Improving the employment outcomes of individuals with traumatic brain injury: The effectiveness of knowledge translation strategies to impact the use of evidence-based practices by vocational rehabilitation counselors

2016 ◽  
Vol 45 (1) ◽  
pp. 107-115 ◽  
Author(s):  
Katherine J. Inge ◽  
Carolyn W. Graham ◽  
Doug Erickson ◽  
Adam Sima ◽  
Michael West ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Knowledge Translation ◽  
Vocational Rehabilitation ◽  
Rehabilitation Counselors ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Translation Strategies ◽  
Vocational Rehabilitation Counselors ◽  
Knowledge Translation Strategies

Employer and Counselor Perceptions of Workplace Accommodations for Persons with Traumatic Brain Injury

1993 ◽  
Vol 24 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Craig A. Michaels ◽  
Donald A. Risucci
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Functional Limitations ◽  
Rehabilitation Counselors ◽  
Vocational Rehabilitation Counselors ◽  
Rehabilitation Services Administration ◽  
Counselor Perceptions ◽  
Workplace Accommodations ◽  
Definition Of ◽  
The Individual

This study compared employers' and vocational rehabilitation counselors' attitudes and willingness to consider various workplace accommodations for individuals with traumatic brain injury (TBI). In addition to comparing what types of accommodations might be considered reasonable, the study also investigated both employers' and counselors' lack of willingness to make various accommodations. Lack of willingness to make accommodations was addressed in terms of the three most commonly offered reasons for why an accommodation is potentially not reasonable: (a) not fair to co-workers, (b) too time consuming, and (c) too costly. Scenarios were developed to directly gather information on potential accommodations for workers who displayed functional limitations within the seven capacity areas mentioned by the Rehabilitation Services Administration in their definition of severe disability. While for the most part counselors' views tended to be similar to those of employers, in general counselors tended to rate accommodations as more problematic than employers. In addition, counselors tended to view functional limitations within the individual as most problematic while employers viewed limitations in actual job performance as most problematic.

scholarly journals Exploring Vocational Evaluation Practices following Traumatic Brain Injury

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Christina Dillahunt-Aspillaga ◽  
Tammy Jorgensen Smith ◽  
Ardis Hanson ◽  
Sarah Ehlke ◽  
Mary Stergiou-Kita ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Vocational Rehabilitation ◽  
Online Survey ◽  
Assessment Method ◽  
Rehabilitation Counselors ◽  
Assessment Practices ◽  
Work Related ◽  
Vocational Evaluation ◽  
Certified Rehabilitation Counselors

Background. Individuals with traumatic brain injury (TBI) face many challenges when attempting to return to work (RTW). Vocational evaluation (VE) is a systematic process that involves assessment and appraisal of an individual’s current work-related characteristics and abilities.Objective. The aims of this study are to (1) examine demographic and employment characteristics of vocational rehabilitation providers (VRPs), (2) identify the specific evaluation methods that are used in the VE of individuals with TBI, and (3) examine the differences in assessment method practices based upon evaluator assessment preferences.Methods. This exploratory case study used a forty-six-item online survey which was distributed to VRPs.Results. One hundred and nine VRPs accessed the survey. Of these, 74 completed the survey. A majority of respondents were female (79.7%), Caucasian (71.6%), and holding a master’s degree (74.3%), and more than half (56.8%) were employed as state vocational rehabilitation counselors (VRCs). In addition, over two-thirds (67.6%) were certified rehabilitation counselors (CRCs). Respondents reported using several specific tools and assessments during the VE process.Conclusions. Study findings reveal differences in use of and rationales for specific assessments amongst VRPs. Understanding VRP assessment practices and use of an evidence-based framework for VE following TBI may inform and improve VE practice.

scholarly journals Barriers and facilitators to implementing evidence-based guidelines in long-term care: a qualitative evidence synthesis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Caitlin McArthur ◽  
Yuxin Bai ◽  
Patricia Hewston ◽  
Lora Giangregorio ◽  
Sharon Straus ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Long Term Care ◽  
Barriers And Facilitators ◽  
Care Staff ◽  
Evidence Based ◽  
Term Care ◽  
Translation Strategies ◽  
Knowledge Translation Strategies ◽  
Evidence Based Guidelines

Abstract Background The long-term care setting poses unique challenges and opportunities for effective knowledge translation. The objectives of this review are to (1) synthesize barriers and facilitators to implementing evidence-based guidelines in long-term care, as defined as a home where residents require 24-h nursing care, and 50% of the population is over the age of 65 years; and (2) map barriers and facilitators to the Behaviour Change Wheel framework to inform theory-guided knowledge translation strategies. Methods Following the guidance of the Cochrane Qualitative and Implementation Methods Group Guidance Series and the ENTREQ reporting guidelines, we systematically reviewed the reported experiences of long-term care staff on implementing evidence-based guidelines into practice. MEDLINE Pubmed, EMBASE Ovid, and CINAHL were searched from the earliest date available until May 2021. Two independent reviewers selected primary studies for inclusion if they were conducted in long-term care and reported the perspective or experiences of long-term care staff with implementing an evidence-based practice guideline about health conditions. Appraisal of the included studies was conducted using the Critical Appraisal Skills Programme Checklist and confidence in the findings with the GRADE-CERQual approach. Findings After screening 2680 abstracts, we retrieved 115 full-text articles; 33 of these articles met the inclusion criteria. Barriers included time constraints and inadequate staffing, cost and lack of resources, and lack of teamwork and organizational support. Facilitators included leadership and champions, well-designed strategies, protocols, and resources, and adequate services, resources, and time. The most frequent Behaviour Change Wheel components were physical and social opportunity and psychological capability. We concluded moderate or high confidence in all but one of our review findings. Conclusions Future knowledge translation strategies to implement guidelines in long-term care should target physical and social opportunity and psychological capability, and include interventions such as environmental restructuring, training, and education.

Traumatic Brain Injury and Rehabilitation Outcomes: Does the Working Alliance Make a Difference?

2003 ◽  
Vol 34 (4) ◽  
pp. 30-37 ◽  
Author(s):  
Daniel C. Lustig ◽  
David R. Strauser ◽  
Gail H. Weems ◽  
Chandra M. Donnell ◽  
Lisa D. Smith
Keyword(s):  
Job Satisfaction ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Vocational Rehabilitation ◽  
Working Alliance ◽  
Rehabilitation Counselors ◽  
Rehabilitation Outcomes ◽  
Shared Commitment ◽  
The Impact ◽  
The Relationship

This study investigated the impact of the working alliance on vocational rehabilitation outcomes for individuals with traumatic brain injury. The working alliance is defined as collaboration between the client and counselor supported by the development of an attachment bond as well as a shared commitment to the goals and tasks of counseling. Research supports the relationship between the working alliance and positive counseling outcomes. This study extends previous research and considers the relationship between working alliance and employment, job satisfaction, and view of future employment prospects for 49 vocational rehabilitation clients with traumatic brain injury. Results showed a relationship between the working alliance and employment outcomes and future employment prospects but not job satisfaction. Implications for rehabilitation counselors are discussed.

scholarly journals Theory-based approach to developing an implementation plan to support the adoption of a patient decision aid for Down syndrome prenatal screening

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Titilayo Tatiana Agbadjé ◽  
Matthew Menear ◽  
Marie-Pierre Gagnon ◽  
France Légaré
Keyword(s):  
Prenatal Care ◽  
Knowledge Translation ◽  
Pregnant Women ◽  
Decision Aid ◽  
Prenatal Screening ◽  
Clinical Implementation ◽  
Implementation Plan ◽  
Translation Strategies ◽  
Knowledge To Action ◽  
Knowledge Translation Strategies

Abstract Background Our team has developed a decision aid to help pregnant women and their partners make informed decisions about Down syndrome prenatal screening. However, the decision aid is not yet widely available in Quebec’s prenatal care pathways. Objective We sought to identify knowledge translation strategies and develop an implementation plan to promote the use of the decision aid in prenatal care services in Quebec, Canada. Methods Guided by the Knowledge-to-Action Framework and the Theoretical Domains Framework, we performed a synthesis of our research (11 publications) on prenatal screening in Quebec and on the decision aid. Two authors independently reviewed the 11 articles, extracted information, and mapped it onto the Knowledge-to-Action framework. Using participatory action research methods, we then recruited pregnant women, health professionals, managers of three prenatal care services, and researchers to (a) identify the different clinical pathways followed by pregnant women and (b) select knowledge translation strategies for a clinical implementation plan. Then, based on all the information gathered, the authors established a consensus on strategies to include in the plan. Results Our knowledge synthesis showed that pregnant women and their partners are not sufficiently involved in the decision-making process about prenatal screening and that there are numerous barriers and facilitators of the use of the decision aid in clinical practice (e.g., low intention to use it among health providers). Using a participatory action approach, we met with five pregnant women, three managers, and six health professionals. They informed us about three of Quebec’s prenatal care pathways and helped us identify 20 knowledge translation strategies (e.g., nurse discusses decision aid with women before they meet the doctor) to include in a clinical implementation plan. The research team reached a consensus about the clinical plan and also about broader organizational strategies, such as training healthcare providers in the use of the decision aid, monitoring its impact (e.g., measure decisional conflict) and sustaining its use (e.g., engage key stakeholders in the implementation process). Conclusion Next steps are to pilot our implementation plan while further identifying global strategies that target institutional, policy, and systemic supports for implementation.

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