Discipline of Occupational Therapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Australian Centre for Health Services Research, Faculty of Health, Queensland University of Technology, QLD, Australia.
Aust Occup Ther J. 2024 Feb;71(1):113-131. doi: 10.1111/1440-1630.12915. Epub 2023 Nov 22.
Participation in work and employment is a milestone of adulthood. People returning to work after burn injury may have physical, psychological, social, and environmental barriers to overcome in order to resume their pre-injury employment. The aim of this paper is to evaluate qualitative findings regarding return-to-employment after burn injury.
A qualitative synthesis was conducted based on the qualitative findings of an earlier mixed methods review. A pre-determined scoping review protocol was used in the earlier review to search MEDLINE, CINAHL, Embase, PsycINFO, PubMed, Scopus, CCRCT, and CDSR databases between 2000 and Aug 2021. Any papers presenting qualitative data from previously employed adults with cutaneous burn injuries were included.
A total of 20 papers with qualitative data on return-to-employment after burn injury were found. Only six included studies focused on return-to-employment outcomes and the remaining studies reporting on quality of life and life experiences after burn injury. Common themes included impairments that develop and change over time; occupational identity and meaning; temporal aspects of burn recovery; burn rehabilitation services and interventions; attitudes, knowledge and support of service providers; workplace environments supporting work re-engagement after burn injury; usefulness of work accommodations; family and social supports, individuals attributes that influence re-engaging in employment; and accepting and rebuilding.
Resumption of work after burn injury is regarded as a key marker of recovery for working-aged adults by burn survivors and burn care professionals. Support at transition points during the burn recovery process and peer-led programmes were important. However, limited information currently exists regarding clinical practices, service gaps, and understanding of return-to-employment outcomes after burn injury.
参与工作和就业是成年的一个重要里程碑。烧伤后重返工作岗位的人可能需要克服身体、心理、社会和环境障碍，才能恢复受伤前的工作。本文的目的是评估烧伤后重返就业的定性研究结果。
根据早期混合方法综述的定性研究结果，进行了定性综合。早期综述使用了预定的范围综述方案，在 2000 年至 2021 年 8 月期间，在 MEDLINE、CINAHL、Embase、PsycINFO、PubMed、Scopus、CCRCT 和 CDSR 数据库中搜索了有关烧伤后重返就业的定性数据的任何论文。
共发现 20 篇关于烧伤后重返就业的定性数据论文。仅有 6 项研究关注重返就业结果，其余研究报告烧伤后生活质量和生活经历。常见主题包括随着时间的推移而发展和变化的损伤；职业身份和意义；烧伤康复服务和干预措施；工作场所环境支持烧伤后重新参与工作；工作适应的有用性；家庭和社会支持、影响重新就业的个体属性；以及接受和重建。
烧伤幸存者和烧伤护理专业人员认为，烧伤后重返工作被视为成年工作者康复的关键标志。在烧伤康复过程中的过渡点提供支持和同伴领导的方案很重要。然而，目前关于烧伤后重返就业的临床实践、服务差距和对重返就业结果的理解，信息有限。
