Understanding return-to-employment experiences after burns: Qualitative scoping review findings

IF 1.6 4区医学 Q2 REHABILITATION Australian Occupational Therapy Journal Pub Date : 2023-11-22 DOI:10.1111/1440-1630.12915

Akane Katsu, Lynette Mackenzie, Zephanie Tyack, Martin Mackey

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Abstract

Introduction

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.

Methods

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.

Findings

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.

Conclusion

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.

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了解烧伤后重返工作岗位的经历:定性范围审查结果。

引言:参加工作和就业是成年的一个里程碑。烧伤后重返工作岗位的人可能需要克服身体、心理、社会和环境方面的障碍，才能恢复受伤前的工作。本文的目的是评估关于烧伤后重返就业的定性研究结果。方法:根据早期混合方法综述的定性结果进行定性综合。在先前的综述中，使用预先确定的范围评价方案检索2000年至2021年8月期间的MEDLINE、CINAHL、Embase、PsycINFO、PubMed、Scopus、CCRCT和CDSR数据库。任何从既往有皮肤烧伤的成年雇员中提供定性数据的论文都被纳入。结果:共收集到20篇具有烧伤后再就业定性数据的论文。只有6项研究关注的是重返就业的结果，其余的研究报告的是烧伤后的生活质量和生活经历。常见的主题包括随着时间的推移而发展和变化的损伤;职业认同与意义;烧伤恢复的时间方面;烧伤康复服务和干预措施;服务提供者的态度、知识和支持;支持烧伤后重新投入工作的工作环境;工作场所的有用性;家庭和社会支持，影响重新就业的个人属性;接受和重建。结论:烧伤幸存者和烧伤护理人员认为，恢复工作是工龄成年人康复的关键标志。在烧伤恢复过程和同行主导的方案的过渡点提供支持是重要的。然而，目前关于临床实践、服务差距和对烧伤后重返就业结果的理解方面的信息有限。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.