"We all need employment" - An exploration of the factors which influence the return to work after a severe traumatic brain injury

Abstract

Introduction: While individuals with mild and moderate traumatic brain injury (TBI) manage to achieve some degree of 
successful return-to-work, individuals with severe TBI have a reduced chance of returning to work. This study aimed at investigating how personal factors, workplace environment and vocational rehabilitation influenced the return-to-work and 
assumption of the worker role of individuals with severe TBI.
Method: A phenomenographic study design with purposive sampling was used to select 11 participants. Data were collected 
through semi-structured interviews using the Worker Role Interview as a guide. Data were thematically analysed using Clarke 
and Braun's six phases of thematic analysis.
Results: Two themes emerged: It's all about me, which addressed the internal aspects of the role of a worker and The support 
for me which focused the external factors of personal, work and rehabilitative support.
Conclusion: Results showed that rehabilitation, personal factors and work support were critical for successful return-to-work 
for survivors of severe TBI. Results indicated that participation in work was as important in developing self-worth as 
participation in any other area of daily living. With regard to personal factors, rehabilitation and support were vital in maintaining self-worth after an injury. This could be enhanced through vocational rehabilitation.