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The experience of seeking, gaining and maintaining employment after traumatic spinal cord injury and the vocational pathways involved.
Central Queensland University, Melbourne, VIC, Australia.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Central Queensland University, Melbourne, VIC, Australia.ORCID iD: 0000-0001-6430-2823
La Trobe University, Melbourne, VIC, Australia.
La Trobe University, Melbourne, VIC, Australia.
2018 (English)In: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 59, no 1, p. 67-84Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Vocational potential in people with spinal cord injury (SCI) are unrealised with rates of employment substantially lower than in the labour force participation of the general population and the pre-injury employment rates.

OBJECTIVES: To understand the experience and pathway of people achieving employment outcome after traumatic spinal cord injury by; classifying participants into employment outcome groups of stable, unstable and without employment; identifying pre and post-injury pathways for participants in each group and, exploring the experiences of people of seeking, gaining and maintaining employment.

METHODS: Thirty-one participants were interviewed. Mixed methods approach including interpretive phenomenological analysis and vocational pathway mapping of quantitative data.

RESULTS: The most common pathway identified was from study and work pre-injury to stable employment post-injury. Four super-ordinate themes were identified from the interpretive phenomenological analysis; expectations of work, system impacts, worker identity and social supports. Implications for clinical practice include fostering cultural change, strategies for system navigation, promotion of worker identity and optimal use of social supports.

CONCLUSIONS: The findings increase insight and understanding of the complex experience of employment after spinal cord injury. There is opportunity to guide experimental research, policy development and education concerning the complexity of the return to work experience and factors that influence pathways.

Place, publisher, year, edition, pages
IOS Press, 2018. Vol. 59, no 1, p. 67-84
Keywords [en]
Mixed-methods, interpretive phenomenological analysis, return-to-work, vocational pathways
National Category
Work Sciences
Identifiers
URN: urn:nbn:se:hj:diva-38949DOI: 10.3233/WOR-172660ISI: 000424631000008PubMedID: 29439378Scopus ID: 2-s2.0-85046969915Local ID: HHJÖvrigtISOAI: oai:DiVA.org:hj-38949DiVA, id: diva2:1187257
Available from: 2018-03-02 Created: 2018-03-02 Last updated: 2018-08-02Bibliographically approved

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Unsworth, Carolyn

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