. Sometimes the coordinator gave advice and coordination regarding the Social Insurance Agency, very occasionally the Public Employment Services. The coordinator gave least advice and coordination about social difficulties that hindered rehabilitation and RTW processes. Conclusion People with multimorbidity perceive rehabilitation coordinator interventions as important in all domains investigated. Lack of advice and coordination, or rehabilitation programs that were not modified to the complexities of individual’s circumstances, were associated with prolonged sickness absence, worse health, or social risk factors not being recognized.

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Section: Introductionmentioning

confidence: 99%

How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

Svärd¹,

Friberg²,

Azad³

2021

JMDH

View full text Add to dashboard Cite

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“…The client on sick leave is dependent on how these authorities work and the decisions they make [ 10 ]; and lack of cooperation and communication among them is an obstacle to the RTW process [ 11 ]. Since vocational rehabilitation programs should be planned in cooperation between the authorities and the clients and designed according to the needs of the client to reach a positive outcome [ 12 ], they may have various designs.…”

Section: Introductionmentioning

confidence: 99%

“…The relationship and cooperation between the client on sick leave and the authorities that work with vocational rehabilitation is important for the client’s RTW [ 12 ]. It has been argued that there is a need for more cooperation between various authorities to better meet the needs of clients on sick leave [ 13 ] and provide them with proper support [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study

et al. 2017

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BackgroundThe process of returning to work after long-term sick leave can sometimes be complex. Many factors, (e.g. cooperation between different authorities and the individual as well as individual factors such as health, emotional well-being and self-efficacy) may have an impact on an individual’s ability to work. The aim of this study was to investigate clients’ experiences with an individually tailored vocational rehabilitation, the Dirigo project, and encounters with professionals working on it. The Dirigo project was based on collaboration between rehabilitation authorities, individually tailored interventions and a motivational interviewing approach.MethodsA descriptive qualitative design was used with data collected through interviews. Fourteen individuals on long-term sick leave took part in individual semi-structured interviews. The interviews were analysed using content analysis.ResultsThe analysis showed overall positive experience of methods and encounters with professionals in a vocational rehabilitation project. The positive experiences were based on four key factors: 1. Opportunities for receiving various dimensions of support. 2. Good overall treatment by the professionals. 3. Satisfaction with the working methods of the project, and 4. Opportunities for personal development.ConclusionsThe main result showed that the clients had an overall positive experience of a vocational rehabilitation project and encounters with professionals who used motivational interviewing as a communication method. The overall positive experience indicated that their interactions with the different professionals may have affected their self-efficacy in general and in relation to transition to work. The knowledge is essential for the professionals working in the area of vocational rehabilitation. However, vocational rehabilitation interventions also need a societal approach to be able to offer clients opportunities for job training and real jobs.Electronic supplementary materialThe online version of this article (10.1186/s12889-017-4804-8) contains supplementary material, which is available to authorized users.

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“…Rehabilitation is recommended to include changes in lifestyle, stress management, and a gradual return to a manageable way of life [24]. Evaluations of rehabilitation programmes in Sweden identify being part of a group and feeling respected by others as essential to promoting health [32], recovery [33][34][35], and return to work [36,37]. Being affected by stress-related exhaustion has a negative impact on patients' health [25], increases the risk for stigmatisation [38], and often involves a longer period of sick leave in relation to other stress-related disorders [24].…”

Section: Introductionmentioning

confidence: 99%

Having allies—Experiences of support in people with stress-related exhaustion: A qualitative study

Alsén

Ali²,

Ekman³

et al. 2022

PLoS ONE

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Background The number of people seeking care for symptoms of exhaustion and stress is a major concern in several countries. The condition is a challenging and life-changing experience, and a deeper understanding of support to help people on sick leave due to stress-related exhaustion in their early stages is needed to facilitate recovery. Objective The aim was to explore experiences of support in people with stress-related exhaustion being on sick-leave less than six months. Method A qualitative interview study was conducted with 12 participants (7 women and 5 men; aged 25–46 years) who were on sick leave that had not exceeded six months due to stress-related exhaustion. The participants were recruited from public healthcare centres in the western part of Sweden, and the intention was to reach them early in their ongoing sick leave period. The interviews were performed face-to-face and analysed using a phenomenological hermeneutical approach. Results The findings show that people affected by stress-related exhaustion struggle to maintain their dignity and define support in terms of allies who acknowledge their personhood and provide them helpful guidance. Participants expressed their needs to be taken seriously by professionals, family, and friends willing to engage in their situation. Lack of empathy and professional knowledge in the clinical encounter induced additional stress. Conclusions This study indicates that people affected by stress-related exhaustion need allies from their surrounding networks in their struggle to maintain their dignity. Our findings highlight that it is essential to acknowledge them as persons and establish an alliance to provide appropriate support based on each person’s specific situation, needs and resources. This approach can be facilitated in a partnership, as emphasized in person-centred care (PCC). PCC emphasizes the co-creation of care in partnership between the patient (often with relatives) and health care professionals which may imply a more collaborative view of health care in which patients are engaged as active partners in planning their care.

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Client experiences in work rehabilitation in Sweden: a one‐year follow‐up study

Cited by 6 publications

References 19 publications

How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

Positive experiences of a vocational rehabilitation intervention for individuals on long-term sick leave, the Dirigo project: a qualitative study

Having allies—Experiences of support in people with stress-related exhaustion: A qualitative study

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