Does the quality of encounters affect return to work? Lay people describe their experiences of meeting various professionals during their rehabilitation process
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Does the quality of encounters affect return to work? Lay people describe their experiences of meeting various professionals during their rehabilitation process
Among the many aspects of the rehabilitation process that may be relevant for its outcome, the impact of encounters with various professionals has received little attention.
OBJECTIVE:
The objective was to gain a deeper understanding of how individuals with experiences of being on sick leave perceive their encounters with professionals, and how such encounters affected their ability to return to work, as well as their attitudes towards the sickness insurance system.
METHODS:
An inductive qualitative approach was used to analyze data from 20 interviews with men and women, aged 33–59, in Sweden who had experience of being on sick leave for at least 28 days.
RESULTS:
The study shows how interviewees encounters with professionals affected their self-confidence and perception of their ability to return to work. Professionals’ treatment of people on sick leave seems to be affected by the structural prerequisites for offering support, where sickness insurance regulations are suggested to have a large impact.
CONCLUSIONS:
An encouraging and supportive attitude on the part of the professionals is essential for empowering people to handle obstacles during the rehabilitation process; whereas feeling rejected and belittled in the return to work process may lead to disempowerment, and/or delays in measures and longer periods on sick leave.
WaddellGBurtonK2005Is work good for your health and well-being?Cardiff & HuddersfieldCardiff University & University of Huddersfield
2.
AuerP2007Security in labour markets: Combining flexibility with security for decent workGenevaInternational Labour Office (ILO)
3.
PrinzCTompsonW2009Sickness and disability benefit programmes: What is driving policy convergence?International Social Sequrity Review624161
4.
WhitakerS2001The management of sickness absenceOccupational and Environmental Medicine586420424
5.
MacEachenEClarkeJFrancheR-LIrvinE2006Systematic review of the qualitative literature on return to work after injuryScandinavian Journal of Work, Environment and Health13257269
6.
PopayJWilliamsG1996Public health research and lay knowledgeSocial Science & Medicine425759768
7.
BlasiZHarknessEErnstEGeorgiouAKleijnenJ2001Influence of context effects on health outcomes: A systematic reviewThe Lancet357757761
8.
Luban-PlozzaB1995Empowerment techniques: From doctor-centred (Balint approach) to patient-centred discussion groupsPatient Education and Counseling26257263
9.
VerheulWSandersABentsingJ2010The effect of physicians’ affect-oriented communication style and raising expectations on analouge patients’ anxiety, affect and expectanciesPatient Educ Couns80300306
10.
CharltonCDearingKBerryJJohnsonM2008Nurse practioners’ communication styles and their impact on patient outcomes: An integrated literature reviewJournal of the American Academy of Nurse Practitioners207382388
11.
SayRMurtaghMThomsonR2006Patients’ preferences for involvement in medical decision making: A narrative reviewPatient Educ Couns602102114
12.
GriffinSKinmonthAVeltmanM2004Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: A systematic review of trialsAnn Fam Med2595608
13.
KlanghedUSvenssonTAlexandersonK2004Positive encounters with rehabilitation professionals reported by persons with experience of sickness absenceWork: A Journal of Prevention, Assessment & Rehabilitation223247254
14.
MüssenerUSöderbergESvenssonTAlexandersonK2006Encouraging encounters: Sick-listed persons’ experiences of interactions with rehabilitation professionalsSocial Work in Health Care4627187
15.
NilssonMOlssonMWennman-LarsenAPeterssonL-MAlexandersonK2011Return to work after breast cancer: Women’s experiences of encounters with different stakeholdersEuropean Journal of Oncology Nursing15267274
16.
SvenssonTMüssenerUAlexandersonA2008Sickness absence, social relations and self-esteem - a qualitative study of the impact of relations with family, workmates, and friends among persons long-term sickness absent
17.
SvenssonTKarlssonANordqvistCAlexandersonK2003Shame-inducing encounters - negative emotional aspects of sick-absentees’ interactions with rehabilitation professionalsJournal of Occupational Rehabilitation133183195
18.
MüssenerUUpmarkMFestinKAlexandersonA2008Positive experiences of encounters with healthcare and social insurance professionals among people on long-term sick leaveJournal of Rehabilitation Medicine40805811
19.
UpmarkMBorgKAlexandersonA2007Gender differences in experiencing negative encounters with healthcare. A study of long-term sickness absenteesScandinavian Journal of Public Health35577584
20.
LynöeNWasselMOlssonDAlexandersonK2012Respectful encounters and return to work: Empirical study of long-term sick-listed patients’ experiences of Swedish healthcareBMJ1215
21.
ÖstlundGAlexandersonKCedersundEHensingG2001It was really nice to have someone: Lay people with musculoskeletal disorders request supportive relationships in rehabilitationScandinavian Journal of Public Health294285291
22.
HallbergL2002Qualitative methods in public health researchHallbergLLundStudentlitteratur
23.
PattonM1990Qualitative research and evaluation methods3 edThousand OaksSage Publications
24.
SrivastavaPHopwoodN2009A practical iterative framework for qualitative data analysisInternational Journal of Qualitative Methods817684
25.
SvenssonTMüssenerUAlexandersonK2006Pride, empowerment and return to work: On the significance of positive social emotions in the rehabilitation of sickness absenteesWork: A Journal of Prevention, Assessment & Rehabilitation2715765
26.
IlmarinenJ2001Aging workersOccupational and Environmental Medicine588546552
27.
NordenfeltL2008The Concept of Work AbilityBruxellesP.I.E. Peter Lang
28.
NathansonD1994Shame and pride - affect, sex, and the birth of the selfNew YorkNorton & Company, Inc
29.
TaylorG1995Pride, shame and guilt: Emotions of self-assessmentOxfordClaredon Press
30.
ScheffT1990Microsociology: Discourse, Emotion, and Social StructureChicagoThe University of Chicago Press
31.
SöderbergESmedsM2011Utvärdering av Försäkringsmedicinskt beslutsstöd - vägledning för sjukskrivning. Resultat för år 2009-2010. (in Swedish). Linköping: Institutionen för medicin och samhälle, Linköpings universitet
32.
SteenstraIKnolDBongersP2009What works best for whom? An exploratory, subgroup analysis in a randomized, controlled trial on the effectiveness of a workplace intervention in low Back pain patients on return to workSpine341212431249
33.
LeinonenTPietiläinenOLaaksonenM2011Occupational social class and disability retirement among municipal employees – the contribution of health behaviors and working conditionsScandinavian Journal of Work and Environmental Medicine376464472
34.
KruegerRKingJ1998The Focus Group KitLondonSAGE Publications
