Return to work among workers recovering from severe COVID-19 in Slovenia: a focus group study.

PURPOSE: For working age adults, return to work (RTW) after severe COVID-19 can be an essential component of rehabilitation. We explored the expectations and experiences related to RTW in a group of workers recovering from severe COVID-19 in Slovenia. MATERIALS AND METHODS: Four focus groups were conducted between May 2021 and August 2021. Fifteen men and three women, aged between 39 and 65 years, participated. We analysed data using reflexive thematic analysis. RESULTS: Four main themes were developed in the analysis, pertaining to (1) work identity, (2) challenges to work re-entry, (3) personal strengths and support systems, and (4) possible adaptations at work. The disruption of work triggered sentiments about its role in identity. Workers' personal agency and self-advocacy helped participants cope with various barriers that were beyond their control, such as physical limitations and lack of systematic routines to address RTW. Workers recovering from severe COVID-19 were at risk of developing negative expectations regarding their work re-entry. CONCLUSIONS: RTW after severe COVID-19 involves different personal, organizational and systemic dimensions that need to be considered and carefully aligned. Due to the individuality of the process, the worker should be involved as a key partner in the RTW process.IMPLICATIONS FOR REHABILITATIONLack of clinical pathways can negatively impact return to work (RTW) after severe COVID-19.RTW processes should start early but timely and include individual follow up.Patients expect the interdisciplinary team of experts to work together and involve them in all phases of decision-making regarding their rehabilitation and RTW process.Positive expectations regarding work re-entry are essential for the RTW process.

Job satisfaction and creativity at work among occupational therapy practitioners: A mixed-methods study.

BACKGROUND: Creativity is essential to the work of occupational therapy practitioners. Nonetheless, little is known about the way it influences their work satisfaction. OBJECTIVE: This study explores several internal and external factors related to organizational, personal, and socio-relational sources of creativity. Our main hypothesis was that occupational therapy practitioners are more satisfied when creative. METHODS: A mixed-methods study included a qualitative (n = 22) and a quantitative (n = 250) phase. Data were gathered using focus group interviews and an online survey, where a novel assessment instrument -the Creativity in Occupational Therapy Questionnaire -was administered. RESULTS: The synthesis of the results revealed that factors connected with the client, the practitioner's personal characteristics, the work environment, relationships with colleagues and relationships with superiors all influenced the creativity of occupational therapy practitioners, in negative or positive ways. Professional autonomy and a supportive work environment were found to be important for the creativity of occupational therapy practitioners. Creativity at work had a statistically significant influence on work satisfaction of occupational therapy practitioners (B = 0.575, t = 6.267, p < 0.01). CONCLUSIONS: The results demonstrate the importance of creativity for job satisfaction of occupational therapy practitioners and suggest a dynamic reciprocal relationship between different factors and circumstances that should be considered when fostering creativity at work.

The use of assistive technologies after stroke is debunking the myths about the elderly.

Background Through the concept of ageism, we highlight and explain how the society prejudices the elderly. WHO classifies 12 most common stereotypes pertaining to old age. Elderly people are being excluded from social life due to their chronological age rather than any actual reduced physical and/or mental ability. Some of these stereotypes are directly related to the (un)willingness and the ability of the elderly to use technology in everyday life. Objectives The study presented in this article aims to explain the phenomenon of technology use among elderly people who had had a stroke. Method A qualitative study, namely a qualitative content analysis, was performed. Six in-depth interviews with older people who have suffered a stroke were conducted and explored their views on the daily use of technology. Results All older people included in this study used different technologies, which have been divided into technologies that support mobility, technologies for personal care, technologies that support household chores, and technologies for maintaining a social network. An elderly person's attitude toward the use of technology is connected to their social network and assistance from professional staff, as well as the severity of their physical disability. We have found that using various technologies, elderly people are developing various coping strategies. Conclusions After a stroke, a certain degree of physical deterioration can be expected. Nonetheless, our participants managed to compensate for this also with the help of assistive devices and technologies, which negates the myth of simply "surrendering" to the aging process.

User involvement in Slovenian healthcare.

PURPOSE: The purpose of this paper is to report on current developments in user involvement in healthcare in Slovenia and to explore the issue from the macro-, mezzo- and micro-levels. DESIGN/METHODOLOGY/APPROACH: User involvement is first contextualised within history of the organisation of healthcare system, from its socialist past through to its post-transitional developments. Second, user involvement is tracked through an analysis of healthcare policies and legislation as well as at its institutional and organisational levels. Finally, user involvement practices are illustrated from the perspective of individual patients. A descriptive and exploratory case study design was employed, including a literature review, document analysis and qualitative thematic analysis of nine in-depth and four semi-structured interviews. FINDINGS: The findings reveal a complex and at times ambivalent picture in which user involvement is still not firmly embedded into the healthcare system, despite being generally accepted. ORIGINALITY/VALUE: No systematic qualitative research of patient involvement in Slovenia has previously been published. This research will establish a basis for further investigations of the topic.

Rhetorical skills as a component of midwifery care.

OBJECTIVE: this article argues that rhetorical skills are an important quality factor of midwifery care. In particular, it aims to identify and discuss the relevance of three classical means of persuasion: ethos, pathos and logos. DESIGN: secondary analysis, rhetorical analysis of semi-structured interviews. SETTING: Slovenia. Interviews were carried out predominantly in 2006. Data refer to childbirths in 2005 and 2006. PARTICIPANTS: four women with recent experience of childbirth. FINDINGS: analysis identified the presence of all three means of persuasion in the interaction between midwives and women. Focusing on midwives, the quality of their awareness and command of rhetorical skills remains questionable. In particular, women experienced lack of a rational account of the situation and decisions made by health-care professionals involved in maternity care. KEY CONCLUSIONS: acknowledging professional ethics, awareness and good command of all three means of persuasion [but above all, argumentative persuasion (logos)] is an integral component of midwifery care. It can contribute to collaborative relations between midwives and women, and thus promote women-centred midwifery care. IMPLICATIONS FOR PRACTICE: knowledge of the three classical rhetorical means of persuasion should be integrated into professional midwifery curricula.