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Understanding decisions about work after spinal cord injury
Joanna K Fadyl1, Kathryn M McPherson
1Health and Rehabilitation Research Centre, AUT University, Private Bag 92006, Auckland, New Zealand. joanna.fadyl@aut.ac.nz
Journal of Occupational Rehabilitation
|October 7, 2009
Summary
Returning to work after spinal cord injury (SCI) is complex. Key factors influencing employment decisions include ability, competing responsibilities, job availability, and perceived work benefits for individuals with SCI.
Area of Science:
- Rehabilitation Medicine
- Vocational Psychology
- Sociology of Work
Background:
- Employment is linked to improved quality of life and well-being for individuals with spinal cord injury (SCI).
- Despite benefits, many with SCI do not return to work (RTW).
- Factors influencing RTW decisions remain underexplored.
Purpose of the Study:
- To identify factors influencing employment decisions for individuals with SCI.
- To understand the personal considerations behind returning to work after SCI.
Main Methods:
- Qualitative study using in-depth interviews.
- Participants recruited from rehabilitation and support services in Aotearoa/New Zealand.
- Grounded theory analysis of transcribed interviews.
Main Results:
- Four key themes emerged influencing employment decisions post-SCI:
- 1. Perceived ability to meet work demands with current resources.
- 2. Competing personal or external responsibilities.
- 3. Access to suitable employment opportunities.
- 4. Individual perception of work's overall benefit.
Conclusions:
- Decision-making regarding work post-SCI is multifaceted.
- Findings offer a framework for health and vocational professionals supporting clients.
- Highlights the need for further research on interventions to aid informed employment choices.
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