Key Push and Pull Factors Affecting Return to Work Identified by Patients With Long-Term Pain and General Practitioners in Sweden

2019 ◽  
Vol 29 (11) ◽  
pp. 1581-1594 ◽  
Author(s):  
Tove Lundberg ◽  
Stina Melander

Research shows that working is positive for people with long-term pain but that work-related support from health professionals is inadequate. One explanation for this inadequacy is that patients and providers differ in terms of perspectives on motivation to work. In this article, we compare factors that 31 patients and 15 general practitioners consider important to promote return to work for people with long-term pain. We analyzed the interviews with thematic analysis and a motivational push and pull framework to cover different motivational factors, societal and individual, that might push or pull patients from or toward work. Providers said that a difference between working and nonworking patients is their level of individual motivation, while the patients’ stories showed that the main difference was the physical (non)ability to push themselves to work. We suggest that work-related support can be improved by addressing such differences in clinical practice.

Author(s):  
Adriano Dias ◽  
Juan Gómez-Salgado ◽  
João Bernardes ◽  
Carlos Ruiz-Frutos

Sickness absenteeism in public institutions compromises the execution of services, and may also generate direct impacts on the population that receives coverage. To determine if sick leave duration for temporary disabilities is associated with non-work-related illnesses (NWRI), a historical cohort study was carried out of workers at a Brazilian University. The Charlson Comorbidity Index (CCI) was obtained from the most prevalent diagnoses in each expert examination and from the corresponding days of sick leave per episode, adjusting simple and multiple Cox regression models. As a result, 70% of the NWRI temporary disabilities were due to depressive disorders, convalescence, and dorsalgia with a sick leave duration between 4 and 320 days. The factors of protection for sick leave durations until the rehabilitation were non-insulin-dependent diabetes mellitus and hypertension. Long-term sick leaves were observed in the cases that required rehabilitation of those workers diagnosed with recurrent depressive disorders, conjunctivitis, acute sinusitis, skin disorders, calculus of kidney and ureter, abdominal and pelvic pain, and same-level fall accidents. It is also worth noting that even in a disease that can justify long-term sick leaves, such as breast cancer, the duration may be shorter according to the worker’s capacity and self-efficacy.


2021 ◽  
Vol 29 (2) ◽  
pp. 91-104
Author(s):  
Eun-Ju Jo ◽  
◽  
Dong-Hee Noh ◽  
Seung-Hyup Han ◽  
Kyung-Yoon Kam

2019 ◽  
Vol 67 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Kristin D. Ashley ◽  
Loretta T. Lee ◽  
Karen Heaton

Despite improvements in the treatment of stroke, many individuals still face cognitive, emotional, and physical impairments. Stroke is a leading cause of serious long-term disability and subsequent failure to return to work (RTW). The purpose of this literature review was to synthesize and discuss the literature relevant to factors affecting RTW for stroke survivors, summarize the identified gaps, and discuss steps occupational health nurses can take to facilitate RTW among stroke survivors. A literature search was conducted using the keywords: “stroke,” “cerebrovascular disease,” “return to work,” and “employment.” After excluding articles based on inclusion/exclusion criteria, 19 quantitative research articles were reviewed. Consistent themes found in the literature affecting RTW following stroke included physical, social, and cognitive factors. One of the most consistent predictors of RTW found was stroke severity. Individuals who experienced a mild to moderate stroke, those of Caucasian ethnicity, and higher socioeconomic levels were more likely to RTW. Findings suggest the importance of future studies to examine factors among African American stroke survivors that predict RTW and the role of occupational health nurses.


2019 ◽  
Vol 29 (4) ◽  
pp. 672-678 ◽  
Author(s):  
Shannon E. Gray ◽  
Bianca Brijnath ◽  
Danielle Mazza ◽  
Alex Collie

2019 ◽  
Vol 27 (2) ◽  
pp. 107-120
Author(s):  
Dong-Hee Noh ◽  
◽  
Eun-Ju Jo ◽  
Yun-Jun Cha ◽  
Seung-Hyup Han ◽  
...  

2014 ◽  
Vol 20 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Kathryn M. Page ◽  
Irina Tchernitskaia

Work-based return-to-work (RTW) interventions can help to reduce the duration and cost of work disability, and in turn, prevent the negative effects of long-term sickness absence. However, there are a number of complex cognitive, affective and behavioural factors that can impact an individual's confidence, motivation and willingness to RTW that need to be addressed to facilitate effective outcomes. This literature review investigates evidence for the use of motivational interviewing (MI) for improving return-to-work (RTW) and employment outcomes. Whilst evidence for the efficacy of MI in clinical settings to motivate health behaviour change is strong, more research is needed to determine whether MI can be usefully applied to improve RTW and other work-related outcomes.


Economies ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 21
Author(s):  
Mariusz Urbański

The purpose of this research was to conduct a comparison of the push and pull factors affecting migration between Poland and Romania. The study aimed to find out which among the push and pull factors have a greater effect overall and individually on the migration activities. The study was conducted using primary data collected from migrants in both countries using a structured questionnaire. There were data from 298 and 288 surveys for Poland and Romania, respectively. The push and pull migration framework was applied to guide the study. The model suitability was confirmed satisfactory on validity, reliability and factor analysis. The hypothesis was analyzed and evaluated using multiple regression analysis. The findings of the study indicated that pull factors have a greater influence on migration in these two countries as compared to the push factors. Five out of six (economic, political and social in Poland and economic and political in Romania) pull factors were found significant as compared to two (social in Poland and in Romania) out of six push factors. Pull economic factors were significant determinants of migration in all the countries. Pull political factors were found to have the highest effect in both countries, because they influenced migrants in Romania. Economic factors are the major factors that influence migration, including the hope of finding better jobs and better life in the foreign countries, and these factors should be addressed in the effort to reduce migration. In addition, political issues such as unfair legal system, violent conflicts, underdevelopment, poverty, political instability and corruption should be addressed to control the issue of migration.


2017 ◽  
Vol 63 (3) ◽  
pp. 224-234 ◽  
Author(s):  
Lorenza Magliano ◽  
Antonella Strino ◽  
Rosanna Punzo ◽  
Roberta Acone ◽  
Gaetana Affuso ◽  
...  

Background: General practitioners (GPs) play a key role in the care of somatic and psychiatric problems in people diagnosed with schizophrenia (PWS). It is probable that, like other health professionals, GPs are not all free of prejudices toward PWS. In clinical practice, GPs sometimes interact with clients diagnosed with schizophrenia by specialists, passively accepting this diagnosis. Other times, GPs interact with clients having symptoms of schizophrenia but who have not been diagnosed. In this case, GPs are expected to actively make a diagnosis. Giving the key role of GPs in the process of care, it is worthwhile examining whether passive acceptance and active usage of the diagnosis schizophrenia have differential effects on GPs’ attitudes toward people with this disorder. Aims: To investigate GPs’ views of schizophrenia and whether they were influenced by a ‘schizophrenia’ label, passively accepted or actively used. Methods: A total of 430 randomly selected GPs were invited to complete a questionnaire about their views of schizophrenia, either after reading a description of this disorder and making a diagnosis, or without being provided with a description but passively accepting the label ‘schizophrenia’ given in the questionnaire. Results: The GPs who passively accepted the label schizophrenia ( n = 195) and those who actively identified schizophrenia from the description ( n = 127) had similar views. Compared to the GPs who did not identify schizophrenia in the description ( n = 65), those who used the diagnosis, actively or passively: more frequently reported heredity and less frequently psychosocial factors as causes of the disorder; were more skeptical about recovery; were more convinced of the need for long-term pharmacotherapies; believed more strongly that PWS should be discriminated against when in medical hospital; and perceived PWS as more dangerous and as kept at greater social distance. Conclusion: The diagnosis ‘schizophrenia’, however used, is associated with pessimistic views. Stigma education should be provided to GPs.


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