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Workplace Social System and Sustained Return-to-Work: A Study of Supervisor and Co-worker Supportiveness and Injury Reaction
Objective: To examine the impact of the social workplace system on sustained return-to-work (SRTW). Methods: A random sample of workers' compensation claimants was recruited to complete a survey following claim acceptance (baseline), and 6 months later (time 2). SRTW, at baseline and time 2, was classified as those reporting being back at work for >28 days. Co-worker and supervisor support were assessed using five and seven items, respectively, and total scores were produced. A list of potential supervisory and co-worker reactions were presented to participants who were asked whether the...
Conséquences de la survenue du cancer sur les parcours professionnels
Une analyse sur données médico-administratives Ce rapport étudie les effets à court et moyen termes de la survenue d'un cancer sur l'emploi et l'activité. Il utilise la base de données Hygie, produite par l'Irdes à partir des données administratives de la Caisse nationale de l'Assurance maladie et de la Caisse nationale d'assurance vieillesse. Hygie permet de reconstituer la carrière de l'individu ainsi que les événements de santé. Une première partie exploite la dimension rétrospective...
Common Psychosocial Factors Predicting Return to Work After Common Mental Disorders, Cardiovascular Diseases, and Cancers
A Review of Reviews Supporting a Cross-Disease Approach Purpose: This systematic review aimed at identifying the common psychosocial factors that facilitate or hinder the return to work (RTW) after a sick leave due to common mental disorders (CMDs), cardiovascular diseases (CVDs), or cancers (CAs). Methods: We conducted a review of reviews searching 13 databases from 1994 to 2016 for peer-reviewed, quantitative, cohort studies investigating factors influencing RTW after a CMD, CVD, or CA. Then, for each disease we identified additional cohort studies published after the date of the latest review...
How Can Supervisors Contribute to the Return to Work of Employees Who have Experienced Depression?
Background: In Western countries, work disability due to depression is a widespread problem that generates enormous costs. Objective: The goal of this study was to determine the types and prevalence of supervisor contributions during the different phases of the return-to-work (RTW) process (before and during the sick-leave absence, and during the RTW preparations) of employees diagnosed with depression. Moreover, we sought to determine which contributions actually facilitate employees' RTW, and to identify the work accommodations most frequently implemented by supervisors at the actual time...
Quels sont les facilitateurs du maintien en emploi en santé des travailleurs seniors dans un milieu d’éducation au Québec?
Le pourcentage de travailleurs seniors âgés de 45 ans et plus augmente sans cesse sur le marché du travail au Québec. Dans le secteur de l'éducation, une large portion de la main-d'œuvre est âgée de 45 ans et plus (41 %) et un tiers du personnel aura quitté son poste entre 2009 et 2018 (Grenier, 2009). Des statistiques récentes montrent aussi que les lésions tant de nature physique que psychologique des travailleurs québécois du secteur de l'éducation sont souvent associées à...
Psychosocial work environment and mental health-related long-term sickness absence among nurses
Purpose: We investigated which job demands and job resources were predictive of mental health-related long-term sickness absence (LTSA) in nurses. Methods: The data of 2059 nurses were obtained from the Norwegian survey of Shift work, Sleep and Health. Job demands (psychological demands, role conflict, and harassment at the workplace) and job resources (social support at work, role clarity, and fair leadership) were measured at baseline and linked to mental health-related LTSA during 2-year follow-up. Cox regression models estimated hazard ratios (HR) and related 95% confidence intervals (CI)....
Prediction of long-term absence due to sickness in employees
Development and validation of a multifactorial risk score in two cohort studies Objectives: This study aimed to develop and validate a risk prediction model for long-term sickness absence. Methods: Survey responses on work- and lifestyle-related questions from 65 775 public-sector employees were linked to sickness absence records to develop a prediction score for medically-certified sickness absence lasting >9 days and ≥90 days. The score was externally validated using data from an independent population-based cohort of 13 527 employees. For both sickness absence outcomes, a full model including...
Factors associated with return to work in patients with long-term disabilities due to neurological and neuropsychiatric disorders
The current study explores factors predicting return to work in a sample of patients with neurological and neuropsychiatric disorders who have attended a prevocational readiness and social skills training programme many years after trauma. Participants were community-dwelling adults with long-term disabilities (N = 67). Results of univariate analyses followed by multivariate logistic regression analysis revealed that both pre-injury (prior) and post-injury (current) factors influenced the likelihood of employment in our sample: prior employment, current employment readiness, current...
Les pratiques d’orientation en direction des personnes malades chroniques
Accompagnement collectif et individuel dans le cadre d'une recherche-action Cet article présente les pratiques d'orientation individuelles et collectives mises en œuvre auprès de personnes malades chroniques, dans le cadre d'une recherche-action portant sur les freins et les leviers de leur retour à l'emploi. Après avoir exposé nos ancrages théoriques et les choix méthodologiques effectués, nous décrirons comment des pratiques collectives au sein d'un dispositif d'échanges et des pratiques individuelles...
Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders
A Scoping Review Purpose: To present an overview of the existing evidence on prognostic factors of (recurrent) sickness absence (SA) and return to work (RTW) among workers with a common mental disorder (CMD). This scoping review provides information about determinants for SA and RTW, which could be used to develop better interventions aimed at the prevention of SA and promotion of RTW among workers with a CMD. Methods: Relevant articles were identified in PubMed, Embase, PsycINFO, PSYNDEX, and SINGLE up to October 2016. In order to be included, studies should provide insight into prognostic factors...
Le retour au travail des immigrants victimes de lésions professionnelles
Les embûches de la rencontre interculturelle et la précarité du lien d'emploi Cet article rapporte une partie des résultats d'une étude exploratoire sur le processus de réadaptation et de retour au travail en contexte de relations interculturelles. Cette étude avait deux objectifs : identifier les stratégies mises de l'avant par les différents acteurs pour faciliter le processus de réadaptation et de retour au travail des travailleurs immigrants et décrire les contraintes, les obstacles et les aides au processus...
Return to work: A comparison of psychological and physical injury claims
The report examines the similarities and differences between psychological and physical claims. Two main areas are considered: RTW by potential influencing factors, and employees responses and experiences. Source: https://www.safeworkaustralia.gov.au/doc/return-work-comparison-psychological-and-physical-injury-claims
Barriers to and facilitators of return to work after sick leave in workers with common mental disorders
Perspectives of workers, mental health professionals, occupational health professionals, general physicians and managers Common mental disorders (CMDs), such as anxiety, stress and depression, are among the leading causes of disability worldwide and have a major impact in terms of lost productivity and sickness absence. Returning to work is a complex process in which different stakeholders may be involved and have to co-operate. This report discusses the return-to-work process of workers on sick leave with CMDs, and the barriers and facilitators from a multi-stakeholder perspective, ie workers...
Work, organisational practices, and margin of manoeuver during work reintegration
BACKGROUND: Many individuals of working age experience cardiovascular disease and are disabled from work as a result. The majority of research in cardiac work disability has focused on individual biological and psychological factors influencing work disability despite evidence of the importance of social context in work disability. In this article, the focus is on work and organisational features influencing the leeway (margin of manoeuvre) workers are afforded during work reintegration. METHODS: A qualitative method was used. A large auto manufacturing plant was selected owing to work, organisational...
How do line managers experience and handle the return to work of employees on sick leave due to work-related stress?
A one-year follow-up study PURPOSE: To examine how line managers experience and manage the return to work process of employees on sick leave due to work-related stress and to identify supportive and inhibiting factors. MATERIALS AND METHODS: Semi-structured interviews with 15 line managers who have had employees on sick leave due to work-related stress. The grounded theory approach was employed. RESULTS: Even though managers may accept the overall concept of work-related stress, they focus on personality and individual circumstances when an employee is sick-listed due to work-related stress...
Legislative change enabling use of early part-time sick leave enhanced return to work and work participation in Finland
Part-time sick leave is used in many countries to enhance return to work, however its effectiveness – especially at the early stage of work disability – is not known. This quasi-experiment utilizing propensity score matching shows that part-time sick leave, started during the first 12 weeks of work disability, enhances return to work and increases work participation over a 2-year period. Source: Viikari-Juntura E, Virta LJ, Kausto J, Autti-Rämö I, Martimo K-P, Laaksonen M, Leinonen T, Husgafvel-Pursiainen K, Burdorf A, Solovieva S. (2017). Scand J Work Environ Health . http...
Return to work after mild-to-moderate stroke: work satisfaction and predictive factors
A large proportion of stroke patients are unable to return to work (RTW), although figures vary greatly. A total of 121 mild-to-moderate stroke patients, who had a paid job at the time of their stroke were included (a) to quantify RTW and work satisfaction one-year post-stroke (using the Utrecht Scale for Evaluation of Rehabilitation-Participation) and (b) to determine factors predicting RTW post-stroke, based on stroke-related, personal and neuropsychological variables. Half of the patients were not in work (28%) or were working less (22%) than pre-stroke. Ninety percent of those in fulltime employment...
Relations interculturelles - Comprendre le processus de réadaptation et de retour au travail
Dans le domaine de la santé et de la sécurité du travail (SST), les barrières linguistiques et culturelles sont souvent décrites comme des facteurs de vulnérabilité des travailleurs. Il est rapporté que de telles barrières ont déjà été ou sont encore à l'origine d'erreurs diagnostiques ou de mauvaises évaluations cliniques, compliquant ainsi le processus de réadaptation et de retour au travail. La problématique de la réadaptation et du retour au travail dans le contexte...
Return to work after cancer
There is an increasing amount of information available for line managers, human resources and occupational health professionals on helping individuals with cancer stay in work. However, until this research, there had been a lack of evidence on specific health and safety issues and effective approaches to risk assessment and risk management for occupational safety and health (OSH) professionals, and others, to support those undergoing treatment or returning to work after cancer. The research addresses this evidence gap by: - seeking to understand the health and safety implications of returning to...
Rehabilitation and return to work after cancer: Literature review
As treatments have improved, there are more and more people surviving cancer in Europe. While most cancer survivors return to work after treatment, many face long-term symptoms and impairments that can make it difficult for them to do so. This report provides an overview of the relevant scientific literature, conducted to collect information on existing initiatives, policies and practices on rehabilitation and return to work after cancer and gather examples of successful interventions. Source: https://osha.europa.eu/en/tools-and-publications/publications/rehabilitation-and-return-work-after-cancer...
The role of health-care providers in the workers' compensation system and the return-to-work process
International research has generated strong evidence that health-care providers have a key role in the return-to-work (RTW) process. However, pressure on consultation time, administrative challenges and limited knowledge about a patient's workplace can thwart meaningful engagement. This multi-jurisdictional, two-year study focused on health-care providers' experiences within the workers' compensation system and their role in the RTW process. Source: http://www.iwh.on.ca/system/files/documents/role_of_health-care_providers_in_return_to_work_final_report_2016.pdf
Costs and Work Loss Burden of Diagnosed Opioid Abuse Among Employees on Workers Compensation or Short-term Disability
Objective: To compare 12-month healthcare costs between employees with versus without diagnosed opioid abuse within 12 months after an injury-related workers' compensation (WC) or short-term disability (STD) claim. Methods: Retrospective study using 2003 to 2014 US insurance claims linked to administrative data on WC/STD claims. Multivariable models compared healthcare costs between employees with versus without diagnosed opioid abuse. Results: Study included 107,975 opioid-treated employees with an injury-related WC or STD claim. Mean number of opioid prescription fills and adjusted total...
Effects of a randomized controlled intervention trial on return to work and health care utilization after long-term sickness absence
BACKGROUND: The aim of the RCT study was to investigate if the effect of a multidisciplinary intervention on return to work (RTW) and health care utilization differed by participants' self-reported health status at baseline, defined by a) level of somatic symptoms, b) health anxiety and c) self-reported general health. METHODS: A total of 443 individuals were randomized to the intervention (n = 301) or the control group (n = 142) and responded to a questionnaire measuring health status at baseline. Participants were followed in registries measuring RTW and health care utilization. Relative...
Engaging Employers to Prevent Disability
The Journal is honored to be publishing this special issue and grateful to all of the very talented contributors involved. The papers in this issue of the Journal provide not only a state-of-the-art review of employer factors and interventions but also provide information about research design challenges and recommendations that will be useful for anyone planning research in this domain. Practitioners will also appreciate the efforts to include information from the “grey literature” and to highlight issues of employer decision-making and implementation. All of the papers have been published...
Managerial abuse and the process of absence among mental health staff
Managers' abuse of subordinates is a common form of unethical behaviour in workplaces. When exposed to such abuse, employees may go absent from work. We propose two possible explanations for employee absence in response to managerial abuse: a sociological explanation based on perceptions of organizational justice and a psychological explanation based on psychological strain. Both are tested using data from a sample of 1472 mental health workers. The occurrence, duration and frequency of absence are investigated using a hurdle model. Managerial abuse is found to be associated with the occurrence...
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