Affiliations: [a] Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand
| [b] Burwood Academy Trust, Christchurch, New Zealand
| [c] Department of Medicine, University of Otago Wellington, Wellington, New Zealand
Correspondence:
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Address for correspondence: Jennifer Dunn, Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, PO Box 4345, Christchurch 8140, New Zealand. E-mail: jennifer.dunn@otago.ac.nz.
Abstract: BACKGROUND:Spinal cord injury (SCI) frequently occurs in working-aged adults. Following SCI, return to work (RTW) is complex. OBJECTIVE:To describe RTW pathways for people with SCI in New Zealand. METHOD:Data from interviews of people with SCI were analysed using conventional content analysis and themes were developed. These themes were used to develop a graphic that described RTW pathways. RESULTS:Three groups of participants were identified: those who had returned to work, those who would work when they were ready and those where work seemed too far off. Among the first two groups, the themes of constantly recalibrating expectations, having a supportive employer, control/autonomy over work role, exploring options, maintaining hope and knowing work will be there when I am ready, were prevalent. For participants where work seemed too far off, two themes, I don’t know if I can work and rehabilitation is my priority, were identified. The resulting model highlighted that RTW pathways following SCI are complex and non-linear. CONCLUSION:While RTW may be reasonably straightforward for some, for others it can be more circuitous and difficult to navigate. Therefore, vocational rehabilitation programmes should consider where the individual is on the RTW pathway and provide appropriate individualised interventions.
