Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.
Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.
Disabil Rehabil. 2020 Feb;42(4):552-561. doi: 10.1080/09638288.2018.1503733. Epub 2018 Nov 18.
Individuals who have experienced a work-related mild traumatic brain injury face a variety of challenges when returning to work. Research has demonstrated that the implementation of workplace accommodations can reduce the incidence of workplace disability. Few studies investigate work-related mild traumatic brain injury from injured workers' perspectives, and none examine workplace accommodations in detail. This study explores the types of accommodations that individuals receive, and the factors that influence how they are provided and to whom. This study is a qualitative secondary data analysis of 12 telephone interviews. ATLAS.ti software was used to facilitate coding and thematic analysis was used to analyze the data. This study makes explicit various accommodations identified as being useful or required by individuals on return to work. Participants identified a gradual return to work, and modified duties, among other accommodations. Components of the workplace social and structural environment, and the occupational context influenced how accommodations were provided and to whom. Obtaining appropriate support is of great importance to injured employees, their employers, insurers, and healthcare providers. Stakeholders should be aware of how to successfully identify and access appropriate workplace accommodations to support injured workers on return to work.Implications for rehabilitation • Workplace accommodations reduce the incidence of workplace disability. • Workplace accommodations can be formal or informal. • Participants identified a gradual return to work, modified duties, self-directed compensatory strategies, and allowances for medical appointments, among other accommodations, as being useful or required. • Stakeholders, including healthcare providers involved in rehabilitation, should be aware of how to successfully identify and implement these accommodations to ensure injured workers are supported on return to work.
经历过与工作相关的轻度创伤性脑损伤的个体在重返工作岗位时面临各种挑战。研究表明，实施工作场所适应措施可以降低工作场所残疾的发生率。很少有研究从受伤工人的角度调查与工作相关的轻度创伤性脑损伤，也没有详细研究工作场所适应措施。本研究探讨了个体接受的适应措施的类型，以及影响适应措施的提供方式和对象的因素。这是对 12 次电话访谈的定性二次数据分析。ATLAS.ti 软件用于促进编码，主题分析用于分析数据。本研究明确了个体重返工作岗位时认为有用或必需的各种适应措施。参与者确定了逐渐返回工作岗位和修改工作任务等适应措施。工作场所社会和结构环境以及职业环境的组成部分影响了适应措施的提供方式和对象。获得适当的支持对受伤员工、他们的雇主、保险公司和医疗保健提供者非常重要。利益相关者应该意识到如何成功地识别和获得适当的工作场所适应措施，以支持受伤员工重返工作岗位。
工作场所适应措施可降低工作场所残疾的发生率。
工作场所适应措施可以是正式的也可以是非正式的。
参与者确定了逐渐返回工作岗位、修改工作任务、自我指导的补偿策略以及允许请医疗预约等适应措施，认为这些措施有用或必需。
包括参与康复的医疗保健提供者在内的利益相关者应该意识到如何成功地识别和实施这些适应措施，以确保受伤员工在重返工作岗位时得到支持。
