Abstract
Study design
Scoping review.
Objectives
To explore the meaning of work after spinal cord injury (SCI) in existing literature.
Methods
Arksey and O’Malley’s widely used methodological framework for scoping reviews was used to guide this review. Studies involving adults with SCI, conducted using qualitative methods, and published in peer reviewed literature were identified based on key terms and searches in three databases (CINAHL, MEDLINE, PsycINFO). Further search steps included checking citations in identified articles and citation tracking for other relevant articles and reviews. Reported qualitative data were then thematically analysed to generate themes.
Results
Twelve studies were included. Three themes were identified across these studies that describe the meanings of work after spinal cord injury: re-developing a sense of self, re-establishing place in the community and regaining economic self-sufficiency.
Conclusions
The varied meanings of work after SCI identified in this review may be used in rehabilitation programs to explore ideas about work, the types of work they wish to pursue, and the ways in which work may be meaningful for people with SCI, so as to identify individually and contextually relevant work. Taking account of meaning in ICF based models of work participation could enhance patient-centred approaches in SCI rehabilitation.
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References
Lee BB, Cripps RA, Fitzharris M, Wing PC. The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate. Spinal Cord. 2014;52:110–6.
Ackery A, Tator C, Krassioukov A. A global perspective on spinal cord injury epidemiology. J Neurotrauma. 2004;21:1355–1370
Singh A, Tetreault L, Kalsi-Ryan S, Nouri A, Fehlings MG. Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol. 2014;6:309–31.
Ottomanelli L, Lind L. Review of critical factors related to employment after spinal cord injury: implications for research and vocational services. J Spinal Cord Med. 2009;32:503–31
Post MW, van Leeuwen CM. Psychosocial issues in spinal cord injury: a review. Spinal Cord. 2012;50:382–9.
Ramakrishnan K, Loh SY, Omar Z. Earnings among people with spinal cord injury. Spinal Cord. 2011;49:986–9.
Krause JS, Saunders LL, Acuna J. Gainful employment and risk of mortality after spinal cord injury: effects beyond that of demographic, injury and socioeconomic factors. Spinal Cord. 2012;50:784–8.
Burns SM, Boyd BL, Hill J, Hough S. Psychosocial predictors of employment status among men living with spinal cord injury. Rehabil Psychol. 2010;55:81–90.
Lidal IB, Tuan Khai H, Biering-Sørensen F. Return to work following spinal cord injury: a review. Disabil Rehabil. 2007;29:1341–75.
Young AE, Murphy GC. Employment status after spinal cord injury (1992-2005): a review with implications for interpretation, evaluation, further research, and clinical practice. Int J Rehabil Res. 2009;32:1–11.
Yasuda S, Wehman P, Targett P, Cifu DX, West M. Return to work after spinal cord injury: a review of recent research. NeuroRehabil. 2002;17:177–86.
Murphy G, Young A, Brown D, King N. Explaining labor force status following spinal cord injury: the contribution of psychological variables. J Rehabil Med. 2003;35:276–83.
Kent ML, Dorstyn DS. Psychological variables associated with employment following spinal cord injury: a meta-analysis. Spinal Cord. 2014;52:722–8.
Reinhardt JD. Post MWM disability: social and psychological aspects. In: James D Wright, editor. International encyclopedia of the social and behavioral sciences. 6.2 ed. Oxford: Elsevier, 2015, pp 467–71.
Hammell KW. Quality of life after spinal cord injury: a meta-synthesis of qualitative findings. Spinal Cord. 2007;45:124–39.
Hammell KW. Exploring quality of life following high spinal cord injury: a review and critique. Spinal Cord. 2004;42:491–502.
Hammell KW. Dimensions of meaning in the occupations of daily life. Can J Occup Ther. 2004;71:296–305.
Saunders SL, Nedelec B. What work means to people with work disability: a scoping review. J Occup Rehabil. 2014;24:100–10.
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Method. 2005;8:19–32
Trenaman LM, Miller WC, Escorpizo R. The SRT interventions for improving employment outcomes among individuals with spinal cord injury: a systematic review. Spinal Cord. 2014;52:788–94.
Angel S, Kirkevold M, Pedersen BD. Getting on with life following a spinal cord injury: regaining meaning through six phases. Int J Qualit Studies Health Well-being. 2009;4:39–50.
Boswell BB, Dawson M, Heininger E. Quality of life as defined by adults with spinal cord injuries. J Rehabil. 1998;64:27–32.
Chapin MH, Kewman DG. Factors affecting employment following spinal cord injury: a qualitative study. Rehabil Psychol. 2001;46:400–16.
Hammell KW. Quality of life among people with high spinal cord injury living in the community. Spinal Cord. 2004;42:607–20.
Hay-Smith EJC, Dickson B, Nunnerley J, Anne Sinnott K. ‘The final piece of the puzzle to fit in’: an interpretative phenomenological analysis of the return to employment in New Zealand after spinal cord injury. Disabil Rehabil. 2013;35:1436–46.
Leiulfsrud AS, Reinhardt JD, Ostermann A, Ruoranen K, Post MWM. The value of employment for people living with spinal cord injury in Norway. Disabil Soc. 2014;29:1177–91.
Boschen KA, Tonack M, Gargaro J. Long-term adjustment and community reintegration following spinal cord injury. Int J Rehabil Res. 2003;26:157–64.
Bergmark L, Westgren N, Asaba E. Returning to work after spinal cord injury: exploring young adults’ early expectations and experience. Disabil Rehabil. 2011;33:2553–58.
Chan SKK, Man DWK. Barriers to returning to work for people with spinal cord injuries: a focus group study. Work. 2005;25:325–32.
Fadyl JK, McPherson KM. Understanding decisions about work after spinal cord injury. J Occup Rehabil. 2010;20:69–80.
Manns PJ, Chad KE. Components of quality of life for persons with a quadriplegic and paraplegic spinal cord injury. Qual Health Res. 2001;11:795–811.
Weitzner E, Surca S, Wiese S, Dion A, Roussos Z, Renwick R, et al. Getting on with life: positive experiences of living with a spinal cord injury. Qual Health Res. 2011;21:1455–68.
Wilbanks SR, Ivankova NV. Exploring factors facilitating adults with spinal cord injury rejoining the workforce: a pilot study. Disabil Rehabil. 2015;37:739–49.
Fossey E, Harvey C, McDermott F, Davidson L. Understanding and evaluating qualitative research*. Austr New Zealand J Psychiatr. 2002;36:717–32.
Hairault JO, Sopraseuth T, Langot F. Distance to retirement and older workers ‘employment: The case for delaying the retirement age. J Eur Econ Assoc. 2010;8:1034–76.
Marti A, Reinhardt JD, Graf S, Escorpizo R, Post MWM. To work or not to work: labour market participation of people with spinal cord injury living in Switzerland. Spinal Cord. 2012;50:521–6.
Fadyl JK, McPherson KM, Schluter PJ, Turner-Stokes L. Factors contributing to work-ability for injured workers: literature review and comparison with available measures. Disabil Rehabil. 2010;32:1173–83.
International Spinal Cord Society (ISCoS). Team-based care - roles & responsibilities - Overview: eLearnSCI.org; 2012; http://www.elearnsci.org/downloads/152_3.pdf.
Middleton JW, Johnston D, Murphy G, Ramakrishnan K, Savage N, Harper R, et al. Early access to vocational rehabilitation for spinal cord injury inpatients. J Rehabil Med. 2015;47:626–31.
Ramakrishnan K, Johnston D, Garth B, Murphy G, Middleton J, Cameron I. Early access to vocational rehabilitation for inpatients with spinal cord injury: a qualitative study of patients’ perceptions. Topics in spinal cord injury. Rehabilitation. 2016;22:183–91.
Nolan M. Masculinity lost: a systematic review of qualitative research on men with spinal cord injury. Spinal Cord. 2013;51:588–95.
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Ullah, M.M., Fossey, E. & Stuckey, R. The meaning of work after spinal cord injury: a scoping review. Spinal Cord 56, 92–105 (2018). https://doi.org/10.1038/s41393-017-0006-6
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DOI: https://doi.org/10.1038/s41393-017-0006-6
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