Return to work following acquired brain injury: the views of patients and employers

Donker-Cools, Birgit; Schouten, Maria J. E.; Wind, Haije; Frings‐Dresen, Monique H. W.

doi:10.1080/09638288.2016.1250118

Cited by 36 publications

(48 citation statements)

References 23 publications

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“…Earlier research has confirmed the importance of psychosocial information, motivational support and practical advice (20). It is important that RTW programmes address psychosocial aspects (21,22).…”

Section: Discussionmentioning

confidence: 98%

“…Early information may lead to a clearer picture of the person's abilities and limitations and facilitate the RTW process according to the fourth subcategory. With improved knowledge, patients can, in their turn, provide improved information to their employers, co-workers and relatives, who may also need stroke-related information (10,21). Brochures and e-health tools (28) can be developed to inform employers, relatives and other stakeholders about the consequences of stroke.…”

Section: Journal Of Rehabilitation Medicinementioning

confidence: 99%

See 1 more Smart Citation

Need for structured healthcare organization and support for return to work after stroke in Sweden: Experiences of stroke survivors

Gard¹,

Pessah‐Rasmussen²,

Brogårdh³

et al. 2019

J Rehabil Med

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To be able to return to work after stroke is important for health and well-being and participation in society. In this qualitative study, 20 stroke survivors were interviewed in focus groups about their experiences of healthcare-related facilitators and barriers. Perceived facilitating factors were a tailored rehabilitation content and a structured stepwise return-to-work process. A lack of sufficient early healthcare information, rehabilitation planning and coordination were perceived as barriers. An early rehabilitation plan, a contact person, and improved communication between rehabilitation actors were requested, as well as help with work transport, home care, children and psychosocial support for families. These aspects should be considered in order to improve the return-to-work process after stroke. Objective: To explore stroke survivors' experiences of healthcare-related facilitators and barriers concerning return to work after stroke. Design: A qualitative study. Setting: Outpatient stroke rehabilitation unit at a University Hospital in southern Sweden. Participants: A convenience sample of 20 persons admitted to Skåne University Hospital for acute stroke care (median age 52 years), in employment of at least 10 h per week at stroke onset and been referred to stroke rehabilitation within 180 days. Methods: The interviews were performed by focus groups, and the data were analysed by content analysis. Results: Facilitating factors were a tailored rehabilitation content with relevant treatments, adequate timing and a structured stepwise return-to-work process. A lack of sufficient early healthcare information, rehabilitation planning and coordination were perceived as barriers. An early rehabilitation plan, a contact person, and improved communication between rehabilitation actors were requested, as well as help with work transport, home care, children and psychosocial support for families. Conclusion: Tailored rehabilitation content and a structured stepwise return-to-work process facilitated return to work. Insufficient structure within the healthcare system and lack of support in daily life were perceived barriers to return to work, and need to be improved. These aspects should be considered in the return-to-work process after stroke.

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Section: Discussionmentioning

confidence: 98%

Section: Journal Of Rehabilitation Medicinementioning

confidence: 99%

Need for structured healthcare organization and support for return to work after stroke in Sweden: Experiences of stroke survivors

Gard¹,

Pessah‐Rasmussen²,

Brogårdh³

et al. 2019

J Rehabil Med

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show abstract

“…They perceived that it was difficult to manage both work, taking care of the family and household chores. The impact of the home situation on work has previously been described among persons with traumatic brain injuries [36]. After stroke, the need and extent of practical help in the home situation is not so often highlighted in the literature, but needs to be further elucidated.…”

Section: Discussionmentioning

confidence: 99%

Work conditions, support, and changing personal priorities are perceived important for return to work and for stay at work after stroke – a qualitative study

Lindgren

Brogårdh

Pessah‐Rasmussen

et al. 2020

Disability and Rehabilitation

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Purpose: To explore work related and personal facilitators and barriers for return to work (RTW) and stay at work after stroke. Materials and methods: Twenty individuals post-stroke (median age 52 years; seven women) were interviewed in focus groups. Data were analyzed by using qualitative content analysis. Results: An overall theme "Work conditions, support and changed personal priorities influenced RTW and stay at work after stroke" emerged and covered three categories: "Adjustments and flexibility at the work place facilitated RTW and a sustainable work situation", "Psychosocial support and knowledge about stroke consequences facilitated work and reduced stress", and "Changed view of work and other personal priorities". Physical adjustments at the work place and flexibility in the work schedule were perceived facilitators. Support from family and colleagues were important, whereas lack of knowledge of stroke disabilities at the work place was perceived a barrier. Also changed personal priorities in relation to the work and the current life situation influenced RTW in various ways. Conclusions: The individual's opportunities to influence the work situation is a key factor for RTW and the ability to stay at work after stroke. Adjustments, flexibility, support, knowledge of stroke, and receptivity to a changed view of work are important for a sustainable work situation. ä IMPLICATIONS FOR REHABILITATION Physical adjustments at the work place, a flexible work schedule and support increase the individual's possibility to RTW and maintain a sustainable work situation after stroke. Changed work and life priorities after a stroke need attention in the RTW process. Rehabilitation professionals have an important role in providing knowledge about the disabilities following stroke, and how they impact work ability. Individually tailored recommendations for work place adjustments which enable RTW and a sustainable work situation are warranted.

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“…It is difficult following a brain injury to return to paid work due to the resulting psychosocial, cognitive, psychological, communication and/or physical difficulties, which often have a negative effect on an individual's ability to seek or maintain employment (Donker-Cools et al, 2018;Schonbrun et al, 2007). Saltychev et al (2013) suggest that returning to work and maintaining employment following a life-changing event, such as a traumatic brain injury, can be challenging due to the complex interaction of the potential resulting physical, cognitive and emotional impairments.…”

Section: Research Rationalementioning

confidence: 99%

Lived experiences of return to paid work following a brain injury

Beaulieu

2019

British Journal of Occupational Therapy

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Return to work following acquired brain injury: the views of patients and employers

Cited by 36 publications

References 23 publications

Need for structured healthcare organization and support for return to work after stroke in Sweden: Experiences of stroke survivors

Need for structured healthcare organization and support for return to work after stroke in Sweden: Experiences of stroke survivors

Work conditions, support, and changing personal priorities are perceived important for return to work and for stay at work after stroke – a qualitative study

Lived experiences of return to paid work following a brain injury

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