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 to...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/1/e069091.full |
| _version_ | 1827890774014951424 |
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| author | Maria Kristiansen Emma Borre Andersen Sidsel Marie Bernt Jørgensen |
| author_facet | Maria Kristiansen Emma Borre Andersen Sidsel Marie Bernt Jørgensen |
| author_sort | Maria Kristiansen |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-12T21:15:24Z |
| format | Article |
| id | doaj.art-ed765f0119084665a7880677efec855c |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T21:15:24Z |
| publishDate | 2023-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ed765f0119084665a7880677efec855c2023-07-29T22:20:07ZengBMJ Publishing GroupBMJ Open2044-60552023-01-0113110.1136/bmjopen-2022-069091Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative researchMaria Kristiansen0Emma Borre Andersen1Sidsel Marie Bernt Jørgensen2Department of Public Health & Center for Healthy Aging, University of Copenhagen, Copenhagen, DenmarkSection of Cardiovascular Research, The Danish Heart Foundation, Copenhagen, DenmarkSection of Cardiovascular Research, The Danish Heart Foundation, Copenhagen, DenmarkObjectives 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.https://bmjopen.bmj.com/content/13/1/e069091.full |
| spellingShingle | Maria Kristiansen Emma Borre Andersen Sidsel Marie Bernt Jørgensen Barriers and facilitators to return to work following cardiovascular disease: a systematic review and meta-synthesis of qualitative research BMJ Open |
| 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 |
| url | https://bmjopen.bmj.com/content/13/1/e069091.full |
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