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残疾性职业伤害后感知不公正经历的定性研究

Qualitative Examination of the Experience of Perceived Injustice Following Disabling Occupational Injury.

机构信息

School of Social Work, Dalhousie University, Halifax, NS, Canada.

Department of Psychology, Université de Sherbrooke, Montréal, QC, Canada.

出版信息

J Occup Rehabil. 2024 Sep;34(3):657-668. doi: 10.1007/s10926-023-10154-y. Epub 2023 Nov 23.

DOI:10.1007/s10926-023-10154-y
PMID:37996720
Abstract

PURPOSE

The primary objective of this study was to explore individuals' perspectives on the factors, situations or events that contributed to their perceptions of injustice following occupational injury.

MATERIALS AND METHODS

The study sample consisted of 30 participants (18 women, 12 men) who had submitted a time-loss claim for a work-related musculoskeletal injury. Participants with elevated scores on a measure of perceived injustice were interviewed about the factors that contributed to their sense of injustice. A thematic analysis was conducted to identify the broad classes of situations or events that participants experienced as unjust in the weeks following occupational injury.

RESULTS

Three dominant themes emerged from the interviews: (1) Invalidation, (2) Undeserved suffering and (3) Blame. Inductively derived subthemes reflected specific dimensions of post-injury experiences that contributed to participants' sense of injustice.

CONCLUSIONS

Given that suffering and invalidating communication are potentially modifiable factors, there are grounds for optimism that intervention approaches can be developed to prevent or reduce perceptions of injustice in the aftermath of debilitating injury. The development of intervention approaches that are effective in preventing or reducing perceptions of injustice holds promise of contributing to more positive recovery outcomes in individuals who have sustained debilitating work injuries.

摘要

目的

本研究的主要目的是探讨个体对导致其对职业伤害后不公感知的因素、情况或事件的看法。

材料与方法

研究样本由 30 名参与者(18 名女性,12 名男性)组成,他们因工作相关的肌肉骨骼损伤提交了丧失工作时间的索赔。对感知不公得分较高的参与者进行了访谈,询问导致他们感到不公的因素。采用主题分析的方法确定参与者在职业伤害后几周内经历的不公平情况或事件的广泛类别。

结果

访谈中出现了三个主要主题:(1)无效性,(2)不应有的痛苦和(3)责备。归纳得出的子主题反映了导致参与者感到不公的具体受伤后体验维度。

结论

鉴于痛苦和无效的沟通是潜在的可改变因素,有理由乐观地认为可以开发干预措施来预防或减少残疾性伤害后的不公感。开发有效的干预措施来预防或减少不公感有望为那些遭受严重工作伤害的个体带来更积极的康复结果。

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'Reassurance and healthcare seeking in people with persistent musculoskeletal low back pain consulting orthopaedic spine practitioners: A prospective cohort study'.“持续性肌肉骨骼下背痛患者向骨科脊柱医生咨询时的安心感和医疗寻求行为:一项前瞻性队列研究”。
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