The personal and workplace factors relevant to work readiness evaluation following acquired brain injury: Occupational therapists’ perceptions

Abstract

Objective: This study examined the personal and workplace/environmental factors perceived most relevant to work readiness evaluations following acquired brain injury.

Research design: Using a qualitative secondary analysis design ‘indicators of success’ and ‘risks of failure’, identified as relevant in a primary study of occupational therapists’ evaluation practices, were explored further.

Method: Data collected in the primary study, e.g. interviews, practice surveys, evaluation protocols, were re-analysed. Surveys and protocols were used to define participant and practice context characteristics. Interviews were coded, by three investigators, using a constructivist grounded theory approach.

Results: Four themes emerged describing relevant personal client attributes: (1) motivation; (2) physical and functional independence; (3) cognitive abilities; and (4) use of compensatory strategies and feedback. Four themes emerged describing relevant workplace factors: (1) workplace demands; (2) employer risks and burden; (3) risks associated with information sharing; and (4) financial implications associated with return to work.

Conclusions: Findings suggest that work readiness needs to be viewed as both a client and a workplace issue. Findings are translated into questions for rehabilitation professionals to guide evaluations of work readiness. Recommendations for future research include investigating how professionals weigh factors in their decision-making and exploring strategies relevant from a workplace perspective.

• Brain injureies
• rehabilitation
• vocational
• employment
• return to work
• work assessment