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Burns. 2014 Sep;40(6):1149-63. doi: 10.1016/j.burns.2014.01.001. Epub 2014 Feb 16.

Development of an inter-professional clinical practice guideline for vocational evaluation following severe burn.

Author information

  • 1Department of Occupational Science and Occupational Therapy, Room 914, University of Toronto, 16-500 University Ave, Toronto, Ontario, Canada; University of Toronto, Department of Occupational Science and Occupational Therapy, and Graduate Department of Rehabilitation Science, Toronto, Ontario, Canada. Electronic address: mary.kita@utoronto.ca.
  • 2St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
  • 3St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; University of Toronto, Department of Surgery, Division of Plastic & Reconstructive Surgery, Graduate Department of Rehabilitation Science, Toronto, Ontario, Canada.

Abstract

PURPOSE:

To develop an inter-professional clinical practice guideline for vocational evaluation following severe burn.

METHODS:

The Canadian Medical Association's (CMA) handbook on clinical practice guideline and the appraisal of guidelines for research and evaluation (AGREE) were used to develop the guideline. The following steps from the CMA handbook were followed: (1) identifying the guideline's objective and questions; (2) systematic literature review; (3) study selection and quality appraisal and (4) development of clear recommendations by key stakeholders. The international classification of function and disability was used as a guiding theoretical framework.

RESULTS:

The guideline includes recommendations within seven domains: (1) establishing evaluation purpose and consent; (2) history taking and information gathering; (3) assessment of functional systems: body systems and structures; (4) assessment of functional systems: activity limitations and participation restrictions; (5) identification of key personal and environmental factors; (6) analysis and synthesis; (7) development of evaluation recommendations.

CONCLUSIONS:

This guideline insures that vocational evaluators use an evidence-based approach to systematically assess elements within the individual, the work, workplace, personal and environmental facilitators and barriers to work participation. The guideline may be useful to clinicians, healthcare teams, employers and individuals with severe burns. Future steps will include guideline pilot testing and endorsement.

Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

KEYWORDS:

Burn injuries; Clinical practice guideline; Employment; Rehabilitation; Return to work; Vocational

[PubMed - indexed for MEDLINE]
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