Regresso ao Trabalho após Acidente Laboral

Abstract

Introduction / background / objectives Most Occupational Health teams do not have concrete experience in developing an action plan that aims to enhance the return of injured employees, especially when the work limitations are reasonable. The purpose of this review was to summarize the most recent and pertinent published data on the subject. Methodology This is a Scoping Review, initiated through a survey conducted in December 2019, in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina, SCOPUS and RCAAP”. Content The articles that addressed this subject were scarce and not exhaustive. In the selected documents, some circumstances/ conditions were highlighted that can modulate the return to work; sometimes the authors did not specify the meaning of that influence, but in other cases they made it clear whether it enhanced or impaired the issue. Work accidents cause significant morbidity and costs worldwide, considering both direct and indirect expenses (such as lost productivity, changes in the insurer’s wages, employee turnover and training, investigation of the event and possible compensation, depending on the legislation of each country). Conclusions It seems that the return to work is facilitated with a fair and quick injury management, a team with experience to guide these process, good communication between the different parties involved, less serious injuries, less physically burdensome tasks, absence of economic/ social interests to delay return, good copping skills and healthier self-perception of the general medical condition. It would be very pertinent for some Occupational Health teams, that work with large clients and/ or with a reasonable number of occupational accidents that have resulted in considerable absences and/ or limitations, to investigate which are the best postures/ conditions that facilitate the return to work, subsequently publishing its conclusions.