There’s no cure for brain injury: work-related stress in brain injury rehabilitation professionals

Murray, Gillian; Hart, Tessa; Doyle, Andrea; Bohrman, Casey; Toth, Chelsea

doi:10.1080/02699052.2019.1644374

Cited by 5 publications

(7 citation statements)

References 20 publications

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“…When patients experience anosognosia, this can lead to questioning therapeutic interventions and disagreeing with treatment decisions. Anosognosia has been identified as a major stressor for professionals caring for patients with TBIs (Murray et al, 2019) as self-awareness is a critical component in rehabilitation outcomes (Winkens et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…The paraprofessional staff in this study engaged in adaptive problem-focused and emotion-focused coping strategies to resolve work-related stressors and manage their work-related stress, similar to professionals who care for patients with TBIs (Murray et al, 2019). Acceptance may be particularly salient for support staff who work with patients with TBIs as some aspects of their work are either not changeable or change slowly over time, including many of their patients' symptoms (e.g., anosognosia; Gasquoine, 2016).…”

Section: Promoting Effective Copingmentioning

confidence: 99%

“…In a survey of professional and paraprofessional polytrauma team members at Veterans Affairs, the team members who spent greater amounts of time with TBI patients reported higher levels of burnout (Saban et al, 2013). A recent qualitative study explored the experience of work-related stress in brain injury rehabilitation professionals (Murray et al, 2019), and results provided insight into the unique challenges, stressors, and coping strategies of brain injury professionals (e.g., no cure for brain injuries, slow patient progress, vicarious trauma, etc. ).…”

Section: Traumatic Brain Injury Rehabilitationmentioning

confidence: 99%

“…EXPERIENCES OF TBI SUPPORT STAFF 9 Some coping mechanisms described in this study appeared to be maladaptive. Participants described not taking breaks so that they could continue to meet work demands, similar to professionals who care for patients with TBIs (Murray et al, 2019) and disability support workers (Judd et al, 2017). High levels of responsibility can be a source of irritation and be a burden (Häggström et al, 2004).…”

Section: Promoting Effective Copingmentioning

confidence: 99%

See 3 more Smart Citations

The experiences of support staff in a traumatic brain injury rehabilitation center.

Chambers-Baltz¹,

Knutson²,

Chwalisz³

et al. 2023

Rehabilitation Psychology

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Purpose: Employee turnover is a major issue for health care organizations. Burnout is a leading contributor to such turnover. Extensive research on burnout has been conducted in health care settings; however, it has primarily been focused on health care professionals ignoring other critical staff. In particular, traumatic brain injury rehabilitation is an area of health care that includes unique challenges and stressors that may contribute to burnout. Brain injury professionals report experiencing high levels of burnout that further increase as they spend more time with patients; however, little is known about the experiences of brain injury paraprofessionals. This study explores the unique experiences of support staff in traumatic brain injury rehabilitation centers. Method: The present study used a grounded theory method to explore the phenomena of burnout, turnover, and job satisfaction from the perspective of paraprofessional support staff in 1 posthospital brain injury rehabilitation center. Support staff participated in the research via small group interviews (N = 4) and survey (N = 11). Results: The analysis resulted in a grounded theory model, entitled "The Balance model of Rehabilitation Support Work." This model is a framework of risk and protective factors that appeared to influence whether these frontline rehabilitation staff experienced negative outcomes from this often challenging/stressful work environment. The model includes 4 axial-level themes: doing the work, protective factors, risk factors, and imbalance of factors. Within the 4 axial categories are twenty open-coding level categories. Implications: Implications for traumatic brain injury rehabilitation organizations and areas for future research are discussed. Impact and ImplicationsThe imbalance of risk and protective factors can lead support staff to experience of burnout and turnover. Support staff are committed to their work and patient care, but team and organizational level factors can lead to burnout and turnover. Organizational level changes that increase protective factors and reduce risk factors can improve support staff work experience and patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Promoting Effective Copingmentioning

confidence: 99%

Section: Traumatic Brain Injury Rehabilitationmentioning

confidence: 99%

Section: Promoting Effective Copingmentioning

confidence: 99%

See 2 more Smart Citations

The experiences of support staff in a traumatic brain injury rehabilitation center.

Chambers-Baltz¹,

Knutson²,

Chwalisz³

et al. 2023

Rehabilitation Psychology

View full text Add to dashboard Cite

show abstract

“…Care providers for persons with ID and ABI are at risk for burnout, physical and emotional distress, turnover, and related occupational struggles (Britton Laws et al, 2014;Firman et al, 2013;Mitchell & Hastings, 2001;Murray et al, 2019). These matters were intensified by the COVID-19 pandemic and necessitated increased staff support, training, and direction in service settings (Cox et al, 2020;Kornack et al, 2020;Maguire et al, 2021;Malec et al, 2021;Thompson & Nygren, 2020).…”

mentioning

confidence: 99%

Organizational Responsiveness to the COVID-19 Pandemic: a Mixed Methods Social Validity Assessment of Human Services Care Providers

Rothschild¹,

Ricciardi²,

Luiselli

et al. 2021

Adv Neurodev Disord

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Use of Social Media Data Mining to Examine Needs, Concerns, and Experiences of People With Traumatic Brain Injury

Pei,

O'Brien

2024

Am J Speech Lang Pathol

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Purpose: Given the limited availability of topic-specific resources, many people turn to anonymous social media platforms such as Reddit to seek information and connect to others with similar experiences and needs. Mining of such data can therefore identify unmet needs within the community and allow speech-language pathologists to incorporate clients' real-life insights into clinical practices. Method: A mixed-method analysis was performed on 3,648 traumatic brain injury (TBI) subreddit posts created between 2013 and 2021. Sentiment analysis was used to determine the sentiment expressed in each post; topic modeling and qualitative content analysis were used to uncover the main topics discussed across posts. Subgroup analyses were conducted based on injury severity, chronicity, and whether the post was authored by a person with TBI or a close other. Results: There was no significant difference between the number of posts with positive sentiment and the number of posts with negative sentiment. Comparisons between subgroups showed significantly higher positive sentiment in posts by or about people with moderate-to-severe TBI (compared to mild TBI) and who were more than 1 month postinjury (compared to less than 1 month). Posts by close others had significantly higher positive sentiment than posts by people with TBI. Topic modeling identified three meta-themes: Recovery, Symptoms, and Medical Care. Qualitative content analysis further revealed that returning to productivity and life as well as sharing recovery tips were the primary focus under the Recovery theme. Symptom-related posts often discussed symptom management and validation of experiences. The Medical Care theme encompassed concerns regarding diagnosis, medication, and treatment. Conclusions: Concerns and needs shift over time following TBI, and they extend beyond health and functioning to participation in meaningful daily activities. The findings can inform the development of tailored educational resources and rehabilitative approaches, facilitating recovery and community building for individuals with TBI. Supplemental Material: https://doi.org/10.23641/asha.24881340

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There’s no cure for brain injury: work-related stress in brain injury rehabilitation professionals

Cited by 5 publications

References 20 publications

The experiences of support staff in a traumatic brain injury rehabilitation center.

The experiences of support staff in a traumatic brain injury rehabilitation center.

Organizational Responsiveness to the COVID-19 Pandemic: a Mixed Methods Social Validity Assessment of Human Services Care Providers

Use of Social Media Data Mining to Examine Needs, Concerns, and Experiences of People With Traumatic Brain Injury

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