Marti Albert, Escorpizo Reuben, Schwegler Urban, Staubli Stefan, Trezzini Bruno
Swiss Paraplegic Research, Nottwil, Switzerland.
Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
Work. 2017;58(2):99-110. doi: 10.3233/WOR-172617.
Labour market participation (LMP) represents a key goal of rehabilitation for individuals with spinal cord injury (SCI). To achieve this goal, Swiss SCI rehabilitation centres seek, together with their clients, viable follow-up solutions for returning to work after initial rehabilitation. However, the long-term outcomes of such vocational follow-up solutions have not been investigated so far, and there is a paucity of knowledge regarding the various types of employment pathways that persons with SCI living in Switzerland may experience.
To examine long-term employment pathways as experienced by individuals with SCI living in Switzerland.
A qualitative descriptive study design involving narrative interviews with individuals who completed vocational rehabilitation (VR) during their initial rehabilitation. Interviews were transcribed verbatim, and data analysed using an inductive thematic analysis approach.
The analysis of the 15 interviews revealed four employment pathways: the pathway of no paid work, the pathway of retraining, the pathway of job adaptation and the pathway of continuing work.
Apart from three pathways leading towards paid employment, our results revealed one pathway that was characterized by permanent unemployment. Individuals facing a pathway of no paid work may benefit from more custom-made vocational follow-up solutions and prolonged job coaching after initial VR.
劳动力市场参与度（LMP）是脊髓损伤（SCI）患者康复的一个关键目标。为实现这一目标，瑞士的脊髓损伤康复中心与患者共同寻找在初始康复后重返工作岗位的可行后续解决方案。然而，到目前为止，此类职业后续解决方案的长期结果尚未得到研究，并且对于生活在瑞士的脊髓损伤患者可能经历的各种就业途径，人们了解甚少。
研究生活在瑞士的脊髓损伤患者所经历的长期就业途径。
采用定性描述性研究设计，对在初始康复期间完成职业康复（VR）的个体进行叙事访谈。访谈逐字转录，并使用归纳主题分析方法进行数据分析。
对15次访谈的分析揭示了四种就业途径：无薪工作途径、再培训途径、工作适应途径和持续工作途径。
除了通向有薪就业的三种途径外，我们的结果还揭示了一种以长期失业为特征的途径。面临无薪工作途径的个体可能会从更定制化的职业后续解决方案以及初始职业康复后的长期工作指导中受益。
