Sternberg Annika, Bethge Matthias
Universität zu Lübeck, Institut für Sozialmedizin und Epidemiologie, Sektion Rehabilitation und Arbeit.
Rehabilitation (Stuttg). 2022 Apr;61(2):107-116. doi: 10.1055/a-1555-1113. Epub 2021 Sep 20.
Persons with approved vocational rehabilitation participate in a conversation with a rehabilitation consultant shortly after approval. The aim of the consultation is to select individually suitable services from the available range of services, based on the illness and employment biography of persons with approved vocational rehabilitation. The initial consultation is thus of essential importance for the further rehabilitation process. To date, there has been little research about what characterizes successful counseling from the point of view of persons with approved vocational rehabilitation. The aim of the qualitative study was to examine the perspective on counseling for persons with approved vocational rehabilitation financed by the German Federal Pension Insurance.
Telephone interviews based on guidelines were conducted with 16 persons. The interviews were recorded and transcribed. The data was analyzed with MAXQDA using qualitative content analysis and the technique of inductive category development.
Three perceived forms of counseling could be distinguished: a supportive counseling, a passive counseling and an inhibitory counseling. Persons with experienced passive and inhibitory counseling reported uncertainty and withdrawal in the further rehabilitation process.
There is an individual perception of the counseling and support provided by the rehabilitation consultant, which can have an impact on the attitude and behaviour of persons in the further course of vocational rehabilitation. The challenge is to enable supportive experiences within the time-limited framework of the initial consultation.
获得批准的职业康复人员在获批后不久会与康复顾问进行一次谈话。咨询的目的是根据获得批准的职业康复人员的疾病和就业经历,从现有的服务范围中选择适合个人的服务。因此,初次咨询对后续的康复过程至关重要。迄今为止,从获得批准的职业康复人员的角度来看,关于成功咨询的特点鲜有研究。这项定性研究的目的是考察由德国联邦养老保险资助的获得批准的职业康复人员对咨询的看法。
根据指南对16人进行了电话访谈。访谈进行了录音和转录。使用MAXQDA软件,采用定性内容分析和归纳类别发展技术对数据进行了分析。
可以区分出三种被感知到的咨询形式:支持性咨询、被动性咨询和抑制性咨询。经历过被动性和抑制性咨询的人员在后续康复过程中表现出不确定性和退缩。
康复顾问提供的咨询和支持存在个体差异,这可能会对职业康复后续过程中人员的态度和行为产生影响。挑战在于在初次咨询的时间限制框架内提供支持性体验。