What do employers need when supporting stroke survivors to return to work?: a mixed-methods study.

IF 2.2 4区医学 Q1 REHABILITATION Topics in Stroke Rehabilitation Pub Date : 2024-10-04 DOI:10.1080/10749357.2024.2409005

Kristelle Craven, Jade Kettlewell, Blanca De Dios Pérez, Katie Powers, Jain Holmes, Kathryn A Radford

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Abstract

Background: Employers are key in supporting stroke survivors to return to work (RTW) but do not always have knowledge/skills or guidance to do so.

Objectives: To explore employers' needs for provision of post-stroke RTW support.

Methods: Mixed-methods study. Participants recruited through voluntary response/purposive sampling. Survey of employers investigated stroke knowledge (maximum score: 7), RTW process knowledge (maximum score: 8), and perceived competency for actions supporting RTW (maximum score: 100%). Regression analyses explored relationships between employers' demographic/contextual characteristics and knowledge and perceived competency scores. Interviews with employers explored factors influencing their post-stroke RTW support. Interview data were analyzed using a framework analysis. Survey/interview findings were synthesized with those from a qualitative systematic review.

Results: Across the survey (n = 50), interviews (n = 7), and review (25 studies), employers' support was influenced by stroke survivors' decisions to disclose stroke-related limitations, employers' knowledge regarding roles/responsibilities, employers' communication skills, and information provided by healthcare. Regression analyses: Human resources/occupational health support was positively associated with stroke knowledge (ß = 2.30, 95% CI 0.36-4.41, p = 0.013) and RTW process knowledge (ß = 5.12, 95% CI 1.80-6.87, p = 0.001). Post-stroke RTW experience was positively associated with stroke knowledge (ß = 1.36, 95% CI 0.46-2.26, p = 0.004) and perceived competency (ß = 31.13, 95% CI 18.40-44.76, p = 0.001). Organization size (i.e. working in a larger organization) was positively associated with RTW process knowledge (ß = 2.96, 95% CI 1.52-4.36, p = <.001).

Conclusions: Employers' RTW support was influenced by personal and environmental factors; they may benefit from education and guidance on stroke and their roles/responsibilities during the RTW process.

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在支持中风幸存者重返工作岗位时，雇主需要什么？

背景：雇主是支持脑卒中幸存者重返工作岗位（RTW）的关键，但他们并不总是具备相关的知识/技能或指导：方法：混合方法研究：混合方法研究。通过自愿响应/目的性抽样招募参与者。对雇主进行调查，调查内容包括卒中知识（最高分：7 分）、复康过程知识（最高分：8 分）和支持复康行动的认知能力（最高分：100%）。回归分析探讨了雇主的人口/背景特征与知识和感知能力得分之间的关系。与雇主的访谈探讨了影响其卒中后复工支持的因素。访谈数据采用框架分析法进行分析。调查结果：在调查（n = 50）、访谈（n = 7）和综述（25 项研究）中，影响雇主支持的因素包括：卒中幸存者披露卒中相关限制的决定、雇主对角色/职责的了解、雇主的沟通技巧以及医疗机构提供的信息。回归分析：人力资源/职业健康支持与卒中知识（ß = 2.30，95% CI 0.36-4.41，p = 0.013）和复工过程知识（ß = 5.12，95% CI 1.80-6.87，p = 0.001）呈正相关。卒中后复工经验与卒中知识（ß = 1.36，95% CI 0.46-2.26，p = 0.004）和感知能力（ß = 31.13，95% CI 18.40-44.76，p = 0.001）呈正相关。组织规模（即在较大的组织中工作）与复工流程知识呈正相关（ß = 2.96，95% CI 1.52-4.36，p = 结论）：雇主对复工的支持受个人和环境因素的影响；他们可能会从有关中风及其在复工过程中的角色/责任的教育和指导中受益。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.