scholarly journals The Complexity of Decreased Work Ability: Individuals’ Perceptions of Factors That Affect Returning to Work after Sickness Absence

Author(s):  
Ella Näsi ◽  
Mikko Perkiö ◽  
Lauri Kokkinen

Much of what has been written about decreased work ability is based on quantitative studies and has been written from the perspective of professionals, service providers or authorities. In our qualitative study, we sought to understand how affected individuals themselves perceive and experience the multifaceted factors that are related to their decreased work ability. Sixteen individuals in Finland with musculoskeletal diseases (MSD) participated in semi-structured interviews. The participants were potential clients of a multi-professional service pilot model, the TOIKE Work Ability Centre. Narrative and thematic analyses were utilised. The study found that individuals with decreased work ability have differing perspectives towards returning to work and often complex life situations. Five distinctive groups were identified based on self-assessed health, work ability and orientation towards work or pension: (1) the Successful; (2) the Persevering; (3) the Forward-looking; (4) the Stuck; and (5) the Pension-oriented. Health problems, unemployment, age discrimination, financial difficulties and skill deficits were the major challenges of the interviewees. Furthermore, they perceived the service and benefit systems as complicated. The TOIKE service proved useful to some of them. However, many had not utilised it due to a lack of understanding of its purpose. Identifying the distinctive groups and their needs may improve interventions. Ultimately, this may help to achieve Target 8.5 of the UN Sustainable Development Goals, which advocates the right to employment for all ages and for those with disabilities.

2017 ◽  
Vol 46 (3) ◽  
pp. 623-642 ◽  
Author(s):  
THERESE JEFFERSON ◽  
SIOBHAN AUSTEN ◽  
RACHEL ONG ◽  
MARIETTA E. A. HAFFNER ◽  
GAVIN A. WOOD

AbstractHousing wealth dominates the asset portfolios of the older population in Australia and many other countries. Given the anticipated spike in fiscal costs associated with population ageing, there is growing policy interest in housing equity withdrawal (HEW) to finance living needs in retirement. This paper sheds light on homeowners’ perceptions of the obstacles associated with two forms of HEW: mortgage equity withdrawal (where thein situhome owner increases his/her housing-related debt) and downsizing (where housing equity is released by moving to a lower-valued property). We uncover a series of age-specific barriers impeding older Australians’ use of these forms of HEW through qualitative analysis of semi-structured interviews conducted with home owners and professional service providers in related areas of policy and practice. To that end, we recommend the development of a range of safeguards that will minimise the risk exposure and other obstacles associated with HEW for older home owners.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Hansen ◽  
H Nordén ◽  
M Ohlsson

Abstract Background Individuals with intellectual disability (ID) are less physically active than individuals without ID, and they rarely or never reach the recommended daily level of physical activity. It is understood that both social interaction and ability in performing work tasks affect participation in daily activity services among people with ID. Individuals with ID generally have a higher risk of hypertension and obesity-related cardiovascular disease than individuals without ID. Professional service providers and parents are often those being asked, it is more seldom that the knowledge comes from the target group (ID) themselves. Aim To identify experiences and feelings among adolescents with ID regarding activity and sports participation, and to identify how they express and perceive the opportunities they have for being active in the community and surroundings where they live, including body and health awareness. Methods 12 adolescents with ID, boys and girls, from Mid-Sweden participated in the study. The participants took part in a semi-structured interview that focused on experiences and aspects regarding activity and sports in their surroundings. Interviews identified three aspects: Activity, Surroundings, and Body- and health awareness. Adolescents with ID seems motivated to participate in activities and sports. The role of significant others, family and friends, support and the feeling of joy all seem crucial when reporting being outdoors, participating in ball games and in music activities. They are aware of limitations, sometimes feel bullied and are afraid of being excluded. Participation in activities and sports may be positively associated with health, but limitations such as awareness and support from society challenge the perception of ‘fitting in’ experienced by adolescents with ID. There is a need for deeper understanding to implement and follow up on the UN convention on rights for individuals with ID, as well as the 2030 sustainable development goals. Key messages The project aims to identify how individuals with ID can increase their participation in societal activities and hence feel more active and included as citizens. Special attention is given to include stakeholders in order to promote implementation and long-term success.


1998 ◽  
Vol 3 (3) ◽  
pp. 209-218 ◽  
Author(s):  
André Büssing ◽  
Thomas Bissels

The extended model of different forms of work satisfaction ( Büssing, 1991 ), originally proposed by Bruggemann (1974) , is suggested as a distinctive qualitative approach to work satisfaction. Six forms of work satisfaction—progressive, stabilized, resigned satisfaction, constructive, fixated, resigned dissatisfaction—are derived from the constellation of four constituent variables: comparison of the actual work situation and personal aspirations, global satisfaction, changes in level of aspiration, controllability at work. Preliminary evidence from semi-structured interviews with 46 nurses shows that the dynamic model is headed in the right direction (qualitative differentiation of consistently high propertions of satisfied employees, uncovering processes of person-work situation interaction). Qualitative methods demonstrated their usefulness in accessing underlying cognitive and evaluative processes of the forms, which are often neglected by traditional attitude-based satisfaction research.


2021 ◽  
Vol 13 (2) ◽  
pp. 746
Author(s):  
Pascal Ohlhausen ◽  
Nina Langen

Sustainable meal choices in the out-of-home catering market are essential to attaining the Sustainable Development Goals. This study investigated consumers’ acceptance of different features that help service providers to work more sustainably. For this purpose, data of a choice experiment and a supporting online questionnaire were analyzed using latent class analysis (LCA) and the data of n = 373 employees. Examined attributes in the choice experiment were menu variety, menu type, ordering system, ingredients and price. LCA led to four consumer segments: variety seekers (27.6%), spontaneous decisionmakers—vegetarian (25.7%), spontaneous decisionmakers—meat (24.1%) and vegetarians/vegans (22.6%). Results showed that consumers in all four segments expected to have the choice between different menus in company canteens. Moreover, they preferred spontaneous choice to preordering. Both preferences hamper sustainable production and consumption in the catering sector.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ingrid G. Boelhouwer ◽  
Willemijn Vermeer ◽  
Tinka van Vuuren

Abstract Background The prevalence of the group of workers that had a cancer diagnosis in the past is growing. These workers may still be confronted with late effects of cancer (treatment) possibly affecting their work ability. As little is known about the guidance of this group, the aim of this study was to explore the experiences and ideas of managers and professionals about the guidance of these workers in the case of late effects of cancer (treatment). Given the positive associations with work ability of the job resources autonomy, social support by colleagues and an open organisational culture found in several quantitative studies, these job resources were also discussed. Further ideas about the influences of other factors and points of attention in the guidance of this group of workers were explored. Methods Semi-structured interviews were conducted with managers (n = 11) and professionals (n = 47). Data-collection was from November 2019 to June 2020. The data were coded and analysed using directed content analyses. Results The late effects of cancer or cancer treatment discussed were physical problems, fatigue, cognitive problems, anxiety for cancer recurrence, and a different view of life. The self-employed have less options for guidance but may struggle with late effects affecting work ability in the same way as the salaried. Late effects may affect work ability and various approaches have been described. Autonomy, social support of colleagues and an open organisational culture were regarded as beneficial. It was indicated that interventions need to be tailor-made and created in dialogue with the worker. Conclusions Especially with respect to cognitive problems and fatigue, guidance sometimes turned out to be complicated. In general, the importance of psychological safety to be open about late effects that affect work ability was emphasized. Moreover, it is important to take the perspective of the worker as the starting point and explore the possibilities together with the worker. Autonomy is an important factor in general, and a factor that must always be monitored when adjustments in work are considered. There is a lot of experience, but there are still gaps in knowledge and opportunities for more knowledge sharing.


2021 ◽  
Vol 8 ◽  
pp. 233339362110281
Author(s):  
Renee Fiolet ◽  
Cynthia Brown ◽  
Molly Wellington ◽  
Karen Bentley ◽  
Kelsey Hegarty

Technology-facilitated abuse can be a serious form of domestic violence. Little is known about the relationship between technology-facilitated abuse and other types of domestic violence, or the impact technology-facilitated abuse has on survivors. The aim of this interpretative descriptive study is to understand domestic violence specialist service providers’ perspectives on the impact of technology-facilitated abuse, and the link between technology-facilitated abuse and other forms of domestic violence. A qualitative approach using 15 semi-structured interviews were undertaken with Australian domestic violence specialist practitioners, and three themes were identified through data coding using inductive thematic analysis. Another form of control describes technology-facilitated abuse behaviors as enacting controlling behaviors using new mediums. Amplifies level of fear characterizes the impact of technology-facilitated abuse. A powerful tool to engage others describes opportunities technology offers perpetrators to abuse through engaging others. Findings highlight technology-facilitated abuse’s complexity and integral role in domestic violence and can assist clinicians to understand the impact and harm that can result from technology-facilitated abuse.


Land ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 273
Author(s):  
Mahsa Mesgar ◽  
Diego Ramirez-Lovering

Informal settlements represent a challenging operational context for local government service providers due to precarious contextual conditions. Location choice and land procurement for public infrastructure raise the complicated question: who has the right to occupy, control, and use a piece of land in informal settlements? There is currently a dearth of intelligence on how to identify well-located land for public infrastructure, spatially and with careful consideration for safeguarding the claimed rights and preventing conflicts. Drawing on a case study of green infrastructure retrofit in seven informal settlements in Makassar, Indonesia, we classify the informal settlers’ land rights into four types: ownership, use, control, and management. This exploratory study uses a typological approach to investigate the spatial dimension of land rights in informal settlements. We introduce non-registrable land interests and the partial, dynamic, and informal land use rights that impact the land procurement for infrastructure retrofit. We also create a simple spatial matrix describing the control/power, responsibilities and land interests of different stakeholders involved in the location decision making for public infrastructure. We argue that without sufficient understanding of non-formal land rights, land procurement proposals for the public infrastructure upgrades can be frustrated by the individual or group claims on the land, making the service provision impossible in informal settlements.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bingsheng Liu ◽  
Tao Wang ◽  
Jiaming Zhang ◽  
Xiaoming Wang ◽  
Yuan Chang ◽  
...  

AbstractAchieving the Sustainable Development Goals (SDGs) is a long-term task, which puts forward high requirements on the sustainability of related policies and actions. Using the text analysis method, we analyze the China National Sustainable Communities (CNSCs) policy implemented over 30 years and its effects on achieving SDGs. We find that the national government needs to understand the scope of sustainable development more comprehensively, the sustained actions can produce positive effects under the right goals. The SDGs selection of local governments is affected by local development levels and resource conditions, regions with better economic foundations tend to focus on SDGs on human well-being, regions with weaker foundations show priority to basic SDGs on the economic development, infrastructures and industrialization.


2021 ◽  
Vol 13 (8) ◽  
pp. 4247
Author(s):  
Elena Bulmer ◽  
Cristina del Prado-Higuera

The seventeenth Sustainable Development Goal of the United Nations, Partnerships for the Goals, aims to strengthen the means of the implementation and revitalize the global partnership for sustainable development. The successful implantation of the UN’s seventeenth Sustainable Development Goal will aid the execution and achievement of the other sixteen goals. This article explores the importance and viability of Sustainable Development Goal 17, using a case study based in Valencia, Spain. The study presents an illustrative stakeholder situation, where we see that there are conflicting interests among conservationists, fishermen, municipality representatives, and others. Data collection was done using desk-based research and semi-structured interviews. The interview process was performed between October 2018 and October 2019. In total, 21 different stakeholders were interviewed. For the data analyses, a stakeholder register, Power–Interest Matrices, and a stakeholder map were used, and, to complement the latter, narratives were developed. The different analyses showed that most project stakeholders supported the project, while there was really only one stakeholder, the fishermen themselves, who were reticent about participating. However, it was shown over time that, by developing a common vision with them, the fishermen came on board the project and collaborated with the scientists. Stakeholder engagement analyses are especially useful in the application of Sustainable Development Goals at the project level. Although this case study is specifically applicable to a marine conservation context, it may be extrapolated and applied to any other Sustainable Development Goals’ context.


2021 ◽  
Vol 21 ◽  
pp. 100428
Author(s):  
Helena de Oliveira Souza ◽  
Rafaela dos Santos Costa ◽  
Gabrielle Rabelo Quadra ◽  
Marcos Antônio dos Santos Fernandez

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