The Pain at Work Toolkit for Employees with Chronic or Persistent Pain: A Collaborative-Participatory Study.
The Pain at Work Toolkit for Employees with Chronic or Persistent Pain: A Collaborative-Participatory Study.
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DOI：
10.3390/healthcare10010056
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发表时间：
2021-12-29
期刊：
影响因子：
--
通讯作者：
Greaves S
中科院分区：
文献类型：
--
作者：
Blake H;Somerset S;Greaves S
针对慢性或持续性疼痛患者的自我管理工具往往侧重于症状报告、治疗计划或锻炼，而不是解决工作障碍、工作能力促进因素或工作场所疼痛自我管理策略。我们开发了工作中的疼痛 (PAW) 工具包，这是一个基于证据的数字工具包，旨在为员工如何自我管理工作中的疼痛提供建议。在协作参与式设计中，使用四步敏捷方法 (N = 452) 与医疗保健专业人员、雇主和慢性或持续性疼痛患者共同创建工具包。步骤1：利益相关者咨询活动（n=27）确定内容和形式；第 2 步：对患有持续疼痛的员工 (n = 274) 进行的在线调查显示，员工害怕透露自己的病情，并普遍报告受到歧视和缺乏直线经理的支持。第三步：在线雇主调查（n = 107）显示，雇主很少提供有关管理工作中疼痛的自我管理材料或教育，合理调整的职业健康建议并不总是得到执行，与疼痛相关的耻辱很常见。步骤 4：工具包开发整合了步骤 1-3 的发现和建议，并进行了迭代专家同行评审 (n = 40)。 PAW 工具包提供 (a) 围绕工作能力建议和支持的循证指南和路标； (b) 围绕慢性或持续性疼痛的自我管理策略， (c) 促进健康的生活方式和工作生活质量； (d) 关于调整工作环境和工作场所解决方案以促进工作参与的建议。
Self-management tools for people with chronic or persistent pain tend to focus on symptom reporting, treatment programmes or exercise and do not address barriers to work, facilitators of work ability, or workplace pain self-management strategies. We developed the Pain at Work (PAW) toolkit, an evidence-based digital toolkit to provide advice on how employees can self-manage their pain at work. In a collaborative-participatory design, 4-step Agile methodology (N = 452) was used to co-create the toolkit with healthcare professionals, employers and people with chronic or persistent pain. Step 1: stakeholder consultation event (n = 27) established content and format; Step 2: online survey with employees who have persistent pain (n = 274) showed employees fear disclosing their condition, and commonly report discrimination and lack of line manager support. Step 3: online employer survey (n = 107) showed employers rarely provide self-management materials or education around managing pain at work, occupational health recommendations for reasonable adjustments are not always actioned, and pain-related stigma is common. Step 4: Toolkit development integrated findings and recommendations from Steps 1–3, and iterative expert peer review was conducted (n = 40). The PAW toolkit provides (a) evidence-based guidelines and signposting around work-capacity advice and support; (b) self-management strategies around working with chronic or persistent pain, (c) promotion of healthy lifestyles, and quality of life at work; (d) advice on adjustments to working environments and workplace solutions to facilitate work participation.
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DOI：
10.12968/bjon.2017.26.21.1182
发表时间：
2017-11-23
期刊：
British journal of nursing (Mark Allen Publishing)
影响因子：
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影响因子：
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