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How policy on employee involvement in work reintegration can yield its opposite: employee experiences in a Canadian setting
Canada has a long tradition of involving employee representatives in developing work reintegration policies and expects this to positively affect employee involvement to improve work reintegration success. The purpose of this study was to examine employee involvement in reintegration in a Canadian province as experienced by employees. Method: Fourteen semi-structured interviews were held with employees in a healthcare organization. The interview topic list was based on a review of local reintegration policy documents and literature. Interviews were transcribed verbatim and analysed using ethnographic...
Medical Interpretation for Immigrant Workers
Forst, Linda et coll. (2012). Medical Interpretation for Immigrant Workers. New Solutions: A Journal of Environment and Occupational Health Policy , 22(1): 37-50. Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and...
Du trouble mental à l'incapacité au travail : une perspective transdisciplinaire
Cet ouvrage collectif, dirigé par deux professeurs-chercheurs engagés dans le domaine de la réadaptation au travail, propose de passer en revue les éléments essentiels à une bonne compréhension du retour et de la réintégration au travail de personnes aux prises avec un trouble mental. Au sein de notre société moderne, notamment dans les organisations, les troubles mentaux constituent désormais une problématique qui préoccupe les acteurs concernés par le retour et la réintégration...
Facilitation of appropriate return to work: a case study of a carpenter-a success story
Allen, L. I. (2011). Facilitation of appropriate return to work: a case study of a carpenter-a success story. Professional Case Management , 16 (6): 320. Il s'agit d'une brève étude de cas d'un travailleur pour qui le processus de retour et de maintien au travail a été un succès. À travers un portrait descriptif du parcours de réadaptation au travail, le rôle du coordonateur, l'intervention précoce, le maintien du lien d'emploi et la pratique de l'assignation temporaire apparaissent comme des facteurs déterminants...
Communication style: help or hindrance in facilitating return to work?
Williams (2011). Communication style: help or hindrance in facilitating return to work? Occupational Medicine , 61 (6): 380-382. (Éditorial) Extraits: Bandura's theory states that ‘Perceived self-efficacy refers to beliefs in one's capabilities to organise and execute the courses of action required to produce given attainments. It is a useful concept that has attracted significant attention with regard to unemployed people but its application to return from sick leave has been little researched (...) It is known that the longer people who have chronic health problems are absent...
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...
Use of low-back pain guidelines by occupational therapists: A qualitative study of barriers and facilitators
Poitras, Stéphane, Durand, Marie-José, Côté, Anne-Marie et Tousignant, Michel (2011). Use of low-back pain guidelines by occupational therapists: A qualitative study of barriers and facilitators. Work , 9(4): 465-475. Volume 39, Number 4 / 2011 Pages 465-475 Objective: Identify barriers and facilitators related to the use of low-back pain guidelines as perceived by occupational therapists (OTs). Methods and participants: A qualitative approach was used. Nine OTs with varied characteristics were randomly selected. Participants were asked to use the guidelines with at least...
Cultural competence in occupational therapists working in early intervention therapy programs
Eleanor L. Wray et Patricia A. Mortenson (2011). Cultural competence in occupational therapists working in early intervention therapy programs. Canadian Journal of Occupational Therapy , 78(3): Description. La compétence culturelle favorise l’atteinte de résultats équitables en matière de soins de santé et permet de veiller à ce que les ergothérapeutes aident leurs clients à réaliser des activités quotidiennes adaptées à leur culture. Toutefois, on ne sait pas vraiment dans quelle mesure les ergothérapeutes...
Reflecting on our effectiveness: occupational therapy interventions with Indigenous clients
Stedman, Amanda , and Thomas, Yvonne (2011) Reflecting on our effectiveness: occupational therapy interventions with Indigenous clients. Australian Occupational Therapy Journal , 58 (1). pp. 43-49. Background:  The health and social inequity experienced by the Indigenous population of Australia has resulted in the establishment of a national priority to close the gap in health outcomes. The occupational therapy profession is being urged to ensure the cultural appropriateness of practice interventions for Indigenous people. Although the importance of practice modification has been recognised...
Promoting Culturally Competent Chronic Pain Management Using the Clinically Relevant Continuum Model
Monsivais, Diane B. (2011). Promoting Culturally Competent Chronic Pain Management Using the Clinically Relevant Continuum Model. Nursing Clinics of North America , 46(2): 163-169. This article reviews the culture of biomedicine and current practices in pain management education, which often merge to create a hostile environment for effective chronic pain care. Areas of cultural tensions in chronic pain frequently involve the struggle to achieve credibility regarding one's complaints of pain (or being believed that the pain is real) and complying with pain medication protocols. The clinically...
The Return-To-Work Coordinator Role: Qualitative Insights for Nursing
James, Carol et al. (2011). The Return-To-Work Coordinator Role: Qualitative Insights for Nursing. Journal of Occupational Rehabilitation , 21(2): 220-227. (Accès limité) Introduction Few studies have examined the role of RTW Coordination from the perspective of RTW Coordinator's. Furthermore there is little health specific literature on returning injured nurses to work despite the critical workforce shortages of these professionals. The study aimed to examine barriers and facilitators identified by the RTW Coordinator to returning injured nurses to work and influences on specific...
« Pouvez-vous retourner travailler? ». Expérience qu’ont les médecins de famille de l’évaluation de la capacité de retour au travail
Soklaridis, S. et coll. (2011). « Pouvez-vous retourner travailler? ». Expérience qu’ont les médecins de famille de l’évaluation de la capacité de retour au travail. Canadian Family Physician 57 (2): 202-209. Objectif: Examiner les défis rencontrés par des MF universitaires lorsqu’ils évaluent la capacité de retour au travail de leurs patients; faire un compte rendu détaillé de leur expérience et de leur opinion sur la gestion de l’incapacité au travail; préciser quelles...
Health Maintenance Care in Work-Related Low Back Pain and Its Association With Disability Recurrence
Cifuentes, Manuel et al. (2011). Health Maintenance Care in Work-Related Low Back Pain and Its Association With Disability Recurrence. Journal of Occupational & Environmental Medicine , 53 (4): 396–404. Objectives: To compare occurrence of repeated disability episodes across types of health care providers who treat claimants with new episodes of work-related low back pain (LBP). Method: A total of 894 cases followed 1 year using workers’ compensation claims data. Provider types were defined for the initial episode of disability and subsequent episode of health maintenance care....
Sickness certification for mental health problems: an analysis of a general practice consultation database
Mallen, Christian D. et al. (2011). Sickness certification for mental health problems: an analysis of a general practice consultation database . Primary Health Care Research & Development, 12 (2): 179-182. Background Although mental illness remains the leading cause of both sickness absence and incapacity benefit in most high-income countries, little is known about how frequently patients with mental ill-health receive sickness certificates and what conditions are most commonly certified for. This study aims to use general practice consultation data to determine the rate of sickness certification...
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...
Community occupational therapists' clinical reasoning: Identifying tacit knowledge
Occupational therapy interventions in the community, a fast expanding practice setting, are central to an important social priority, the ability to live at home. These interventions generally involve only a small number of home visits, which aim at maximising the safety and autonomy of community-dwelling clients. Knowing how community occupational therapists determine their interventions, i.e. their clinical reasoning, can improve intervention efficacy. However, occupational therapists are often uninformed about and neglect the importance of clinical reasoning, which could underoptimise their interventions...
Work in cancer survivors: a model for practice and research
As with other illnesses, several variables can impact the transition back to the workplace, long-term work productivity, or job retention among cancer survivors. We developed a model related to work and cancer based in part on the general area of work disability and the specific literature on cancer survivors and work. Methods: A systematic search of the literature on work and cancer was conducted to determine whether an evidence base existed to support the proposed model. Results : Forty-five papers met the review criteria. The percentage of studies that addressed modifiable categories included...
Validity and Determinants of Clinicians’ Return to Work Judgments for Individuals Following Whiplash Injury
Rehabilitation clinicians routinely make judgments about the capacity of individuals to return to work following whiplash injury, which can have serious implications for individuals' continued access to salary indemnity benefits. The present study examined the validity and determinants of these judgments. During a standardized rehabilitation intervention, data regarding demographic factors, crash characteristics, pain severity, range of motion, pain-related psychological functioning, as well as change in the latter three factors over the course of treatment were collected for 104 whiplash-injured...
Looking upstream to understand low back pain and return to work: Psychosocial factors as the product of system issues
Abstract Low back pain ( LBP ) is the most common and expensive musculoskeletal (MSK) disorder in industrialized countries. There is evidence that personal and occupational psychosocial variables play a more important role than spinal pathology or the physical demands of the job. However, it is unclear which psychosocial variables are most important. The objective of this study is to understand which psychosocial variables are deemed most important to various workplace stakeholders involved in the process of returning a worker with LBP to work. Nine focus groups were convened with injured workers...
Work Restrictions: Documenting a patient's return to work
Patients frequently ask NPs to write work restrictions, even if it is not in their best interest. This article helps providers construct valid work restrictions and addresses specific tasks and issues to keep the patient and coworkers safe when returning to work. Source: http://journals.lww.com/tnpj/Abstract/2010/11000/Work_Restrictions__Documenting_a_patient_s_return.13.aspx
Health professionals, advocacy and return to work: Taking up the challenge
There are many opportunities for health professionals to enhance their roles as advocates for individuals returning to work and advocates for change to policies and practices. Overall, it is important for advocates to be aware of the multiple stakeholders involved in the return to work process and to adopt a multipronged approach that considers the immediate needs of individual workers as well as the long term needs to create more inclusive and accommodating workplace environments. In addition, health care professionals are well positioned to advance the needs of disabled workers and to offer solutions...
Therapeutic Engagement: A Proposed Model of Engagement in Medical Rehabilitation
A major goal of physical medicine and rehabilitation is the recovery of function after an injury or the underlying medical condition that has caused impairment in one's daily functioning. The rehabilitation process involves a complex interplay of many factors that influence how well a person benefits from medical rehabilitation. There is burgeoning evidence that for patients to maximize rehabilitation benefits, they must be actively involved or engaged in the process. In this article, the construct of therapeutic engagement is defined, and a theoretical model is proposed to illustrate how and...
Experiences of professionals participating in inter-organisational cooperation aimed at promoting clients' return to work
In Sweden, the activities initiated to promote return to work (RTW) are performed in parallel by four different public organisations: the health services, the social services, the employment and the social insurance authorities. The aim was to gain deeper understanding on the experiences of professionals involved in cooperative projects aimed at promoting RTW among unemployed sickness benefit recipients. Qualitative analyses were performed of transcribed data from interviews of professionals participating in cooperative projects. First, the analysis identified that the daily collaboration on the...
Understanding how traumatic re-enactment impacts the workplace: Assisting clients' successful return to work
This research explores the observation that people who have had traumatic life experiences may connect with work in an unhealthy way, impacting their ability to return to work successfully. Purpose: This research aims to understand how past traumatic experiences influence career choice and workplace behaviour and, given this understanding, consider how occupational therapists can facilitate change towards a successful return to work. Methods: Semi-structured interviews were used to gather information from twenty-five clients experiencing depression, anxiety or post-traumatic stress disorder. Clients...
Researcher perspectives on competencies of return-to-work coordinators
Purpose .Return-to-work (RTW) coordination programs are successful in reducing long-term work disability, but research reports have not adequately described the role and competencies of the RTW coordinator. This study was conducted to clarify the impact of RTW coordinators, and competencies (knowledge, skills, and attitudes) required to achieve optimal RTW outcomes in injured workers. Methods .Studies involving RTW coordination for injured workers were identified through literature review. Semi-structured interviews were conducted with 12 principal investigators to obtain detailed information about...
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