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Price: EUR 250.00Authors: Saldana, Pablo S. | Pomeranz, Jamie L. | Young, Mary Ellen
Article Type: Research Article
Abstract: BACKGROUND: Cystic fibrosis and its employment corollaries have received little attention despite the fact that complications of CF represent numerous theorized barriers to optimal career outcomes. OBJECTIVES: The objective of the study was to conduct grounded theory research that results in an understanding of the employment experiences of people with CF and ultimately a substantive grounded theory of career development applicable to individuals with this disease. METHODS: This study utilized the grounded theory method of qualitative inquiry. A purposive sample of ten young adults with CF participated in in-depth semi-structured qualitative interviews. Analysis of the interview …transcripts followed the constant comparative approach to coding, which identified core themes and sub-themes and culminated in a conceptual framework of variables influencing employment and career development. RESULTS: An ecologically-based grounded theory of career development was developed. Major themes that influenced employment and career development were illness appraisal, occupational compromise, persistence, and altruism. Two patterns of career development outcomes emerged - the uninterrupted and the interrupted. CONCLUSIONS: A complicated interaction of numerous ecological variables (individual characteristics, personal contextual factors, mediating factors, and the environment) collectively influenced career development. The presence of CF alone did not guarantee negative effects on career development. Show more
Keywords: Ecological model, grounded theory, meaning of work, work experiences
DOI: 10.3233/WOR-182694
Citation: Work, vol. 59, no. 3, pp. 425-437, 2018
Authors: Larson, Robert E. | Murtagh, Elise M. | Rice, Martin S.
Article Type: Research Article
Abstract: BACKGROUND: This study investigated the effects of 3 different types of slide sheets upon hand forces while sliding a patient up in bed. METHODS: The sheets used included the reusable Arjo Maxislide, the McAuley disposable sheet, and a standard cotton sheet. Hand forces were measured from 38 male and female participants as they slid a ‘patient’ up in bed. A repeated measures ANOVA with 5 levels to the repeated factor (number of sheets and sheet type) was used, along with post-hoc repeated measures contrasts to compare differences between each condition. RESULTS: A significant reduction in …required force occurred when using the friction reducing sheets as compared to the cotton sheets when used according to manufacturer recommendations, as well as a reduction in one of the single friction reducing sheet categories compared to the cotton. However, it is important to note that there was still substantial force being placed on the participants. CONCLUSIONS: This study illustrates the importance of using friction reducing slide sheets while engaging in manual patient handling. Future research should investigate the forces involved with other friction reducing materials and methods as well as the possibility of combining said materials and methods. Show more
Keywords: Friction, nursing staff, hospital, body mechanics, sheets
DOI: 10.3233/WOR-182688
Citation: Work, vol. 59, no. 3, pp. 439-448, 2018
Authors: Schnitzler, Lena | Kosny, Agnieszka | Lifshen, Marni
Article Type: Research Article
Abstract: BACKGROUND: Little is known about how healthcare providers (HCPs) in Canada manage mental health claims and the return to work (RTW) of injured workers OBJECTIVE: To examine HCPs’ experience and challenges on the treatment of mental health conditions (MHCs) in the context of Workers’ Compensation (WC) processes and their involvement in RTW. METHODS: Ninety-seven interviews with HCPs (general practitioners, n = 59; allied HCPs, n = 19; specialists, n = 19) were conducted in British Columbia, Manitoba, Ontario and Newfoundland. A thematic content analysis was used to analyze interviews. RESULTS: HCPs reported that while RTW is extolled …at virtually all costs by WC boards, they did not always see it as beneficial. Most HCPs were convinced that successful recovery and RTW depend on being aware of how mental and physical health is intertwined and treating both issues. Organizational barriers within WC processes and adversarial relationships between injured workers (IWs) and WC boards made it difficult for HCPs to adequately treat patients and facilitate RTW. Dealing with IWs’ MHCs and their emotional distress due to ‘going through WC systems’ was challenging. CONCLUSIONS: WC boards must identify how policies can be modified to mitigate compensation processes and RTW for WC claimants with MHC. Show more
Keywords: Mental health claims, return to work, sickness absence, stigma, qualitative methodology
DOI: 10.3233/WOR-182695
Citation: Work, vol. 59, no. 3, pp. 449-462, 2018
Authors: Shariat, Ardalan
Article Type: Research Article
Abstract: Sports medicine is a wide field of knowledge with a focus on the physical and psychological aspects of individuals; unfortunately, it is not well-known among occupational therapy practitioners. If at all, it is focused on exercise therapy for physical injuries and pain. We agree there are many types of physical pain and injuries among workers in different occupations, but not all that pain is related to physical overuse. Recently, new recommendations were presented by the American College of Sports Medicine highlighting particularly the psychological aspects of occupational emotional fitness. However, there is very little research about the concurrent effects of …cost-effective packages of therapy for occupational emotional and physical fitness. Accordingly, this commentary reviews the occupational physical and emotional fitness aspects of sports medicine. In addition, this work makes suggestions to examine packages and protocols of physical and emotional fitness, with therapeutic targets for occupational cultures in different societies for employees and employers. Show more
Keywords: Exercise therapy, occupational health, workplace, emotional fitness, sports medicine
DOI: 10.3233/WOR-182696
Citation: Work, vol. 59, no. 3, pp. 463-467, 2018
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