Wellbeing and the Lived Experience of Injured Workers Following Finalisation of a Workers' Compensation Claim.

IF 2.1 3区 医学 Q1 REHABILITATION
James Weir, Robyn Fary, Samantha Lee, Tim Mitchell, Venerina Johnston, Mary Wyatt, Robert Guthrie, Bronwyn Myers, Darren Beales
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Abstract

Purpose: Workers' compensation claims can negatively affect the wellbeing of injured workers. For some, these negative effects continue beyond finalisation of the workers' compensation claim. It is unclear what factors influence wellbeing following finalisation of a workers' compensation claim. Therefore, the aim of this study was to explore wellbeing through the lived experience of individuals who have finalised a workers' compensation claim in the state of Western Australia.

Methods: A qualitative study with individual, in-depth, semi-structured interviews was performed (n = 20, 55% female, average claim length 22.9 months, average time since claim end 33.4 months). Claim finalisation modes included full medical recovery, claim settlement with permanent impairment, direct settlement with the insurer and settlement with the insurer facilitated by a lawyer. The interview schedule was informed by a previous scoping review and cross-sectional survey completed by this research team. Qualitative data were analysed utilising a reflexive, interpretative phenomenological analysis approach.

Results: Five superordinate and their associated subordinate themes were identified; (1) The role of support; (2) Stigma and discrimination; (3) A new normal; (4) The importance of information; and (5) Recommended resources.

Conclusions: Injured workers experience a range of outcomes related to their wellbeing and employment following the finalisation of their workers' compensation claim. Based on their experiences, resources to facilitate a transition and adjustment to life following a claim have been suggested by injured workers, including information regarding seeking employment, seeking welfare support, educational materials regarding future expectations, and individualised support care packages.

工伤赔偿索偿案完成后受伤工人的福利和生活经验。
目的:工人赔偿索赔会对受伤工人的福祉产生负面影响。对一些人来说,这些负面影响在工人赔偿要求最终确定之后仍在继续。目前还不清楚是什么因素影响了工人赔偿索赔最终确定后的幸福感。因此,本研究的目的是通过在西澳大利亚州完成工人赔偿索赔的个人的生活经验来探索幸福。方法:采用个体、深度、半结构化访谈进行定性研究(n = 20, 55%为女性,平均索赔时间22.9个月,平均索赔结束时间33.4个月)。索赔定案模式包括完全医疗康复、永久性损害索赔结算、与保险公司直接结算以及在律师的协助下与保险公司结算。访谈日程是由之前的范围审查和横断面调查由这个研究小组完成。定性数据分析利用反身性,解释性现象学分析方法。结果:确定了5个上级主题及其下属主题;(1)支持作用;(2)污名化和歧视;(3)新常态;(4)信息的重要性;(5)推荐资源。结论:受伤的工人经历了一系列与他们的福利和就业相关的结果,他们的工人赔偿索赔的最终确定。根据他们的经验,受伤工人建议了一些资源,以促进索赔后的过渡和适应生活,包括寻找就业的信息,寻求福利支持,关于未来期望的教育材料,以及个性化的支持护理包。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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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