Christine Randall | Griffith University (original) (raw)

Papers by Christine Randall

Journal of Vocational Rehabilitation, Nov 24, 2021

BACKGROUND: In the face of significant costs for injured worker rehabilitation and its impact on ... more BACKGROUND: In the face of significant costs for injured worker rehabilitation and its impact on society, ongoing examination of how rehabilitation is carried out is warranted. OBJECTIVE: To review recent studies that explored the impact of the worker's choice in terms of provider and treatment on the outcome for the worker in injury rehabilitation. METHOD: A systematic literature review was conducted using searches through electronic databases, with studies retrieved then subjected to a quality appraisal. RESULTS: Nineteen studies were eligible for inclusion. Studies reviewed found that choice of provider or treatment generated more positive outcomes for workers, and workers preferred a treatment provider familiar with their care. The worker's ability to exercise choice was affected by conflict with other stakeholders and misalignment of expectations. The relationship between choice and costs was unclear, sometimes conflicting. CONCLUSIONS: The impact of treatment and provider choice on outcomes for workers remains unclear. The worker's ability to choose may be hampered by systemic constraints, access to preferred providers, misalignment of stakeholder expectations, and the worker's ability to engage in decision making. Greater worker engagement in their rehabilitation could potentially reduce costs as well as improve psychosocial outcomes.

International journal of disability management research, 2014

Background: There is ample evidence that returning to suitable work is good for an injured worker... more Background: There is ample evidence that returning to suitable work is good for an injured worker's health and wellbeing. Evidence from the 2013 National Return to Work Survey shows a positive relationship between employers' treatment of injured workers and return to work outcomes. Objectives: The case studies project aims to provide: r employers with examples of practical solutions, practices or systems to improve return to work outcomes, and r policy makers with a summary of key themes and best practice approaches to inform the development of policy and programs. Methods: Organisations for the case studies will be shortlisted from recent Australian national return to work award winners and finalists. Key players within the organisations, including managers, supervisors, rehabilitation coordinators and recovered injured workers, will be interviewed to obtain information and attitudes on the early intervention and return to work approaches. An analysis of the case studies and a literature review on current best practice for early intervention and return to work will be conducted from which key themes and practices will be identified. Findings: The project will produce two reports: case studies of six organisations' practices, and an analytical report on key findings and best practice for early intervention and return to work. The case studies will provide employers and workers published examples of practical approaches to improving return to work outcomes. The case studies also explore the roles and views of management, supervisors and injured workers. The analytical report will examine the case studies and report on key themes and best practice, providing policy makers and employers with an analysis of findings. The 2013 National Return to Work survey provides supporting evidence of the positive relationship between return to work outcomes and a range of variables related to the role of the employer and the workplace. Conclusion: It is anticipated the case studies project will provide examples of practical approaches to improving early intervention and return to work outcomes, which other organisations may consider implementing.

Journal of social inclusion, Jun 4, 2014

Motivation has been recognised as an essential component in managing medical issues, adjusting to... more Motivation has been recognised as an essential component in managing medical issues, adjusting to physical disability, cognitive impairment, returning to work, and improving psychosocial functioning. Rehabilitation aims to reduce the impact of impairments on activities of daily living and social role functioning, promoting both independence and social inclusion. This research explores the role of client motivation in workplace rehabilitation and demonstrates the implications for rehabilitation counselling practice. The research focuses on understanding the concept of motivation, reasons for its presence or absence, and why motivation is important to the workplace rehabilitation process. This study also explores significant influencing factors that may be utilised to increase motivation and promote more successful return to work outcomes, as well as considering the implications for rehabilitation practice and research.

Online Journal of Health Ethics, May 1, 2018

Journal of Vocational Rehabilitation

BACKGROUND: Although workplace injury rehabilitation is a significant economic and social burden ... more BACKGROUND: Although workplace injury rehabilitation is a significant economic and social burden for injured workers and the community, it remains inconclusive whether the worker’s choice of provider and treatment type influences these costs or the outcome of rehabilitation. OBJECTIVE: This study explored what choices injured workers could access during rehabilitation in terms of their provider and treatment, what hindered or helped their choice, and whether workers perceived that choice influenced the outcome of their rehabilitation. METHODS: A mixed methods study was employed, utilising an online survey and semi-structured telephone interviews. RESULTS: Injured workers reported that being able to choose their provider and treatment was not straightforward. Obstacles included systemic rigidity, poor relationships between stakeholders, and unfamiliarity with the system. Most survey respondents perceived that the degree of choice they had in their treatment influenced the outcome of ...

Disability Management and Workplace Integration

American Journal of Industrial Medicine

BackgroundAlthough numerous studies have reported on PTSD prevalence in high‐risk occupational sa... more BackgroundAlthough numerous studies have reported on PTSD prevalence in high‐risk occupational samples, previous meta‐analytic work has been severely limited by the extreme variability in prevalence outcomes.MethodsThe present systematic review and meta‐regression examined methodological sources of variability in PTSD outcomes across the literature on high‐risk personnel with a specific focus on measurement tool selection.ResultsThe pooled global prevalence of PTSD in high‐risk personnel was 12.1% [6.5%, 23.5%], and was similar to estimates obtained in other meta‐analytic work. However, meta‐regression revealed that PTSD prevalence differed significantly as a function of measurement tool selection, study inclusion criteria related to previous traumatic exposure, sample size, and study quality. PTSD prevalence estimates also differed significantly by occupational group and over time, as has also been reported in previous work, though exploratory examination of trends in measurement s...

This presentation demonstrates how process mapping was utilised to integrate the phases of this a... more This presentation demonstrates how process mapping was utilised to integrate the phases of this action research and facilitate knowledge transfer back into the case study organisation.

Work & Stress, 2020

ABSTRACT We conducted a systematic review of the empirical literature examining the effectiveness... more ABSTRACT We conducted a systematic review of the empirical literature examining the effectiveness of psychological interventions for post-traumatic symptomatology in police, firefighters, and paramedic personnel. The review process was guided by the PRISMA statement (Moher et al. [2009]. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097) and Institute of Medicine’s Standards for Systematic Reviews (IOM [2011]. Finding what works in health care: Standards for systematic reviews. nihlibrary.nih.gov/sites/default/files/Finding_What_Works_in_Health_Care_StandardsforSystematic_Reviews_IOM_2011.pdf). An inter-disciplinary, multi-national research team with expertise in mental health trauma and occupational stress in high risk professions was engaged at each stage of the review. Two team members rated each study in terms of quality and contribution to the research question. Twenty-one studies were identified: 9 case studies, 2 single-group studies, 8 randomised controlled trials, and 2 studies examining work leave. Most of the studies were limited by small sample sizes and absence of active control conditions. Research limitations reduce the ability to draw definitive best practices recommendations; however, the increase in randomised controlled trials provides encouraging signs that trauma-focused psychotherapies can be effective for first responders.

The Journal of Emergency Medicine, 2022

BACKGROUND Professionals working in the emergency department (ED) are regularly exposed to trauma... more BACKGROUND Professionals working in the emergency department (ED) are regularly exposed to traumatic events. Rates of posttraumatic mental health conditions vary widely in the literature and there is no agreement that rates in ED staff are elevated relative to other populations. OBJECTIVE We conducted a systematic review of international literature reporting prevalence of posttraumatic stress disorder (PTSD), depression, and anxiety in ED personnel to determine whether prevalence is elevated compared to the general community, and to evaluate convergent evidence across the literature for predictive factors. To our knowledge, there is no comprehensive review on this topic in the literature at this time. METHODS Seven databases were searched for studies reporting rates of PTSD, depression, and anxiety in ED personnel. Two independent researchers screened studies and assessed quality using Munn's Prevalence Critical Appraisal Instrument. Best-evidence synthesis determined whether conditions demonstrated elevated prevalence compared to the general population of Canada, a conservative benchmark. RESULTS Twenty-four studies from 12 countries and a combined sample size of 4768 were included. PTSD rates ranged from 0% to 23.6% (mean 10.47%), depression ranged from 0.7% to 77.1% (mean 24.8%), and anxiety rates ranged from 2.4% to 14.6% (mean 9.29%). Each condition was elevated compared to the general population. Sociodemographic variables were not consistent predictors. Elevated PTSD seemed most strongly related to workplace exposure and maladaptive coping. CONCLUSIONS ED professionals have an elevated risk of experiencing PTSD, depression, and anxiety. Identification of organizational and workplace predictors are needed to inform interventions that will reduce risk and provide optimal treatment and management of PTSD, depression, and anxiety in ED settings.

Occupational stress is an increasingly significant economic and social burden in Australia, yet i... more Occupational stress is an increasingly significant economic and social burden in Australia, yet its impact is not being adequately addressed, particularly in emergency services organisations, such as police services. Management of workplace stress injury is therefore a priority, requiring integration of effective occupational rehabilitation systems to prevent and mitigate this condition at an organisational level. This literature review describes the specific issues associated with occupational stress in police services. Findings of the review indicate that attention is required to the job and organisational characteristics of police services, stress management processes, training and knowledge, and the police culture and organisational climate. These issues contribute to stress and create barriers to rehabilitation within police services. Recommendations for addressing occupational stress in police organisations are provided, with a focus on developing and maintaining effective pre...

Journal of interprofessional care, 2022

Digital Interprofessional Learning Client Documentation (D-IPL Client Docs) is an initiative desi... more Digital Interprofessional Learning Client Documentation (D-IPL Client Docs) is an initiative designed to develop student interprofessional communication skills through electronic record writing and a virtual simulation (VS) or live virtual simulation (LVS) case conference. The aims of the study were to (a) identify whether D-IPL Client Docs supports student learning in the affective domain and (b) compare the learning outcomes for students participating in the VS versus the LVS case conference. Data were drawn from 83 Bachelor of Social Work students who had participated with other health professional students in the D-IPL Client Docs activities. The reflective journals submitted by this cohort of social work students were analyzed qualitatively and quantitatively using the Griffith University Affective Learning Scale. Qualitative analyses revealed that the activities enabled students in both groups to learn about themselves, their roles, and the roles of others, and the benefits of...

Rehabilitation Research, Policy, and Education, 2021

PurposeThe past few decades have witnessed significant growth in the disability sector and the re... more PurposeThe past few decades have witnessed significant growth in the disability sector and the rehabilitation counseling profession has responded by broadening its scope of practice to serve a range of people who experience illness, injury, and social disadvantage. Despite the sector's growth and the profession's flexible response to it, the rehabilitation counseling profession in Australia continues to face challenges in relation to its professional identity. The purpose of this article is to identify these challenges and present solutions by reviewing literature and professionalization responses in Australia and the United States.MethodIn this article, we examine ways of transcending the professional identity challenges faced by the Australian rehabilitation counseling community. This is achieved firstly by defining the characteristics of professions and their application to rehabilitation counseling and second, by suggesting possible actions to advance the profession.Resu...

Policing: An International Journal, 2019

Purpose The purpose of this systematic review is to evaluate the extant literature on depression ... more Purpose The purpose of this systematic review is to evaluate the extant literature on depression and anxiety disorders in police using a multinational data set to determine whether the prevalence of these trauma-related disorders (TRMDs) is elevated in comparison to the general population. Design/methodology/approach Systematic review was employed in combination with best-evidence narrative synthesis to evaluate these hypotheses. Findings Despite wide variability in prevalence outcomes across the literature, strong evidence supports the hypothesis that the prevalence of depression is elevated in police, whereas moderate evidence supports the same hypothesis regarding anxiety. Preliminary evaluation of commonly examined predictive factors for each disorder demonstrated weak and inconsistent associations between these TRMDs and sociodemographic factors. No studies evaluated the relationship between incident-related factors (e.g. severity or frequency of exposure) and TRMDs, thus, at p...