Hellman Therese, Bergström Aileen, Eriksson Gunilla, Hansen Falkdal Annie, Johansson Ulla
Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Solna, Sweden.
Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden.
Work. 2016;55(4):901-911. doi: 10.3233/WOR-162455.
Poor co-operation between the various stakeholders underscores the need for reviewing important factors that facilitate return to work (RTW) after stroke.
To explore and describe important aspects expressed by Swedish stakeholders in the RTW process for persons post stroke and to contrast the stakeholders' aspects exploring different perspectives that may influence optimal RTW.
Data from seven focus group interviews with the stakeholders were analyzed using qualitative content analysis.
Three main categories made up the findings; the prolonged RTW process, the need for extended knowledge, and the assessment of work ability in the RTW process. Despite the stakeholders' agreement on these important aspects, they presented divergent views of the categories, representing their diverse agendas.
A stroke coordinator may remediate the stakeholders' divergent perspectives. The coordinator should be versed in stroke specific knowledge and in a person centered approach to inform the decision process regarding RTW, while finding optimal solutions within regulatory boundary conditions. A coordinator could increase collaboration of the various stakeholders, provide support and coordinate services for the client with stroke and the employer throughout the whole process facilitating RTW after stroke. Future studies are needed to confirm this proposal.
各利益相关者之间合作不佳凸显了审查有助于中风后重返工作岗位（RTW）的重要因素的必要性。
探讨并描述瑞典利益相关者在中风患者RTW过程中表达的重要方面，并对比利益相关者从可能影响最佳RTW的不同角度提出的方面。
采用定性内容分析法对与利益相关者进行的七次焦点小组访谈的数据进行分析。
研究结果分为三大类；RTW过程延长、需要扩展知识以及RTW过程中的工作能力评估。尽管利益相关者在这些重要方面达成了一致，但他们对这些类别提出了不同的看法，代表了他们不同的议程。
中风协调员可以纠正利益相关者的不同观点。协调员应精通中风特定知识并采用以人为本的方法，为RTW决策过程提供信息，同时在监管边界条件内找到最佳解决方案。协调员可以加强各利益相关者之间的合作，在整个中风后促进RTW的过程中为中风患者及其雇主提供支持并协调服务。需要未来的研究来证实这一建议。
