Matthews Lynda R, Buys Nicholas, Randall Christine, Biggs Herbert, Hazelwood Zoe
The University of Sydney, Lidcombe, New South Wales, Australia.
Int J Rehabil Res. 2010 Jun;33(2):124-33. doi: 10.1097/MRR.0b013e3283310d30.
Over the past decade, there has been growth in the delivery of vocational rehabilitation services globally, as countries seek to control disability-related expenditure, yet there has been minimal research outside the United States on competencies required to work in this area. This study reports on research conducted in Australia to determine current job function and knowledge areas in terms of their importance and frequency of use in the provision of vocational rehabilitation. A survey comprising items from the Rehabilitation Skills Inventory-Amended and International Survey of Disability Management was completed by 149 rehabilitation counselors and items submitted to factor analysis. T-tests and analyses of variance were used to determine differences between scores of importance and frequency and differences in scores based on work setting and professional training. Six factors were identified as important and frequently used: (i) vocational counseling, (ii) professional practice, (iii) personal counseling, (iv) rehabilitation case management, (v) workplace disability case management, and (vi) workplace intervention and program management. Vocational counseling, professional practice and personal counseling were significantly more important and performed more frequently by respondents in vocational rehabilitation settings than those in compensation settings. These same three factors were rated significantly higher in importance and frequency by those with rehabilitation counselor training when compared with those with other training. In conclusion, although 'traditional' knowledge and skill areas such as vocational counseling, professional practice, and personal counseling were identified as central to vocational rehabilitation practice in Australian rehabilitation agencies, mean ratings suggest a growing emphasis on knowledge and skills associated with disability management practice.
在过去十年中，随着各国试图控制与残疾相关的支出，全球职业康复服务的提供有所增长，但在美国以外，关于该领域工作所需能力的研究极少。本研究报告了在澳大利亚进行的一项研究，以确定当前职业康复服务提供中工作职能和知识领域的重要性及使用频率。149名康复顾问完成了一项包含《康复技能清单修订版》和《国际残疾管理调查》项目的调查，并将这些项目提交进行因子分析。使用t检验和方差分析来确定重要性得分与频率得分之间的差异，以及基于工作环境和专业培训的得分差异。确定了六个重要且常用的因素：（i）职业咨询，（ii）专业实践，（iii）个人咨询，（iv）康复案例管理，（v）工作场所残疾案例管理，以及（vi）工作场所干预和项目管理。职业康复环境中的受访者认为职业咨询、专业实践和个人咨询比赔偿环境中的受访者更为重要且执行频率更高。与接受其他培训的人员相比，接受康复顾问培训的人员对这三个因素的重要性和频率评分明显更高。总之，尽管职业咨询、专业实践和个人咨询等“传统”知识和技能领域被认为是澳大利亚康复机构职业康复实践的核心，但平均评分表明对与残疾管理实践相关的知识和技能的重视程度在不断提高。
