Stergiou-Kita Mary, Mansfield Elizabeth, Bayley Mark, Cassidy J David, Colantonio Angela, Gomez Manuel, Jeschke Marc, Kirsh Bonnie, Kristman Vicki, Moody Joel, Vartanian Oshin
From the *Toronto Rehabilitation Institute, †Toronto Western Research Institute, University Health Network, Toronto, Ontario, Canada; ‡Sunnybrook Research Institute, Toronto, Ontario, Canada; §Defence Research and Development Canada, Toronto Research Centre, Toronto, Ontario, Canada; ║Department of Occupational Science and Occupational Therapy, ¶Dalla Lana School of Public Health, #Department of Physiatry, **Department of Surgery, Division of Plastic and Reconstructive Surgery, ††Graduate Department of Rehabilitation Sciences, University of Toronto, Toronto, Ontario, Canada; ‡‡University of Toronto, Scarborough, Ontario, Canada; §§Faculty of Health, University of Southern Denmark, Odense South Denmark; ║║Department of Health Sciences, Lakehead University, Thunder Bay, Ontario, Canada; ¶¶Institute of Work and Health; ##Division of Human Sciences, Northern Ontario School of Medicine, Lakehead University, Toronto, Ontario, Canada; ***Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; †††Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; ‡‡‡Institute for Clinical Evaluative Sciences; §§§Electrical Safety Authority, Ontario, Canada.
J Burn Care Res. 2014 Nov-Dec;35(6):498-507. doi: 10.1097/BCR.0000000000000041.
The objective of this study was to gain an understanding of workers' experiences with returning to work, the challenges they experienced, and the supports they found most beneficial when returning to work after a workplace electrical injury. Thirteen semistructured qualitative telephone interviews were conducted with individuals who experienced an electrical injury at the workplace. Participants were recruited from specialized burns rehabilitation programs in Ontario, Canada. Interviews were transcribed verbatim and thematic analysis used to analyze the qualitative interviews. Data regarding workers' demographics, injury events, and occupational categories were also gathered to characterize the sample.Participants identified three distinct categories of challenges: 1) physical, cognitive, and psychosocial impairments and their effects on their work performance; 2) feelings of guilt, blame, and responsibility for the injury; and 3) having to return to the workplace or worksite where the injury took place. The most beneficial supports identified by the injured workers included: 1) support from family, friends, and coworkers; and 2) the receipt of rehabilitation services specialized in electrical injury. The most common advice to others after electrical injuries included: 1) avoiding electrical injury; 2) feeling ready to return to work; 3) filing a Workplace Safety and Insurance Board injury/claims report;4) proactive self-advocacy; and 5) garnering the assistance of individuals who understood electrical injuries to advocate on their behalf. Immediate and persistent physical, cognitive, psychosocial, and support factors can affect individuals' abilities to successfully return to work after an electrical injury. Specialized services and advocacy were viewed as beneficial to successful return to work.
本研究的目的是了解工人重返工作岗位的经历、他们所面临的挑战，以及在工作场所遭受电击伤后重返工作岗位时他们认为最有益的支持。对13名在工作场所遭受电击伤的个人进行了半结构化定性电话访谈。参与者从加拿大安大略省的专业烧伤康复项目中招募。访谈逐字记录，并采用主题分析法对定性访谈进行分析。还收集了有关工人的人口统计学、受伤事件和职业类别的数据，以描述样本特征。参与者确定了三类不同的挑战：1）身体、认知和心理社会障碍及其对工作表现的影响；2）对受伤感到内疚、自责和责任感；3）不得不回到受伤发生的工作场所或工地。受伤工人确定的最有益的支持包括：1）家人、朋友和同事的支持；2）接受专门针对电击伤的康复服务。电击伤后给他人的最常见建议包括：1）避免电击伤；2）做好重返工作岗位的准备；3）提交工作场所安全与保险委员会的受伤/索赔报告；4）积极自我维权；5）争取了解电击伤的人的帮助，代表他们进行维权。即时和持续的身体、认知、心理社会和支持因素会影响个人在电击伤后成功重返工作岗位的能力。专门服务和维权被认为有利于成功重返工作岗位。
