Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Department of Clinical Science, Psychiatry, Umeå University, Umeå, Sweden.
PLoS One. 2020 Jul 31;15(7):e0234897. doi: 10.1371/journal.pone.0234897. eCollection 2020.
Stress-induced exhaustion disorder (SED) is a primary cause for sickness absence among persons with mental health disorders in Sweden. Interventions involving the workplace, and supporting communication between the employee and the supervisor, are proposed to facilitate return to work (RTW). The aim of this study was to explore experiences of persons with SED who participated in a dialogue-based workplace intervention with a convergence dialogue meeting performed by a rehabilitation coordinator.
A qualitative design based on group interviews with 15 persons with SED who participated in a 24-week multimodal rehabilitation program was used. The interviews were analyzed with the methodology of grounded theory.
The analysis resulted in a theoretical model where the core category, restoring confidence on common ground, represented a health promoting process that included three phases: emotional entrance, supportive guidance, and empowering change. The health promoting process was represented in participant experiences of personal progress and safety in RTW.
The intervention built on a health-promoting pedagogy, supported by continuous guidance from a rehabilitation coordinator and structured convergence dialogue meetings that enhanced common communication and collaboration with the supervisor and others involved in the RTW process. The intervention balanced relationships, transferred knowledge, and changed attitudes about SED among supervisors and colleagues in the workplace. The inclusion of a rehabilitation coordinator in the intervention was beneficial by enhancing RTW and bridging the gaps between healthcare, the workplace, and other organizational structures. In addition, the intervention contributed to a positive re-orientation towards successful RTW instead of an endpoint of employment. In a prolonged process, a dialogue-based workplace intervention with convergence dialogue meetings and a rehabilitation coordinator may support sustainable RTW for persons with SED.
应激相关耗竭障碍（SED）是导致瑞典心理健康障碍患者缺勤的主要原因。提出了涉及工作场所的干预措施，并支持员工和主管之间的沟通，以促进重返工作岗位（RTW）。本研究旨在探讨参与基于对话的工作场所干预措施的 SED 患者的经验，该干预措施由康复协调员进行融合对话会议。
采用基于小组访谈的定性设计，对 15 名 SED 患者进行了访谈，这些患者参加了为期 24 周的多模式康复计划。使用扎根理论方法对访谈进行了分析。
分析产生了一个理论模型，其中核心类别“在共同基础上恢复信心”代表了一个促进健康的过程，包括三个阶段：情感入口、支持性指导和赋权变革。该健康促进过程体现在参与者在 RTW 中个人进步和安全的体验中。
该干预措施建立在健康促进教育学的基础上，由康复协调员提供持续指导和结构化的融合对话会议支持，增强了与主管和其他参与 RTW 过程的人员的共同沟通和协作。该干预措施平衡了工作场所中主管和同事之间的关系，传递了关于 SED 的知识，并改变了态度。在干预措施中纳入康复协调员通过增强 RTW 并弥合医疗保健、工作场所和其他组织结构之间的差距，从而带来了好处。此外，该干预措施有助于朝着成功 RTW 的积极方向重新定位，而不是将其作为就业的终点。在一个漫长的过程中，基于对话的工作场所干预措施和融合对话会议以及康复协调员可能会支持 SED 患者的可持续 RTW。
