دورية أكاديمية
أعرض في EDS

Risk factors and service gaps affecting a sustainable work: a qualitative multi-stakeholder analysis in the context of persons with acquired brain injury living in Switzerland.

التفاصيل البيبلوغرافية
العنوان: Risk factors and service gaps affecting a sustainable work: a qualitative multi-stakeholder analysis in the context of persons with acquired brain injury living in Switzerland.
المؤلفون: Karcz K; Swiss Paraplegic Research, Guido A. Zäch Strasse 4, Nottwil, 6207, Switzerland. katarzyna.karcz@paraplegie.ch., Schwegler U; Swiss Paraplegic Research, Guido A. Zäch Strasse 4, Nottwil, 6207, Switzerland.; Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland., Schiffmann B; Swiss Paraplegic Research, Guido A. Zäch Strasse 4, Nottwil, 6207, Switzerland., Finger ME; Swiss Paraplegic Research, Guido A. Zäch Strasse 4, Nottwil, 6207, Switzerland.
المصدر: BMC health services research [BMC Health Serv Res] 2024 Jun 20; Vol. 24 (1), pp. 753. Date of Electronic Publication: 2024 Jun 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Qualitative Research* , Brain Injuries*/rehabilitation , Focus Groups*, Humans ; Female ; Switzerland ; Risk Factors ; Male ; Adult ; Middle Aged ; Return to Work/statistics & numerical data ; Return to Work/psychology ; Rehabilitation, Vocational/methods ; Employment ; Stakeholder Participation ; Interviews as Topic
مستخلص: Introduction: Along with the social and economic challenges posed by an aging society, creating work conditions that allow persons to stay healthy and work into old age has become a major task of Western societies. Retaining employment after returning to work is particularly difficult for individuals with a disability, as evidenced by the high rate of premature labor market dropout. Individuals with acquired brain injury (ABI) exemplify this challenge, as it often impairs cognitive, technical, and interpersonal abilities that are crucial in today's labor market. To effectively support these individuals, vocational integration practitioners require comprehensive knowledge of risk factors for premature labor market dropout and effective strategies for sustainable work.
Objective: This study aimed to identify perceived risk factors and related service gaps regarding sustainable work for people with ABI, as reported by affected individuals, employers, vocational integration professionals, and health professionals.
Methods: Secondary data analysis. Data that was originally collected through seven focus groups and two interviews with persons with ABI, 15 interviews with employers, and 13 interviews with vocational integration and health professionals in the context of the project 'Sustainable employment' was re-analysed thematically.
Results: Two major themes of risk factors were identified: (1) person-related factors (including the subthemes: post-ABI impairments; lack of understanding of post-ABI impairments; poor health management) and (2) environment-related factors (including the subthemes: challenges related to the service structure; insufficient knowledge and education about ABI; challenges at the workplace; difficulties in private life). While stakeholders noted the variety of the currently available services, they particularly pointed to the missing long-term monitoring and counseling services for persons with ABI following the initial return-to-work, reflecting a major challenge for sustainable work. An overarching gap related to the fragmentation of the service structure and the lack of case coordination along the working life.
Conclusions: Multiple stakeholders emphasized the importance of empowering individuals, ensuring easy access to professional support, and providing a suitable work environment to address key risk factors and facilitate sustainable work for individuals with ABI. Continuous coaching, long-term monitoring and counseling following return-to-work, were identified as potential strategies to achieve these goals.
(© 2024. The Author(s).)
References: Disabil Rehabil. 2022 Oct;44(21):6510-6530. (PMID: 34590966)
Arch Phys Med Rehabil. 2010 Sep;91(9):1436-41. (PMID: 20801264)
Top Stroke Rehabil. 2011 Sep-Oct;18(5):562-72. (PMID: 22082705)
Disabil Health J. 2011 Jul;4(3):141-2. (PMID: 21723520)
Arch Phys Med Rehabil. 2001 Apr;82(4):435-9. (PMID: 11295001)
Disabil Rehabil. 2022 Oct;44(21):6325-6332. (PMID: 34498992)
Rehabil Psychol. 2017 Feb;62(1):45-68. (PMID: 28206808)
Qual Health Res. 2012 Mar;22(3):332-45. (PMID: 22167155)
BMJ Open. 2018 Jul 16;8(7):e021182. (PMID: 30012785)
Work. 2019;64(1):117-134. (PMID: 31450535)
Front Rehabil Sci. 2022 Aug 02;3:876389. (PMID: 36188914)
Front Neurol. 2018 Dec 05;9:1051. (PMID: 30568630)
Br Dent J. 2008 Mar 22;204(6):291-5. (PMID: 18356873)
Disabil Rehabil. 2020 Aug;42(16):2359-2373. (PMID: 30929524)
Arch Phys Med Rehabil. 2015 Dec;96(12):2128-36. (PMID: 26278493)
Brain Inj. 2014;28(7):980-6. (PMID: 24655118)
West J Med. 1998 Oct;169(4):201-7. (PMID: 9795579)
Ageing Int. 2023;48(1):41-77. (PMID: 34465930)
J Clin Nurs. 2015 Sep;24(17-18):2357-67. (PMID: 25951949)
Scand J Work Environ Health. 2016 Jan;42(1):71-9. (PMID: 26595874)
Crit Care. 2016 Jun 21;20(1):148. (PMID: 27323708)
Eur J Public Health. 2002 Jun;12(2):124-30. (PMID: 12073750)
Ann Behav Med. 2003 Aug;26(1):1-7. (PMID: 12867348)
J Aging Health. 2013 Oct;25(7):1258-74. (PMID: 24029414)
Stroke. 2019 Mar;50(3):e48-e50. (PMID: 30661505)
Front Rehabil Sci. 2023 Jan 20;3:906567. (PMID: 36743836)
Am J Phys Med Rehabil. 2017 Feb;96(2 Suppl 1):S116-S119. (PMID: 28059896)
Disabil Rehabil. 2017 May;39(9):847-855. (PMID: 28293979)
Front Rehabil Sci. 2022 Jul 08;3:872782. (PMID: 36188977)
BMJ. 2000 Feb 26;320(7234):526-7. (PMID: 10688539)
Arch Phys Med Rehabil. 2013 Jun;94(6):1199-201. (PMID: 23402722)
Brain Inj. 2019;33(13-14):1567-1580. (PMID: 31454278)
Med Care. 1999 Jan;37(1):5-14. (PMID: 10413387)
BMC Health Serv Res. 2022 Jul 7;22(1):877. (PMID: 35799251)
Br J Sports Med. 2017 Jun;51(12):969-977. (PMID: 28455362)
Continuum (Minneap Minn). 2020 Apr;26(2):386-414. (PMID: 32224758)
J Neurol Neurosurg Psychiatry. 2020 Aug;91(8):831-839. (PMID: 32576613)
BMJ Open. 2022 Dec 30;12(12):e066647. (PMID: 36585140)
Disabil Rehabil. 2017 Feb;39(3):211-222. (PMID: 27097520)
Health Syst Transit. 2015;17(4):1-288, xix. (PMID: 26766626)
Neuropsychol Rehabil. 2020 Apr;30(3):412-429. (PMID: 29745289)
J Epidemiol Community Health. 2007 Jul;61(7):597-604. (PMID: 17568051)
Brain Inj. 2013;27(5):507-20. (PMID: 23473058)
Int J Health Policy Manag. 2017 Feb 08;6(5):299-300. (PMID: 28812820)
Occup Environ Med. 2014 Apr;71(4):295-301. (PMID: 24169931)
Brain Inj. 2009 Jun;23(6):473-88. (PMID: 19484621)
Brain Neurorehabil. 2021 Jul 16;14(3):e24. (PMID: 36741222)
BMJ Open. 2016 Apr 06;6(4):e009974. (PMID: 27053267)
JAMA Neurol. 2019 Sep 01;76(9):1049-1059. (PMID: 31157856)
BMC Public Health. 2011 Sep 29;11:742. (PMID: 21957999)
معلومات مُعتمدة: 10531C_173322/1 Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung; 10531C_173322/1 Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
فهرسة مساهمة: Keywords: Acquired brain injury; Multi-stakeholder analysis; Qualitative research; Sustainable work; Vocational integration
تواريخ الأحداث: Date Created: 20240620 Date Completed: 20240621 Latest Revision: 20240623
رمز التحديث: 20240623
مُعرف محوري في PubMed: PMC11188514
DOI: 10.1186/s12913-024-11128-3
PMID: 38902701
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-024-11128-3