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      La rehabilitación profesional desde la perspectiva del trabajador con trastorno mental de origen laboral: un estudio cualitativo Translated title: Professional rehabilitation from the perspective of worker with a mental disorder: a qualitative study

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          Abstract

          RESUMEN. Introducción: Los trabajadores que presentan diferentes deficiencias en sus estructuras y funciones corporales deben trascurrir por diferentes procesos con el fin de mantener una actividad productiva. Las personas con trastornos mentales de origen laboral no son la excepción y tienden a tener mayor dificultad para ser incluidos. Objetivo: Describir la experiencia de un trabajador con trastorno mental de origen laboral durante el proceso de rehabilitación profesional en Colombia. Material y Métodos: Estudio cualitativo fenomenológico con enfoque interpretativo. La recopilación de datos fue llevada a cabo en 2020 a través de entrevista semiestructurada y con posterior análisis por categorías, temas y patrones. Resultados: La experiencia está estrechamente ligada o determinada por el acceso a los servicios oportunamente. El proceso de rehabilitación profesional se constituye como un protector del rol laboral, no obstante, las redes de apoyo pueden influir drásticamente. Conclusiones: El proceso de rehabilitación profesional es determinante en los casos de trabajadores con trastorno mentales de origen laboral.

          Translated abstract

          ABSTRACT Introduction: Workers who present different deficiencies in their body structures and functions must go through different processes to maintain a productive activity. People with work-related mental disorders are no exception and tend to have more difficulty being included. Objective: To describe the experience of a worker with a work-related mental disorder during the professional rehabilitation process in Colombia. Material and Methods: Qualitative phenomenological study with an interpretive approach. Data collection was carried out in 2020 through a semi-structured interview and subsequent analysis by categories, themes and patterns. Results: The experience of workers with mental disorders is closely linked or determined by access to timely services. The professional rehabilitation process is constituted as a protector of the work role; however, support networks can drastically influence. Conclusions: The professional rehabilitation process is decisive in the cases of workers with work-related mental disorders since it provides the necessary tools to strengthen and provides strategies that allow the worker to maintain their work role.

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          Most cited references28

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            Standards for reporting qualitative research: a synthesis of recommendations.

            Standards for reporting exist for many types of quantitative research, but currently none exist for the broad spectrum of qualitative research. The purpose of the present study was to formulate and define standards for reporting qualitative research while preserving the requisite flexibility to accommodate various paradigms, approaches, and methods.
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              The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care.

              Treatments have been developed and tested to successfully reduce the symptoms and disabilities of many mental illnesses. Unfortunately, people distressed by these illnesses often do not seek out services or choose to fully engage in them. One factor that impedes care seeking and undermines the service system is mental illness stigma. In this article, we review the complex elements of stigma in order to understand its impact on participating in care. We then summarize public policy considerations in seeking to tackle stigma in order to improve treatment engagement. Stigma is a complex construct that includes public, self, and structural components. It directly affects people with mental illness, as well as their support system, provider network, and community resources. The effects of stigma are moderated by knowledge of mental illness and cultural relevance. Understanding stigma is central to reducing its negative impact on care seeking and treatment engagement. Separate strategies have evolved for counteracting the effects of public, self, and structural stigma. Programs for mental health providers may be especially fruitful for promoting care engagement. Mental health literacy, cultural competence, and family engagement campaigns also mitigate stigma's adverse impact on care seeking. Policy change is essential to overcome the structural stigma that undermines government agendas meant to promote mental health care. Implications for expanding the research program on the connection between stigma and care seeking are discussed.
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                3020-1160
                2021
                : 30
                : 3
                : 343-352
                Affiliations
                [4] Bogotá D.C. orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina orgdiv2Grupo de Investigación Ocupación e Inclusión Social Colombia
                [3] Bogotá D.C. orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina orgdiv2Departamento de la Ocupación Humana Colombia
                [2] Bogotá D.C. orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina orgdiv2Departamento de la Ocupación Humana Colombia
                [1] Bogotá D.C. orgnameUniversidad Nacional de Colombia orgdiv1Facultad de Medicina orgdiv2Departamento de la Ocupación Humana Colombia
                Article
                S3020-11602021000300009 S3020-1160(21)03000300009
                49f2bd9f-bb39-4b5a-9df6-4bb799aaa8ad

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                : 19 May 2021
                : 10 October 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 28, Pages: 10
                Product

                SciELO Spain

                Categories
                Caso Clínico

                Mental disorder,Riesgos laborales,Medicina del trabajo,Salud laboral,Rehabilitación,Trastornos del comportamiento,Trastornos mentales,Occupational Medicine,Occupational Health,Return to Work,Rehabilitation, Vocational,Rehabilitation

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