Using framework analysis to understand multiple stakeholders' views of vocational rehabilitation following acquired brain injury

Article


Johnston, Venerina, Brakenridge, Charlotte, Valiant, Donna, Leow, Charmaine Leow Kai, Andrews, Nicole, Gane, Elise M., Turner, Ben, Kendall, Melissa and Quinn, Ray. 2023. "Using framework analysis to understand multiple stakeholders' views of vocational rehabilitation following acquired brain injury." Brain Impairment. 24 (2), pp. 347-370. https://doi.org/10.1017/BrImp.2022.27
Article Title

Using framework analysis to understand multiple stakeholders' views of vocational rehabilitation following acquired brain injury

ERA Journal ID15818
Article CategoryArticle
AuthorsJohnston, Venerina, Brakenridge, Charlotte, Valiant, Donna, Leow, Charmaine Leow Kai, Andrews, Nicole, Gane, Elise M., Turner, Ben, Kendall, Melissa and Quinn, Ray
Journal TitleBrain Impairment
Journal Citation24 (2), pp. 347-370
Number of Pages24
Year2023
PublisherCambridge University Press
Place of PublicationUnited Kingdom
ISSN1443-9646
1839-5252
Digital Object Identifier (DOI)https://doi.org/10.1017/BrImp.2022.27
Web Address (URL)https://www.cambridge.org/core/journals/brain-impairment/article/using-framework-analysis-to-understand-multiple-stakeholders-views-of-vocational-rehabilitation-following-acquired-brain-injury/BA0B4EAD8BE10C0C3C65996529372B98
AbstractPurpose: To explore how vocational rehabilitation (VR) is currently delivered for individuals with acquired brain injury (ABI) across multiple stakeholder groups and identify areas for improvement in service delivery using the Consolidated Framework for Implementation Research (CFIR). Methods: Seven focus groups were conducted with rehabilitation clinicians; outreach providers, insurers/regulators, VR providers and disability employment service providers (n = 44) experienced in VR of individuals with ABI. All groups were audio-recorded and transcribed verbatim. Data analysis was guided by the CFIR constructs. Results: All stakeholder groups believed they offered quality VR interventions given available resources and legislation, but many clients fell through the 'cracks'. Themes that were identified included: a) number and complexity of systems supporting VR; b) fractured communication across systems, c) lack of knowledge by both stakeholders and clients in navigating systems, d) lack of expertise in supporting the vocational needs of clients with ABI and e) perceived limited awareness of ABI by employers. Conclusion: Stakeholders and clients need support to navigate Australia's complex VR pathways. Limited specialist ABI clinicians, VR providers and disability employment services were identified as barriers for effective VR. Domains of the CFIR were appropriate for organising and understanding how VR is delivered. © The Author(s), 2022. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment.
KeywordsBrain injury
ANZSRC Field of Research 2020420305. Health and community services
420109. Rehabilitation
Byline AffiliationsSchool of Health and Medical Sciences
University of Queensland
Royal Brisbane and Women’s Hospital, Australia
Princess Alexandra Hospital, Australia
Metro South Health, Queensland
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