关键词: Guidelines Mental disorder Occupational physician Participatory development Return to work management

来  源:   DOI:10.1007/s40664-022-00471-z   PDF(Pubmed)

Abstract:
UNASSIGNED: Returning to work often fails due to conflicting expectations and goals of the stakeholders involved. Due to their medical expertise and workplace-related knowledge, occupational physicians could effectively promote mutual understanding and cooperation between the stakeholders. The study aimed to develop a manual and training session for its application that will support occupational physicians to assume a mediating role in the integration of employees with a mental illness.
UNASSIGNED: Based on a literature review and extensive qualitative preliminary work on the expectations of the stakeholders, the manual and training materials were developed, discussed and revised in several consecutive steps based on a participatory approach with occupational physicians and other experts. Finally, occupational physicians were trained to use the manual during their specialization training in order to subsequently test its practicability in everyday work.
UNASSIGNED: The manual presents information on the potentially different expectations of the actors for the return process and offers comprehensive advice for the mediating work of the occupational physicians. After a manualized training of approximately 2h, 9 out of 37 participants used the manual for return interviews within 4 months and 6 out of 9 rated it as helpful.
UNASSIGNED: The first positive experiences of using the material developed with the target group justify a larger interventional study to investigate the presumed beneficial effects on the success of reintegration.
摘要:
由于相关利益相关者的期望和目标冲突,返回工作通常会失败。由于他们的医疗专业知识和工作场所相关知识,职业医师可以有效促进利益相关者之间的相互理解与合作。该研究旨在为其应用开发手册和培训课程,以支持职业医生在精神疾病员工的整合中发挥中介作用。
基于文献综述和关于利益相关者期望的大量定性初步工作,编写了手册和培训材料,根据与职业医生和其他专家的参与式方法,在几个连续步骤中进行了讨论和修订。最后,职业医师在专业培训期间接受了使用该手册的培训,以便随后测试其在日常工作中的实用性。
该手册提供了有关参与者对返回过程的潜在不同期望的信息,并为职业医师的调解工作提供了全面的建议。经过大约2小时的手工训练后,37名参与者中有9名在4个月内使用该手册进行了回访,9名参与者中有6名认为该手册有帮助。
使用与目标组一起开发的材料的第一个积极经验证明了进行更大的干预研究以调查对重返社会成功的假定有益影响。
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