Annika Öst Nilsson1,2, Gunilla Eriksson1,3, Ulla Johansson1,2, Therese Hellman4. 1. a Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Huddinge , Sweden. 2. b Centre for Research & Development, Uppsala University/Region Gävleborg , Gävle , Sweden. 3. c Department of Neuroscience , Rehabilitation Medicine, Uppsala University , Uppsala , Sweden. 4. d Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet , Solna , Sweden.
Abstract
BACKGROUND: In Sweden, less than 50% of those getting stroke in working age return to work (RTW). Effective rehabilitation programmes need to be developed and therapeutic aspects understood. AIM: To explore and describe how persons with stroke experience their RTW process while participating in a person-centred rehabilitation programme focusing on RTW. MATERIALS AND METHODS: Seven persons with mild or moderate stroke were interviewed twice during the intervention in the vocational training phase using semi-structured interviews. Data were analysed using grounded theory. RESULTS: Having a coordinator by their side gave support and guidance during the RTW process. Knowledge of stroke, strategies and a straightforward communication created a structure for the RTW process. Expressing one's own wishes increased opportunities to influence and decide which path to follow in order to reach the goal. CONCLUSION: Straightforward, open and recurring communication facilitated the possibility to adapt to the situation. These aspects increased insight and awareness which facilitated the RTW process. SIGNIFICANCE: The findings indicate that a precondition for a fruitful RTW process was that suitable platforms at work were created in which the actors involved could cooperate. This knowledge might also be valuable in the RTW process for people with other diagnosis.
BACKGROUND: In Sweden, less than 50% of those getting stroke in working age return to work (RTW). Effective rehabilitation programmes need to be developed and therapeutic aspects understood. AIM: To explore and describe how persons with stroke experience their RTW process while participating in a person-centred rehabilitation programme focusing on RTW. MATERIALS AND METHODS: Seven persons with mild or moderate stroke were interviewed twice during the intervention in the vocational training phase using semi-structured interviews. Data were analysed using grounded theory. RESULTS: Having a coordinator by their side gave support and guidance during the RTW process. Knowledge of stroke, strategies and a straightforward communication created a structure for the RTW process. Expressing one's own wishes increased opportunities to influence and decide which path to follow in order to reach the goal. CONCLUSION: Straightforward, open and recurring communication facilitated the possibility to adapt to the situation. These aspects increased insight and awareness which facilitated the RTW process. SIGNIFICANCE: The findings indicate that a precondition for a fruitful RTW process was that suitable platforms at work were created in which the actors involved could cooperate. This knowledge might also be valuable in the RTW process for people with other diagnosis.
Authors: Jennifer A Dunn; Jonathan J Hackney; Rachelle A Martin; Donna Tietjens; Timothy Young; John A Bourke; Deborah L Snell; Joanne L Nunnerley; Andrew Hall; Sarah Derrett Journal: J Occup Rehabil Date: 2021-09-15