Exploring self-control of workers with a chronic condition: a qualitative synthesis

Bosma, A. R.; Boot, Cécile R. L.; Maaker, M. de; Boeije, Hennie; Schoonmade, Linda J.; Anema, Johannes R.; Schaafsma, Frederieke

doi:10.1080/1359432x.2019.1631801

Cited by 21 publications

(19 citation statements)

References 92 publications

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“…The facilitating factors identified in this study correspond in a large part with the behaviors in our model, e.g. disclosure, requesting accommodations and support, and finding a healthy balance [26]. Moreover, these facilitating factors are also in line with several motivators (e.g.…”

Section: Comparison With the Literaturesupporting

confidence: 73%

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Facilitators, barriers and support needs for staying at work with a chronic condition: a focus group study

et al. 2020

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Background: Working with a chronic condition can be challenging. Providing support to workers with a chronic condition can help them to stay at work and prevent work-related problems. Workers with a chronic condition who successfully stay at work can provide valuable input for the development of effective supportive interventions to prevent exit from work and facilitate sustainable employment. The aim of this study is to explore the lived experiences of workers with a chronic condition and identify existing barriers, facilitators and possible support needs for staying at work. Methods: Four focus groups were conducted between August and December 2017 with workers with one or more chronic conditions (n = 30). Participants included employees and (partially) self-employed workers. All focus group data were transcribed verbatim and thematically analyzed. Results: Disclosure and expressing one's needs were considered important personal facilitators for staying at work. Environmental facilitators included receiving practical information on working with a chronic condition and social and employer support. Environmental barriers were identified in the work environment, the health care system and service provision, e.g., manager and co-worker's lack of knowledge about working with a chronic condition, a lack of focus on work in the course of treatment for a chronic condition, dissatisfaction with occupational physician support, and the absence of support for self-employed workers. Provided support should be available to all workers, and be proactive and tailored to the workers' specific support needs. Conclusions: A variety of facilitators, barriers and support needs were identified in various domains. By addressing environmental barriers (e.g., by integrating work in the course of treatment and creating supportive work environments), sustainable employment by workers with a chronic condition can be promoted.

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Section: Comparison With the Literaturesupporting

confidence: 73%

“…In a qualitative synthesis on self-control of workers with a chronic condition, we specified the desired behaviors that are important to staying at work and the influence of these behaviors and their interaction with the environment. The study findings also showed the importance of support for exerting selfcontrol [26].…”

Section: Introductionmentioning

confidence: 56%

Facilitators, barriers and support needs for staying at work with a chronic condition: a focus group study

et al. 2020

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“…Furthermore, various aspects of the work environment contribute to sustainable employment, such as organizational culture, employee-employer relations, company policies and organizational support [ 7 , 8 ]. Organizational support and a supportive work environment enable employees with chronic conditions to talk about their condition and ask for support or accommodations if needed, thereby creating the right circumstances for them to stay at work [ 6 , 9 ]. Therefore, aside from employees with chronic conditions, other stakeholders both within occupational health care and within organizations, can play a role in sustainable employment by providing support to these employees.…”

Section: Introductionmentioning

confidence: 99%

Supporting employees with chronic conditions to stay at work: perspectives of occupational health professionals and organizational representatives

et al. 2021

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Background Supporting employees with chronic conditions can prevent work-related problems and facilitate sustainable employment. Various stakeholders are involved in providing support to these employees. Understanding their current practices and experienced barriers is useful for the development of an organizational-level intervention to improve this support. The aim of this study was to explore the current practices of occupational physicians and organizational representatives, identifying both barriers to providing support and opportunities for improvement. Methods Two focus groups with sixteen occupational physicians and seven semi-structured interviews with organizational representatives were held between January and June 2018. Data was analyzed using thematic content analysis. Results Several barriers to offer support were identified, including barriers at the organizational level (negative organizational attitudes towards employees with chronic conditions), the employee level (employees’ reluctance to collaborate with employers in dealing with work-related problems), and in the collaboration between occupational physicians and organizational representatives. In addition, barriers in occupational health care were described, e.g. occupational physicians’ lack of visibility and a lack of utilization of occupational physicians’ support. Opportunities to optimize support included a shared responsibility of all stakeholders involved, actively anchoring prevention of work-related problems in policy and practice and a more pronounced role of the health care sector in preventing work-related problems. Conclusions Preventing work-related problems for employees with chronic conditions can be achieved by addressing the identified barriers to provide support. In addition, both occupational physicians and organizational representatives should initiate and secure preventive support at the organizational level and in occupational health care. These insights are helpful in developing an intervention aimed at supporting employees with chronic conditions to stay at work.

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“…Furthermore, qualitative research is valuable when the aim is to describe the larger social context in relation to the topic of interest (6). For example, qualitative research could aid in better understanding how workers with, eg, cancer or chronic conditions are successful in staying at or returning to work (11)(12)(13)(14)(15). Experience and interpretation of symptoms and limitations can provide information on a wide range of barriers and facilitators of working with chronic conditions that are difficult to capture in quantitative data.…”

Section: Editorialmentioning

confidence: 99%

How qualitative studies can strengthen occupational health research

Boot¹,

Bosma²

2020

Scand J Work Environ Health

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Exploring self-control of workers with a chronic condition: a qualitative synthesis

Cited by 21 publications

References 92 publications

Facilitators, barriers and support needs for staying at work with a chronic condition: a focus group study

Facilitators, barriers and support needs for staying at work with a chronic condition: a focus group study

Supporting employees with chronic conditions to stay at work: perspectives of occupational health professionals and organizational representatives

How qualitative studies can strengthen occupational health research

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