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Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research

OBJECTIVES: Return to work is a key rehabilitation goal, however, people recovering from cardiovascular disease (CVD) often struggle with returning to work. The aim of this study was to conduct a systematic review and meta-synthesis of the existing qualitative evidence on barriers and facilitators t...

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Autores principales: Andersen, Emma Borre, Kristiansen, Maria, Bernt Jørgensen, Sidsel Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884880/
https://www.ncbi.nlm.nih.gov/pubmed/36707117
http://dx.doi.org/10.1136/bmjopen-2022-069091
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author Andersen, Emma Borre
Kristiansen, Maria
Bernt Jørgensen, Sidsel Marie
author_facet Andersen, Emma Borre
Kristiansen, Maria
Bernt Jørgensen, Sidsel Marie
author_sort Andersen, Emma Borre
collection PubMed
description OBJECTIVES: Return to work is a key rehabilitation goal, however, people recovering from cardiovascular disease (CVD) often struggle with returning to work. The aim of this study was to conduct a systematic review and meta-synthesis of the existing qualitative evidence on barriers and facilitators to return to work experienced by people with CVD. METHODS: A systematic literature search was conducted in PubMed, Embase, Web of Science, PsycINFO, Scopus and CINAHL in August 2022. The reference lists of the included articles were searched. The Critical Appraisal Skills Programme was used for quality appraisal and a meta-synthesis was employed. FINDINGS: This review includes 15 studies of overall high methodological quality. Barriers covered four themes: physical limitations, psychological and relational factors, the working context and support within health and social care systems. Facilitators were related to five themes: return to normality, enhancing well-being, financial concerns, the working context and support within health and social care systems. CONCLUSION: Our findings highlight that return to work following CVD is a complex process influenced by individual factors, as well as work-related factors, factors in the health and social care systems and social security policies and regulations. To improve return to work, this review illustrates a need for individualised, multidisciplinary and coordinated vocational rehabilitation programmes that accommodate potential barriers to re-employment. Similarly, this review highlights how vocational rehabilitation programmes should ensure individualised information and support early in the rehabilitation process, as well as the importance of engaging relevant stakeholders, such as employers, in making individualised return-to-work plans.
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spelling pubmed-98848802023-01-31 Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research Andersen, Emma Borre Kristiansen, Maria Bernt Jørgensen, Sidsel Marie BMJ Open Rehabilitation Medicine OBJECTIVES: Return to work is a key rehabilitation goal, however, people recovering from cardiovascular disease (CVD) often struggle with returning to work. The aim of this study was to conduct a systematic review and meta-synthesis of the existing qualitative evidence on barriers and facilitators to return to work experienced by people with CVD. METHODS: A systematic literature search was conducted in PubMed, Embase, Web of Science, PsycINFO, Scopus and CINAHL in August 2022. The reference lists of the included articles were searched. The Critical Appraisal Skills Programme was used for quality appraisal and a meta-synthesis was employed. FINDINGS: This review includes 15 studies of overall high methodological quality. Barriers covered four themes: physical limitations, psychological and relational factors, the working context and support within health and social care systems. Facilitators were related to five themes: return to normality, enhancing well-being, financial concerns, the working context and support within health and social care systems. CONCLUSION: Our findings highlight that return to work following CVD is a complex process influenced by individual factors, as well as work-related factors, factors in the health and social care systems and social security policies and regulations. To improve return to work, this review illustrates a need for individualised, multidisciplinary and coordinated vocational rehabilitation programmes that accommodate potential barriers to re-employment. Similarly, this review highlights how vocational rehabilitation programmes should ensure individualised information and support early in the rehabilitation process, as well as the importance of engaging relevant stakeholders, such as employers, in making individualised return-to-work plans. BMJ Publishing Group 2023-01-27 /pmc/articles/PMC9884880/ /pubmed/36707117 http://dx.doi.org/10.1136/bmjopen-2022-069091 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Rehabilitation Medicine
Andersen, Emma Borre
Kristiansen, Maria
Bernt Jørgensen, Sidsel Marie
Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research
title Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research
title_full Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research
title_fullStr Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research
title_full_unstemmed Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research
title_short Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research
title_sort barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research
topic Rehabilitation Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884880/
https://www.ncbi.nlm.nih.gov/pubmed/36707117
http://dx.doi.org/10.1136/bmjopen-2022-069091
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