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职业倦怠员工的职业健康护理重返工作岗位实践。

Occupational health care return-to-work practices for workers with job burnout.

作者信息

Kärkkäinen Riitta, Saaranen Terhi, Räsänen Kimmo

机构信息

a Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences , University of Eastern Finland , Kuopio , Finland.

b Department of Nursing Science, Faculty of Health Sciences , University of Eastern Finland , Kuopio , Finland.

出版信息

Scand J Occup Ther. 2019 Apr;26(3):194-204. doi: 10.1080/11038128.2018.1441322. Epub 2018 Feb 23.

Abstract

BACKGROUND

Occupational health care supports return to work in cases of burnout; however, there is little research on return-to-work practices.

AIM

To describe occupational health care return-to-work practices for workers with burnout and to identify potential for the development of the practices.

METHODS

Open-ended interviews and essays were used to collect data from 25 occupational health care professionals. A qualitative content analysis method was used.

RESULTS

Occupational health care was involved in the return-to-work support in the off-work, work re-entry and maintenance phases during the return-to-work process. However, occupational health care had no influence in the advancement phase. The key return-to-work actions were: (i) defining burnout, (ii) supporting disengagement from work, (iii) supporting recovery, (iv) determining the return-to-work goal, (v) supporting re-engagement with work, (vi) monitoring the job-person match, (vii) re-evaluating the return-to-work goal, (viii) supporting the maintenance of the achieved return-to-work goal, and, where appropriate, (ix) supporting an alternative return-to-work goal. There were varied return-to-work practices among the occupational health care centers evaluated.

CONCLUSIONS

The occupational health care return-to-work practices for workers with burnout are described with recommendations to further develop common practice guidelines.

摘要

背景

职业健康护理有助于倦怠患者重返工作岗位;然而,关于重返工作实践的研究很少。

目的

描述职业健康护理针对倦怠员工的重返工作实践,并确定这些实践的发展潜力。

方法

采用开放式访谈和短文形式,从25名职业健康护理专业人员那里收集数据。运用定性内容分析法。

结果

职业健康护理在重返工作过程的离岗、重新进入工作和维持阶段参与了重返工作支持。然而,职业健康护理在晋升阶段没有影响力。关键的重返工作行动包括:(i)界定倦怠,(ii)支持脱离工作,(iii)支持恢复,(iv)确定重返工作目标,(v)支持重新投入工作,(vi)监测工作与个人的匹配度,(vii)重新评估重返工作目标,(viii)支持维持已实现的重返工作目标,以及在适当时(ix)支持替代的重返工作目标。在所评估的职业健康护理中心之间,重返工作实践各不相同。

结论

描述了职业健康护理针对倦怠员工的重返工作实践,并提出了进一步制定通用实践指南的建议。

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