title: The values underlying team decision-making in work rehabilitation for musculoskeletal disorders.
abstract: OBJECTIVE
  This paper presents the results of a qualitative study on the values underlying the decision-making process of an interdisciplinary team working in a work rehabilitation facility of a Québec teaching hospital.
  
  
  METHODS
  In order to document the values underlying the decision-making process, a single case observational study was conducted. Interdisciplinary team weekly discussions on ongoing cases of 22 workers absent from work due to musculoskeletal disorders were videotaped. All discourses were transcribed and analyzed following an inductive and iterative approach. The values identified were validated by feedback from team members.
  
  
  RESULTS
  Ten common decision values emerged from the data: (1) team unity and credibility, (2) collaboration with stakeholders, (3) worker's internal motivation, (4) worker's adherence to the program, (5) worker's reactivation, (6) single message, (7) reassurance, (8) graded intervention, (9) pain management and (10) return to work as a therapy. The analysis of these values led to the design of a model describing interrelations between them.
  
  
  CONCLUSIONS
  This study throws light on some mechanisms underlying the decisions made by the team and determining its action. This improves understanding of the actions taken by an interdisciplinary team in work rehabilitation and may facilitate knowledge transfer in the training of other teams.
authors: Disability Prevention Research and Training Centre, Université de Sherbrooke, Longeuil, Québec, Canada. Patrick.loisel@usherbrooke.ca
authors: Patrick
authors: P
authors: Loisel
authors: Marlène
authors: M
authors: Falardeau
authors: Raymond
authors: R
authors: Baril
authors: Marie
authors: M
authors: José-Durand
authors: Ann
authors: A
authors: Langley
authors: Sandrine
authors: S
authors: Sauvé
authors: Julie
authors: J
authors: Gervais
mesh_terms: D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D009784:Occupational Diseases / Q000534:rehabilitation*; D010347:Patient Care Planning; D010348:Patient Care Team; D011792:Quebec; D012945:Social Values; D014743:Videotape Recording