Department of Occupational Therapy, Université du Québec à Trois-Rivières, 555 Boul de l'Université, Drummondville, QC, J2C 0R5, Canada.
Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec, Canada.
J Occup Rehabil. 2022 Jun;32(2):319-328. doi: 10.1007/s10926-021-10008-5. Epub 2021 Oct 19.
Purpose Rooted in a social exchange lens, this study aimed to explore the interactions between the factors influencing stay at work after a period of disability due to an occupational injury. Methods Based on a descriptive interpretative research design, interviews with 15 participants (i.e., representatives of workers, workplaces, insurers, and the health care system) were conducted to gather their perspectives about stay at work. Qualitative data was analyzed through thematic analysis. Results Ten different factors interacting together and influencing stay at work were identified. These factors prevail either during stay at work or previously. They are either related to the person (personal resources, occupation outside of work), environment (accommodations, support, access to rehabilitation services) or interaction between the person and her/his environment (perceptions, leeway, communication and information), whether it concerns the workplace, health services or insurance. Conclusions This study contributes to the advancement of knowledge concerning two main themes: (1) the importance of considering social exchanges as factors of success, and (2) the importance of considering the stay at work within a larger process.
目的 本研究根植于社会交换理论，旨在探讨影响因职业伤害而导致一段时间残疾后继续工作的因素之间的相互作用。
方法 基于描述性解释性研究设计，对 15 名参与者（即工人、工作场所、保险公司和医疗保健系统的代表）进行了访谈，以收集他们对继续工作的看法。通过主题分析对定性数据进行了分析。
结果 确定了十个相互作用并影响继续工作的不同因素。这些因素要么在继续工作期间存在，要么在之前就存在。它们要么与人有关（个人资源、工作之外的职业），要么与环境有关（适应、支持、获得康复服务），要么与人与其环境之间的相互作用有关（看法、回旋余地、沟通和信息），无论是与工作场所、卫生服务还是保险有关。
结论 本研究对两个主要主题的知识发展做出了贡献：（1）将社会交换视为成功因素的重要性，以及（2）将继续工作纳入更大过程的重要性。
