研究生: |
陳由娣 Chen, Yu-Ti |
---|---|
論文名稱: |
職業災害勞工的職業重建與復工之研究 A Study on Vocational Rehabilitation and Return to work on Occupational Injury Workers |
指導教授: |
邱滿艷
Chiu, Man-Yen |
學位類別: |
碩士 Master |
系所名稱: |
復健諮商研究所 Graduate Institute of Rehabilitation Counseling |
論文出版年: | 2017 |
畢業學年度: | 105 |
語文別: | 中文 |
論文頁數: | 122 |
中文關鍵詞: | 勞工 、職業災害勞工 、職業重建 、重建 、復工 |
英文關鍵詞: | employee, occupational injured worker, vocational rehabilitation, rehabilitation,, return to work |
DOI URL: | https://doi.org/10.6345/NTNU202202223 |
論文種類: | 學術論文 |
相關次數: | 點閱:131 下載:20 |
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本研究主要係探討職業災害勞工受傷後到其職業重建前、職業重建中,及職業重建後等三階段的歷程。透過質性研究方法,以半結構訪談題綱蒐集5位職業災害勞工的歷程,為豐富研究資料,另輔以訪談2位專業人員,並以電腦軟體NVivo第10版,進行資料質性研究分析,結果如下:
一、職業重建前:(一)職業災害勞工發生職業災害後多為負面情緒,但研究中有發現轉念的重要和影響,(二)職業災害發生之後,多數勞工並不瞭解自身的權益;對於「職業重建」這個詞及所能給予的協助亦多不瞭解。
二、職業重建歷程:(一)醫療單位系統接個案有其認定條件,多以回原職場或原職務設定,因此對象多為輕度或無身障手冊或證明,且以肢障者為主,以工作強化為主;較少做追蹤與轉介至職業重建中心的作法,(二)需要職業重建中心的職重服務者,若未具身心障礙手冊(證明),仍無法如願只能透過一般的就業服務,但那樣服務深度是不夠的;(三)勞政單位的職業災害個案主動服務計畫(FAP)人員提供職業災害勞工的服務,多屬職業重建前端的權益維護項目;FAP單位亦很少銜接至後端的職業重建;職業災害勞工在些階段的經驗,頗期待勞政單位的專業知識與熱忱的服務,(四)民間單位的角色與FAP單位類似,但服務的夥伴關係較紮實,職業災害勞工有感。
三、職業重建後歷程:(一)「職業重建」告一段落後,職業災害勞工仍需職業重建或相關的協助;(二)民間單位相較於政府單位,在結案後,有持續提供勞工後續的關懷或服務,足以讓勞工感念(三)除政府、民間等專業人員及家人的協助與關心外,職場的多元支持亦是重要的。
關鍵字:勞工、職業災害勞工、職業重建、重建、復工
The purpose of this study was to examine experiences of vocational rehabilitation after occupational injuries. Data was collected via in-depth interviews of five injured workers and two vocational rehabilitation professionals, qualitative data were analyzed by NVivo version 10. The results were as follows:
1. Pre-rehabilitation period: (a) After being injured at the workplace, most workers exhibited negative emotions, however, some of them were turning their mind to positive thought during the adjustment. That was an important turning point to establish beneficial outcomes. (b) Most injured workers did not known their own rights and the meaning of “vocational rehabilitation”.
2. Rehabilitation period: (a) Medical or hospital system preferred to take cases with mild injury than severe injury or those with only physical injury. Above system focused on helping workers returning to the same job or the same workplace position, while less emphasized on following up and Referrals to vocational rehabilitation. (b) Vocational rehabilitation system only accepted people with certificates of disabilities. For workers without certificates of disabilities, they could only take services from the public employment system. The services from the public employment system was not enough for those workers. (c) Government FAP system emphasized assistances on injured workers’ right than vocational rehabilitation. (d) Some nonprofit private sectors also provided services like FAP’. Alliance relationship was much easier to establish between nonprofit private sectors and injured workers.
3. Post-rehabilitation period: (a) Some of injured workers needed continued assistances after rehabilitation services. (b) Non-profit private sectors provided did following up assistances to injured workers more than other systems. (c) Supports from government, social workers, families, and workplace’ co-workers were also needed and important for injured workers.
Key words: employee, occupational injured worker, vocational rehabilitation, rehabilitation, return to work
中文文獻
王淑美、郭立杰、張哲豪、蔡佩倫、施陳美津、蔡錦良、吳明宜(2006)。泥水鑽土業職傷勞工之工作強化介入成效-個案報告,臺灣職能治療研究與實務雜誌, 2(1),40 - 46。doi 10.6534/jtotrp
朱金龍(2014)。赴日韓考察職業災害危害預防及職業災害勞工重建。行政院所屬各機關出國報告(編號:C10305131)。勞動部職業安全衛生署。
行政院勞工委員會98至101年度中程施政計畫(2009),取自 http://www.edu.tw/ pages/list.spx?Node=2042&Type=1&WID=45a6f039-fcaf-44fe-830e-50882aab1121
行政院勞工委員會(民 101 年 3 月 23 日)。「職業災害勞工個案主動服務計畫」陪伴8,812個職業災害勞工家庭找回重生力量!取自 http://www.coolloud.org.tw/node/67435
身心障礙者職業重建個案管理服務工作手冊(2014)。取自 http://vrrc.heart.net.tw/redirect _download.php?dod_no=1390455735&file_num=1&action=view_file
李曉鳳、佘雙好(2006),質性研究方法,武漢大學出版社,取自 http://www.lib. ntnu.edu.tw/taebc/taebc.searchresult.jsp?fulltext=&query_term2=&query_term3=&index_1=title&index_2=&index_3=&logic1=&logic2=&query_term1=%E8%B3%AA%E6%80%A7%E7%A0%94%E7%A9%B6
邱滿艷、陳由娣(2016)。從多元觀點探討職業災害勞工之福利服務需求。社區發展季刊,153,440-453。
林淑馨(2010)。質性研究:理論與實務,巨流圖書股份有限公司,取自http://0-lb20.libraryandbook.net.opac.lib.ntnu.edu.tw/FE/search_viewOpen.action?bookId=YsdsdebY187158cdY
旅克桓(2016)。勞動部職業安全衛生署補助職業災害勞工職業重建計劃期末報告。勞動部職業安全衛生署。
秦唯珊、林冠含、郭育良、蕭淑珠(2013)。勞工發生職業傷害後12個月復工狀況之探討。臺灣衛誌,6,576-585。
莊巧玲、吳明宜(2013)。職業重建專業人員對於職業重建個案管理員職務功能之看法。復健諮商,6,1-24。
許碧晴、湯豐誠(2013)。復健復工與職業重建。環境職業醫學會訊,10211,9 - 12。
郭浩然(2009)。國立成功大學醫學院附設醫院個案管理及轉介協助程序書。取自www.ncku.edu.tw/~oem1/doc/1200-3-01-001.doc
張玉山(2013)。職務再設計的輔具應用對肢體障礙者工作狀況之影響:以手工業為例。特殊教育研究學刊,38(2),77-97 頁。DOI: 10.6172/BSE.201307.3802004
張秀金(2009)。看見生命的勇者。臺灣勞工季刊,19,23-25。取自http://book.mol.gov.tw/2008bimonthly/epaper/no_19.htm.
張迦寧(2008)。工作強化於下背痛患者之療效(碩士論文)。取自http://ir.lib.ntnu.edu.tw/handle/309250000Q/75798
張彧、徐雅媛(2008)。我國職業災害勞工重建政策之探討。行政院勞工委員會勞工安全衛生研究所。【國家書店】。取自https://books.google.com.tw/books?id=RWR3pz1_mV8C&pg=PP1&lpg=PP1&dq=%E6%88%91%E5%9C%8B%E8%81%B7%E6%A5%AD%E7%81%BD%E5%AE%B3%E5%8B%9E%E5
張彧、徐雅媛(2009)。探討職場復健計畫:文獻回顧。勞工安全衛生研究季刊,4(17),467-479。
張謝庭(2001)。重返勞動市場之路—我國職業災害勞工職業重建制度之探討(碩士論文)。取自: http://ndltd.ncl.edu.tw/cgi-bin/gs32/gsweb.cgi/ccd=7U61CE/search#result
陳月霞(2010)。職業傷害勞工之自覺健康與復工因素之研究(碩士論文)。取自http://ir.lib.ntnu.edu.tw/handle/309250000Q/75798
連淑惠、陳月霞、王怡人、呂仲平、李佳潔(2011)。工作強化訓練對上肢損傷職業災害勞工握力、指力與負重能力之成效。臺灣職能治療研究與實務,7(1), 51-63。
梁蕙雯、張彧、杜宗禮(2005)。職業性肌肉骨骼傷害治療方式與復工速度之效果評估。國立台灣大學醫學院物理治療學系( 編號DOH93-HP-1405)。行政院衛生署國民健康局。
勞動部勞工保險局(民 105 年 9 月 1 日)。取自 http://www.bli.gov.tw/sub.aspx?a=D7G08ym4P
j8%3d
勞動部(106年5月16日)。勞工發生職業災害,雇主應主動填發職災醫療書單以減輕勞工就醫負擔。【新聞群組】 取自https://www.mol.gov.tw/announcement/2099/32262/
勞動部職業安全衛生署(民 103 年 12 月 8 日)。取自 http://www.osha.gov.tw/1106/1176/1185/
1189/2627/
楊久瑩(民 102 年 11 月 17 日)。職業災害影響大!2成勞工出現心理異常。【自由時報電子報】。取自 http://news.ltn.com.tw/news/focus/paper/731109
葉卉軒(民 105 年 4月 22 日)。勞動部服務職業災害勞工 復工率達八成。【聯合影音】。取自 https://video.udn.com/news/477899
新事社會服務中心(民 106 年 7 月 24 日)。取自 http://www.new-thing.org/injury/detail
蔡錦良、吳明宜、郭立杰、蔡佩倫、施陳美津、王淑美、張哲豪(2007)。工作強化介入模式及其成效之案例報告:職業導致椎間盤突出勞工。職能治療學會雜誌,25,75-85。
蔡春金 黃瓊玉(2006)。脊髓損傷者憂鬱症狀及其相關因素之探討。志為護理,6(2),64-73。
鄭朱隆(2016)。職業災害勞工職業重建制度之研究。(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/54586259217047034404
鍾佩樺、鄭雅文(2010)。我國職業傷病通報制度之現況與問題,臺灣衛誌, 29(6),561-574。職業災害勞工保護法(民101 年 10 月 31 日)。取自http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=N0060041
藍福良(2009)。職業災害勞工個案主動服務計畫(FAP)暨職業災害勞工服務資源。工業安全衛生月刊。241, 54-61。
職業輔導評量(民 106 年11月18日 )。臺北市勞動力重建運用處,取自http://www.fd.gov.taipei/ct.asp?xItem=58341812&ctNode=91866&mp=116053201611/18
英文文獻
Amir,T. (2016). Learn about your rights to workers' compensation benefits following a workplace injury, and how to protect your claim.【ALL LAW】 Retrieved from http://www.alllaw.com/articles/nolo/workers-compensation/job-related-injury-legal-overview.html#
Amy, E. (2008). Job retention success for individuals receiving vocational services after a work related injury (Master’s thesis, Boston University). Retrieved from http://0-search.proquest.com.opac.lib.ntnu.edu.tw/results/CCE5937B129E4FC9PQ/1?accountid=14228
Beveridge, S.; Fabian, E.(2007). Vocational Rehabilitation Outcomes: Relationship between Individualized Plan for Employment Goals and Employment Outcomes. Rehabilitation Counseling Bulletin, 50(4), 238-246.
Bose, Howard A. (2008). Returning Injured Employees to Work. Professional Safety, 53(6). 63-68.
Breslin, F. C., Tompa, E., Zhao, R., Pole, J. D., Amick Iii, B. C., Smith, P. M., et al. (2008). The relationship between job tenure and work disability absence among adults: A prospective study. Accident Analysis and Prevention, 40 (1),368-375.
Dong, S. (2011). Impact of self-efficacy, outcome expecations and affect on requesting job accommodations among individuals with disabilities. Retrieved from http://0-search.proquest.com.opac.lib.ntnu.edu.tw/docview/923627449/7C12035F030C4DC3PQ/1?accountid=14228
Dutta, A.,Gervey, R., Chan, F., Chou, C., Ditchman, N., (2008). Vocational Rehabilitation Services and Employment Outcomes for People with Disabilities: A United States Study. Journal of Occupational Rehabilitation,18 (4).326-34.
Edward, O. M. (2007). Outcomes of Individuals with Spinal Cord Injury Served by State Vocational Rehabilitation Services(Doctor dissertation). Retrieved from http://0-search.proquest.com.opac.lib.ntnu.edu.tw/docview/304894221/C1838DD291304B00PQ/1?accountid=14228
Franche, R.L., & Krause, N. (2002). Readiness for return to work following injury or illness: Conceptualizing the interpersonal impact of health care, workplace, and insurance factors . Journal of Occupational Rehabilitation, 12 (4), 233-256 .
Guo, N.W., Guo, Y.L., Hsu, J.H., Hu, P.Y., Hwang ,Y.H., Kuo, C.Y., Lin ,K.H., ...Shiao, J.S., (2014). Long-Term Psychological Outcome of Workers After Occupational Injury: Prevalence and Risk Factors. Journal of Occupational Rehabilitation, 24,1–10. doi 10.1007/s10926-013-9431-3
Hou, W.H., Tsauo, J.-Y., Lin, C.H., Liang, H.W., & Du, C.L. (2008). Worker's compensation and return-to-work following orthopaedic injury to extremities.Journal of Rehabilitation Medicine, 40(6), 440-445.
International Labour Organization(2001). Code of practice on managing disability in the workplace. Retrieved from http://www.ilo.org/public/english/standards/relm/gb/docs/
gb282/pdf/tmemdw-2.pdf
Jakobsen, K.; Lillefjell, M.(2014). Factors promoting a successful return to work: from an employer and employee perspective. Scandinavian Journal of Occupational Therapy. 21 (1), 48-57. DOI: 10.3109/11038128.2013.857717.
Leahy, M.J., Chan, F., Lui, J.(2014). Evidence-based Best Practices in the Public Vocational Rehabilitation Program that Lead to Employment Outcomes. Journal of Vocational Rehabilitation, 41, p83-86. doi :10.3233/JVR-140704.
Moore, C. (2002). Relationship of consumer characteristics and service provision tosuccessfully rehabilitated individuals who are deaf. Rehabilitation Counseling Bulletin, 45, 141-150.
Niemeyer, L.O., Jacobs, K., Reynolds,L.K., Bettencourt,C., & Lang, S. (1994). Work hardening: past, present, and future--the work programs special interest section national work-hardening outcome study. The American Journal of Occupational Therapy, 48(4), 327-339.
Rosenthal, D.A., Chan, F., Wong, D.W., Kundu, M., Dutta, A.(2006). Predicting employment outcomes based on race, gender, disability, work disincentives, and vocational rehabilitation service patterns. Journal of Rehabilitation medicine,29,229–43.
Sims, M. D.(2002).The effect of employer accommodation on the continued employment of impaired workers. (doctoral dissertation) .Available from ProQuest Dissertations and Theses database. UMI NO. 3061720.21
Strauser, D. R., Lustig, D. C., & Uruk, A. C. (2007). Differences in self-reported trauma symptomatology between individuals with and without disability: An exploratory analysis. Rehabilitation Counseling Bulletin, 50(4), 216-225.