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Swedish rehabilitation professionals' perspectives on work ability assessments in a changing sickness insurance system
Stååhl, Christian et al. (2011). Swedish rehabilitation professionals' perspectives on work ability assessments in a changing sickness insurance system. Disability & Rehabilitation , 33 (15-16): 1373-1382. Purpose . Changes in the Swedish sickness insurance system shifts focus from return-to-work to labour market reintegration. This article analyses Swedish rehabilitation professionals' perspectives on how the changed regulations affect practice, with a special focus on work ability assessments. Methods . Two groups of representatives (( n == 15)) from organizations...
Occupational therapy practitioners’ perspectives regarding international cross-cultural work
Humbert, T. K. et al. (2011). Occupational therapy practitioners' perspectives regarding international cross-cultural work. Australian Occupational Therapy Journal , 58 (4): 300-309. Aim:  The purpose of this study was to investigate the perspectives of occupational therapy practitioners who have engaged in cross-cultural work experiences. The research question was how do occupational therapy practitioners make meaning of their lived cross-cultural experiences. Methods:  This study utilised a qualitative, phenomenological design. Eleven open-ended, semi-structured interviews were...
The meaning of the experiences of persons with chronic pain in their encounters with the health service
Chronic pain causes great suffering for those affected and treating it is one of the most common assignments in the health service. The aim of the study was to investigate the meaning of the experiences of persons with chronic pain in their encounters with health service staff. The study had a descriptive design with a phenomenological approach based on the perspective of caring science. Interviews were carried out with eight patients. The study showed that patients experienced a positive approach and that the staff had understood the serious nature of the situation. A positive approach can communicate...
Musculoskeletal pain and treatment choice: an exploration of illness perceptions and choices of conventional or complementary therapies
This study explored experiences of receiving treatment for musculoskeletal pain (MSKP), particularly choices of complementary and alternative medicine (CAM) and/or conventional treatment, using the illness perception dimension of Leventhal's Self-Regulatory Model as the underpinning model within the broader biopsychosocial framework of the International Classification of Functioning, Disability and Health. Method .A mixed-method study was conducted involving 17 people with MSKP. Data were collected in semi-structured interviews, using a phased approach that included the Brief Illness Perception...
British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative study
Background : To explore how chronic musculoskeletal pain is managed in multidisciplinary pain clinics for patients for whom physical interventions are inappropriate or ineffective. Methods: A qualitative study was undertaken using semi-structured interviews with twenty five members of the pain management team drawn from seven pain clinics and one pain management unit located across the UK. Results : All clinics reported using a multidisciplinary bio-psychosocial model. However the chronic pain management strategy actually focussed on psychological approaches in preference to physical approaches...
An exploratory study of the rehabilitation process of people with stress-related disorders
The aim was to describe how former clients with stress-related disorders and rehabilitation team members experience the rehabilitation process, and to describe how experiences from the rehabilitation have been integrated into the former clients' everyday lives. A qualitative grounded theory approach was used. The sample consisted of seven team members working at a vocational rehabilitation clinic and eight former clients who were interviewed. The participants were involved in four different rehabilitation programmes, all of which used cognitive approaches. In addition, two of the programmes...
Meeting stroke survivors’ perceived needs: a qualitative study of a community-based exercise and education scheme
Objective: A qualitative study using a phenomenological approach, to explore stroke survivors’ needs and their perceptions of whether a community stroke scheme met these needs. Methods: Semi-structured in-depth interviews of 12 stroke survivors, purposively selected from participants attending a new community stroke scheme. Interpretative phenomenological analysis of interviews by two researchers independently. Results: Participants attending the community stroke scheme sought to reconstruct their lives in the aftermath of their stroke. To enable this they needed internal resources of confidence...
'We got the whole story all at once': physiotherapists' use of key questions when meeting patients with long-standing pain
Long-standing musculoskeletal pain has many dimensions. Physiotherapy lacks a tested method of dialogue with which physiotherapists and patients can together explore pain in all its complexity. The present aim was to find out how physiotherapists experienced the influence of systematically prepared key questioning on their relation to, and understanding of, patients with long-standing pain. A group of six physiotherapists with long experience of pain rehabilitation used such questions in their encounters with their patients. Two periods of work with the questions were followed by discussions in...
Patients' experience of groups in outpatient mental health services and its significance for daily occupations
The prevalence of mental health problems such as depression and anxiety in the Swedish population is increasing and individuals' daily occupations are seriously affected. Occupational therapy groups have long been used in mental health services. Now, with the increase in the number of outpatients and the current principle of patients' participation there is a need for further knowledge of this group of patients' perspective on the method. The aim of this study was thus to explore how outpatients in mental health services experience treatment in occupational therapy groups and what significance...
Returning Back Pain Patients to Work: How Private Musculoskeletal Practitioners Outside the National Health Service Perceive Their Role
Background Private musculoskeletal practitioners treat a large section of people with back pain, and could play an important role in returning and maintaining patients to work. Method We conducted a qualitative study to explore the self-perceived role of such practitioners in the UK. We interviewed 44 practitioners, including chiropractors, osteopaths and physiotherapists. Results Thematic analysis of the interview transcripts indicated that return to work is a high priority for patients, many of whom are self-employed. Although in general work was perceived as beneficial to health, practitioners...
"If I Don’t Have to Work Anymore,Who Am I?": Job Loss and Collaborative Self-Concept Repair
Previous research on unemployment among managers and professionals has documented the experience of job loss as stressful because of both economic strain and the damage it does to valued identities and self-conceptions. Little research, however, has examined the processes through which displaced workers collectively attempt to repair this damage. Data from participant observation in four support groups, plus intensive interviews with twenty-two group members, are used to develop an analysis of the self-concept repair strategies used by these relatively privileged workers. Five main strategies are...

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