Am I ready to return to work? Assisting cancer survivors to determine work readiness

Springer Science and Business Media LLC - Tập 10 - Trang 699-710 - 2016
Mary Stergiou-Kita1,2,3,4, Cheryl Pritlove5,6, D. Linn Holness7,8,9, Bonnie Kirsh1,10, Dwayne van Eerd3,11, Andrea Duncan1, Jennifer Jones6,10
1Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
2Toronto Rehabilitation Institute, University Health Network, Toronto, Canada
3Institute of Work and Health (Toronto), Canada
4Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
5School of Kinesiology and Health Science, York University, Toronto, Canada
6Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre University Health Network, Toronto, Canada
7Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
8Department of Medicine, Faculty of Medicine, Toronto, Canada
9Department of Occupational and Environmental Health and Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, Canada
10Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada
11School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada

Tóm tắt

A critical initial step in work re-entry involves the determination of work readiness. Cancer survivors have requested increased health care provider involvement in their work readiness decisions. However, there has been no exploration of current practices in determining work readiness, and thus no specific recommendations regarding how to assist survivors in answering the question: Am I ready to return to work? To explore return to work following cancer and the workplace supports survivors require, we completed an exploratory qualitative study. We conducted semi-structured interviews with (i) cancer survivors (n = 16) and (ii) health care/vocational service providers (n = 16). Data were analyzed using thematic analysis. Themes specific to work readiness are discussed. Three key processes were deemed relevant to determining work readiness by health care providers and survivors: (1) assessing functional abilities in relation to job demands; (2) identifying survivor strengths and barriers to return to work; and (3) identifying supports available in the workplace. Challenges to work readiness determinations, were described by survivors and providers, related to: (i) the complexity of cancer, (ii) the accuracy of work readiness determinations, and (iii) the lack of established processes for addressing work goals. Health care providers need to work collaboratively with survivors to determine if they are physically, cognitively, and emotionally ready to return to work, and with workplaces to determine if they are prepared to provide the necessary supports. Further stakeholder collaboration is also warranted. Supports from health care providers in determining work readiness can ensure survivors do not return to work either “too early” or “too late.”

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