Loisel Patrick, Falardeau Marlène, Baril Raymond, José-Durand Marie, Langley Ann, Sauvé Sandrine, Gervais Julie
Disability Prevention Research and Training Centre, Université de Sherbrooke, Longeuil, Québec, Canada.
Disabil Rehabil. 2005 May 20;27(10):561-9. doi: 10.1080/09638280400018502.
This paper presents the results of a qualitative study on the values underlying the decision-making process of an interdisciplinary team working in a work rehabilitation facility of a Québec teaching hospital.
In order to document the values underlying the decision-making process, a single case observational study was conducted. Interdisciplinary team weekly discussions on ongoing cases of 22 workers absent from work due to musculoskeletal disorders were videotaped. All discourses were transcribed and analyzed following an inductive and iterative approach. The values identified were validated by feedback from team members.
Ten common decision values emerged from the data: (1) team unity and credibility, (2) collaboration with stakeholders, (3) worker's internal motivation, (4) worker's adherence to the program, (5) worker's reactivation, (6) single message, (7) reassurance, (8) graded intervention, (9) pain management and (10) return to work as a therapy. The analysis of these values led to the design of a model describing interrelations between them.
This study throws light on some mechanisms underlying the decisions made by the team and determining its action. This improves understanding of the actions taken by an interdisciplinary team in work rehabilitation and may facilitate knowledge transfer in the training of other teams.
本文介绍了一项定性研究的结果，该研究针对魁北克一家教学医院工作康复机构中一个跨学科团队决策过程背后的价值观。
为了记录决策过程背后的价值观，开展了一项单案例观察研究。对跨学科团队就22名因肌肉骨骼疾病缺勤的工人的持续病例进行的每周讨论进行了录像。所有话语都按照归纳和迭代的方法进行转录和分析。所确定的价值观通过团队成员的反馈得到了验证。
数据中出现了十个常见的决策价值观：（1）团队团结与可信度，（2）与利益相关者的合作，（3）工人的内在动力，（4）工人对项目的坚持，（5）工人的恢复工作能力，（6）单一信息，（7）安心，（8）分级干预，（9）疼痛管理，以及（10）将重返工作作为一种治疗方法。对这些价值观的分析导致设计了一个描述它们之间相互关系的模型。
本研究揭示了团队决策背后的一些机制及其行动的决定因素。这增进了对跨学科团队在工作康复中所采取行动的理解，并可能促进在其他团队培训中的知识转移。
