Work Research Institute, OsloMet- Oslo Metropolitan University, Oslo, Norway
Work Research Institute, OsloMet- Oslo Metropolitan University, Oslo, Norway.
Occup Environ Med. 2020 Feb;77(2):122-130. doi: 10.1136/oemed-2019-106102. Epub 2020 Jan 6.
The objective of this study was to conduct a systematic review assessing workplace factors related to work retention (or return to work) in employees with acquired brain injury (ABI). Additionally, we aimed to synthesise the evidence and state of knowledge on this subject.
A database search was performed in nine relevant electronic databases. Inclusion criteria were quantitative peer-reviewed publications empirically investigating the relationship between work/workplace factors and work retention in employees following ABI. The methodological quality was determined by Effective Public Health Practice Project scoring, and evidence was synthesised narratively.
Thirteen studies were included. We found moderate evidence for a negative relationship between manual work and work retention. We also found limited evidence for a U-shaped relationship between workload and complete work retention at 6 months and no relationship at 12 months; a positive relationship between managers, compared with non-managers, and faster work retention; a positive relationship between large enterprise size defined as ≥250 employees, and no relationship between large enterprise size, defined as ≥1000 employees, and work retention.
Relative to individual factors, there is little evidence on specific workplace factors' relationship to work retention among employees with ABI. For most workplace factors, there were too few high-quality studies to designate evidence as more than limited or insufficient. Future studies should replicate rigorous studies of well-defined modifiable workplace factors related to work retention.
CRD42018082201.
本研究旨在对与脑外伤后（ABI）员工工作保留（或重返工作）相关的工作场所因素进行系统评价。此外，我们旨在综合这一主题的证据和知识状况。
在九个相关的电子数据库中进行了数据库搜索。纳入标准为定量同行评审出版物，这些出版物经验性地调查了 ABI 后员工的工作/工作场所因素与工作保留之间的关系。方法学质量由有效公共卫生实践项目评分确定，证据以叙述性方式进行综合。
共纳入 13 项研究。我们发现体力劳动与工作保留之间存在负相关关系，这方面有中等强度的证据。我们还发现工作量与 6 个月时完全工作保留之间呈 U 型关系，而与 12 个月时无关系，与非管理人员相比，管理人员与更快的工作保留之间存在正相关关系；企业规模较大（定义为≥250 名员工）与工作保留之间存在正相关关系，而企业规模较大（定义为≥1000 名员工）与工作保留之间无关系。
相对于个体因素，脑外伤后员工工作保留与特定工作场所因素之间的关系证据很少。对于大多数工作场所因素，高质量的研究太少，无法将证据指定为更有限或不足。未来的研究应复制与工作保留相关的明确可修改工作场所因素的严格研究。
PROSPERO 注册号：CRD42018082201。
