Dodson Matthew B
Occupational Performance Center, Program in Occupational Therapy, Washington University School of Medicine, 4444 Forest Park Avenue, Box 8505, Saint Louis, MO, USA.
Work. 2010;36(4):449-57. doi: 10.3233/WOR-2010-1044.
Impairment in executive functioning can occur after mild stroke, mild Traumatic Brain Injury, and neurodegenerative disease, and this can have deleterious effects on employment outcomes, occupational functioning, and general quality of life. What is not as well identified is the symbiotic relationship between executive functioning and other important psychosocial constructs inherent in successful employees ("Employee Performance Enablers"), and how various aspects of the employment environment can enable or inhibit the success of the employee with executive functioning deficits in meeting their essential job functions ("Workplace Ecology"). From an extensive review of the literature and the author's practice experience, a clinical model was developed to elucidate these two critical variables, as well as to provide guidance for organizing, planning, and implementing interventions that will address both employee enablers and workplace ecology to affect positive return to work outcomes for individuals with mild brain injury.
轻度中风、轻度创伤性脑损伤和神经退行性疾病后可能会出现执行功能障碍，这可能会对就业结果、职业功能和总体生活质量产生有害影响。尚未得到充分确认的是执行功能与成功员工所固有的其他重要社会心理结构（“员工绩效促进因素”）之间的共生关系，以及就业环境的各个方面如何促进或抑制有执行功能缺陷的员工在履行其基本工作职责方面取得成功（“工作场所生态”）。通过对文献的广泛回顾和作者的实践经验，开发了一个临床模型来阐明这两个关键变量，并为组织、规划和实施干预措施提供指导，这些干预措施将同时解决员工促进因素和工作场所生态问题，以影响轻度脑损伤患者积极重返工作岗位的结果。
