Meaning of Work Participation After Spinal Cord Injury in Bangladesh: A Qualitative Study in a Low- and Middle-Income Country Context.

IF 2.1 3区 医学 Q1 REHABILITATION
Mohammad Mosayed Ullah, Ellie Fossey, Rwth Stuckey
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Abstract

Purpose: This study aimed to explore the meaning of work participation for people with spinal cord injury (SCI) in Bangladesh.

Methods: Narrative inquiry methodological framework was used to explore the meaning of work participation after SCI. Face-to-face interviews with twenty adults with SCI, who were either living in the community or in-patients at a rehabilitation center. The Worker Role Interview questionnaire was used as an interview guide. Participants were descriptively analyzed in two groups, rehabilitation participants and community participants. Their transcripts were analyzed using individual narrative analysis to understand the meaning of their experience at an individual level and then the findings from the individual narrative analyses were summarized using thematic analysis to identify themes that collectively represented the meaning of work after SCI in Bangladesh.

Result: Five themes were identified from the interviews: "work life before injury"; "current life in relation to work"; "framing future prospects of work participation"; "motives for working"; and "enablers of work participation."

Conclusion: The meaning of work is subjective and is influenced by the participants' pre-existing experiences and other factors related to their work life, such as work preferences, habits, and daily routines. Therefore, creating opportunities to better understand the meaning of work for each individual and incorporating these factors into rehabilitation are keys to sustainable rehabilitation outcomes.

孟加拉国脊髓损伤后参与工作的意义:中低收入国家背景下的定性研究》。
目的:本研究旨在探讨孟加拉国脊髓损伤(SCI)患者参与工作的意义:方法:采用叙事调查法框架探讨脊髓损伤后参与工作的意义。对 20 名成年脊髓损伤患者进行了面对面访谈,这些患者要么生活在社区,要么是康复中心的住院病人。访谈使用了 "工人角色访谈 "问卷作为访谈指南。访谈分为两组进行描述性分析,即康复参与者和社区参与者。采用个人叙事分析法对他们的访谈记录进行分析,以了解他们个人经历的意义,然后采用主题分析法对个人叙事分析的结果进行总结,以确定共同代表孟加拉国 SCI 后工作意义的主题:结果:从访谈中确定了五个主题:结果:从访谈中确定了五个主题:"受伤前的工作生活"、"与工作有关的当前生活"、"参与工作的未来前景"、"工作动机 "和 "参与工作的促进因素":工作的意义是主观的,受到参与者原有经验和其他与工作生活有关的因素的影响,如工作偏好、习惯和日常生活。因此,创造机会让每个人更好地理解工作的意义,并将这些因素纳入康复中,是取得可持续康复成果的关键。
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来源期刊
CiteScore
5.80
自引率
12.10%
发文量
64
期刊介绍: The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law.  A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.
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