Integration als betriebliche Routine. Organisationssoziologische Perspektiven auf alltägliche Integrationsprozesse

2021 ◽  
Vol 70 (3) ◽  
pp. 111-129
Author(s):  
Jannis Hergesell ◽  
Jana-Maria Albrecht
Keyword(s):  
Health Care ◽  
Labor Market ◽  
Return To Work ◽  
Working Life ◽  
Organizational Routines ◽  
Sociological Perspective ◽  
Research Focus ◽  
Earning Capacity ◽  
Formal Procedures ◽  
Successful Integration

Zusammenfassung Arbeitsmarkt(re)integration von gesundheitlich eingeschränkten Mitarbeiter*innen findet hauptsächlich in Betrieben statt. Allerdings nimmt die Stay at- und Return to Work-Forschung die spezifischen Strukturen von betrieblicher Wiedereingliederung nur randständig in den Blick. Fokussiert werden hauptsächlich formale Verfahren wie das betriebliche Wiedereingliederungsmanagement und schematisch beschriebene Akteurskonstellationen. Kurzfristige Absprachen im Arbeitsalltag, Koordination außerhalb von eingefahrenen Pro­zeduren und bewusstes Abweichen von Vorschriften werden so außer Acht gelassen. Daher bleiben auschlaggebende Gelingensbedingungen betrieblicher Wiedereingliederung unerkannt. Wir adressieren diese Forschungslücke und plädieren für eine genuin organisationsoziologische Perspektive auf betriebliche Arbeitsmarkt(re)integration. Wir nutzen das theoretische Konzept der organisationalen Routinen und können so ein Ablaufmodell gelingender Integrationsroutinen entwickeln. Abstract: Integration as an Organizational Routines Labor market (re)integration of employees with reduced earning capacity mainly takes place in companies. Nevertheless, previous research has disregarded companies as specific environments for reintegration. The research focus stays on formal cooperate health care procedures and schematically described actor constellations. Deliberate deviations from these formal procedures and the complex informal coordination of integration in everyday working life, as well as their success conditions, thus remain hidden. To address this unsolved task, we argue for a genuine organizational-sociological perspective on company-based labor market (re)integration. Subsequently, we introduce a model of successful integration processes based on the concept of organizational routines.

scholarly journals Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

2021 ◽  
pp. 238008442110119
Author(s):  
M. McNally ◽  
L. Rock ◽  
M. Gillis ◽  
S. Bryan ◽  
C. Boyd ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Return To Work ◽  
Health Care Providers ◽  
Online Survey ◽  
Knowledge Exchange ◽  
Oral Health Care ◽  
Care Providers ◽  
Oral Health Services

Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.

Migrants and the Labor Market: The Role and Tasks of Adult Education

2021 ◽  
Vol 32 (1) ◽  
pp. 29-39
Author(s):  
Tetyana Kloubert ◽  
Chad Hoggan
Keyword(s):  
Labor Market ◽  
Adult Education ◽  
Adult Educators ◽  
Learning Needs ◽  
Integration Process ◽  
Multiple Forms ◽  
Education Programs ◽  
Successful Integration

The process of migration to a new country brings with it a host of challenges, and therefore also learning needs. Some countries have systems in place to facilitate the transition of migrants into society, often including adult education programs. Those programs, however, cannot be effective if blithely designed in ignorance of the interrelationship between established systems for facilitating integration and the experiences of migrants during the integration process. Focusing on the transition into the labor market and drawing on the expertise of adult educators who work in these systems in Germany, this article explores several stumbling blocks that make a successful integration for migrants more difficult and describes three strategies to address them: challenging the logic of the labor market, dealing with failure, and acknowledging multiple forms of discrimination. The analysis of Germany can provide insights that are useful in other national contexts.

scholarly journals Clients’ Perspective on Predetermined Time Limits for Therapy in the Context of the Norwegian Welfare System

SAGE Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 215824402110095
Author(s):  
Signe Hjelen Stige ◽  
Per-Einar Binder ◽  
Jan Reidar Stiegler ◽  
Elisabeth Schanche ◽  
Didrik Andreassen Hummelslund ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Return To Work ◽  
Limited Capacity ◽  
High Demand ◽  
Emotion Focused Therapy ◽  
Time Limits ◽  
Welfare Systems ◽  
Predetermined Time

Limited capacity and high demand for mental health care drive efforts to improve the efficiency of treatment and increasingly result in predetermined time limits for treatment, even in government-covered treatment in welfare systems. How do clients experience having predetermined time limits for psychotherapy? We analyzed the transcripts of interviews with 18 participants who had completed a return to work (RTW) intervention based on emotion-focused therapy (EFT) that had predetermined time limits. The analysis identified four experiential trajectories through therapy with predetermined time limits, representing four narrative themes: Trajectory A: It is ok to stop here—Not wanting more therapy; Trajectory B: Seeing the benefits of continued therapy, but ready to give life a go without treatment; Trajectory C: Being on one’s own too early—Economic obstacles hindering the continuation of therapy; and Trajectory D: I need more than this—Securing continued therapy. Having the therapist communicate the timeframes for therapy clearly, while leaving room for individual tailoring of therapy, was experienced as very important by clients receiving psychotherapy with predetermined time limits.

De arbeidsmarkt van de Nederlandse gezondheidszorg als ‘patiënt’: een diagnose en enkele behandeladviezen

2012 ◽  
Vol 28 (3) ◽  
Author(s):  
Ronald Batenburg ◽  
Margo Brouns
Keyword(s):  
Health Care ◽  
Labor Market ◽  
Meta Analysis ◽  
Health Sector ◽  
Training System ◽  
Health Care Market ◽  
Labor Market Policy ◽  
Market Policy ◽  
Patient Diagnosis ◽  
Dutch Health

The labor market of the Dutch health sector as patient: diagnosis and some advices for treatment The labor market of the Dutch health sector as patient: diagnosis and some advices for treatment In this article we discuss the labor market and job structure of the health care in the Netherlands. The health care market is under cost and capacity pressure which calls for a fundamental change of the job and training system. A meta-analysis based on two leading trend reports shows that there is a watershed between the labor market for physicians and non-physicians. The labor market for doctors is centrally planned, while for the much larger group of nurses the labor market is not governed. Another observation is that bottlenecks are mainly approached by increasing the capacity, less by innovations in the educational and occupational structure. Following this analysis, this article advocates for a comprehensive labor market policy that takes into account different segments of care, that require different skills mixes and competence bundles. We also argue that segmentation on the regional level is required to achieve a demand-based health labor market policy.

scholarly journals Is Mobility in the Labor Market a Solution to Sustainable Return to Work for Some Sick Listed Persons?

2011 ◽  
Vol 21 (3) ◽  
pp. 355-365 ◽  
Author(s):  
Kerstin Ekberg ◽  
Charlotte Wåhlin ◽  
Jan Persson ◽  
Lars Bernfort ◽  
Birgitta Öberg
Keyword(s):  
Labor Market ◽  
Return To Work

scholarly journals Citizens of Serbia in focus of the labour market

Stanovnistvo ◽  
2009 ◽  
Vol 47 (2) ◽  
pp. 85-99 ◽  
Author(s):  
Danilo Sukovic
Keyword(s):  
Labor Market ◽  
Labor Force ◽  
Economic Crisis ◽  
Informal Economy ◽  
Global Economy ◽  
Working Life ◽  
Rapid Expansion ◽  
Economic Recovery ◽  
Formal Sector ◽  
Mutual Dependence

This paper analyzes the mutual dependence of the labor market and the population, since the supply of the labor force depends on population size and its structure. The demographic aspects of the labor market are especially analyzed and it is shown that the supply of the labor force does not depend only on the quantitative and qualitative characteristics of the population but that the mutual dependence of the labor market and demographic factors are much more complex and multiply expressive. An analysis of the key trends on the labor market presented in this paper indicates that the global economy requires an increasingly flexible labor force. In that sense, the forecasts of numerous economists and sociologists are based on the conviction that more and more people in future will become workers with a portfolio. They will posses a certain number of skills and qualifications which they will use to transfer from one job on to another during their working life. A continuous profession, namely a steady career, in today's sense of the word, will only a relatively small number of people have. It all goes in favor of the theory that having a 'job for your whole working life' is becoming a thing of the past. In this paper it is further concluded that for tracing the path for an efficient labor market, it should be considered that, during the nineties of the last century, there has been an increase in poverty and a change in population structure, not only because of a large inflow of refugees and internally displaced persons, but due to emigration of the younger population and an increase of the old, ill and dependant persons. All these changes greatly influenced the supply of the labor force, in a quantitative and qualitative way, and thus the strategy for increasing employment should be adjusted. The rapid expansion of the underground-informal economy must be added to all this, which grew rapidly in the nineties of the last century, naturally to the detriment of the formal sector. This paper especially stresses that the economic crisis has large unfavorable consequences on our labor market. The estimation of numerous experts indicate that after the economic recovery and end of the economic crisis, unemployment will still be very high and that the recovery of the labor market will be the slowest, namely that the effects of the economic recovery will reflect the slowest on the labor market, namely employment increase. For this reason it will be necessary to stimulate the reformative processes of the labor market so as to increase its efficiency and thus create conditions to rationally engage the large working potential of Serbia's population, which is one of the key prerequisites for larger economic growth and development.

Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance

2021 ◽  
Author(s):  
Christopher Ull ◽  
Hans Ehlers ◽  
Emre Yilmaz ◽  
Sebastian Lotzien ◽  
Thomas A. Schildhauer ◽  
...  
Keyword(s):  
Return To Work ◽  
Complication Rates ◽  
Injury Patterns ◽  
Earning Capacity ◽  
Forklift Truck ◽  
Multi Stage ◽  
Truck Accidents ◽  
Retrospective Data Collection ◽  
Combined Injuries

Abstract Introduction The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employersʼ liability insurance association. Methods Retrospective data collection of all cases between 2004 and 2019. Excluded were patients < 18 years, without follow-up or with definitive external treatment. Trauma mechanism, injury patterns and distribution, treatment, complications, time of incapacity for work, return to work and impairment of earning capacity were recorded. Results Of 109 patients with 110 injuries, 52.7% showed isolated injuries and 47.3% combined injuries, which affected the lower extremity in 95 cases. There were fractures in 85.5%, including 32.7% in open form. The mean length of stay was 29.1 days (range 1 – 129); an indication for surgery was seen in 80.9%. Surgical treatment required an average of 3 interventions, with significantly more operations for soft tissue closure than for the fractures (p ≤ 0.023). Amputations were necessary in 8 cases; complications occurred in 29.1%. Return to work was possible in 90%, after a mean period of incapacity for work of 33.6 weeks. A total of 40% showed a pensionable impairment of earning capacity. Conclusion Accidents with forklift trucks result in complex lower extremities injuries with the need of multi-stage treatment and show relatively high complication rates. A return to work is often possible after a long period of convalescence, and a pensionable impairment of earning capacity often persists.

Klinkende meerstemmige verhalen, deel II

KWALON ◽  
2014 ◽  
Vol 19 (1) ◽  
Author(s):  
Monique Bussmann ◽  
Chris Kuiper ◽  
Alexander Maas
Keyword(s):  
Health Care ◽  
Labor Market ◽  
Data Collection ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Elderly Care ◽  
Music Listening ◽  
Musical Work ◽  
Narrative Methodology ◽  
The Government

Sounding polyphonic stories, part II. The phase of listening in data collection Sounding polyphonic stories, part II. The phase of listening in data collection In the Netherlands, future staffing of elderly care will demand a big effort and a lot of creativity of health care organizations and the government. In this study an unconventional qualitative, narrative methodology is applied to throw a new light on the significance having a job and working in elderly care has for health care professionals and to use this as a source of inspiration for labor market policymakers. The methodology is rather unconventional because it doesn’t only focuses on the lingual content of the stories, but also includes other significant aspects of storytelling (e.g., voice and sound). Therefore musical work forms (e.g., music listening and singing) are used additionally.In the first phase of data collection stories of care professionals about the intertwining of their lifeline and career have been collected. In the second, listening phase HR-professionals listened to the stories told by the care professionals and used them as a source of inspiration for HR policy innovation.In a former article the methodology of the storytelling phase has been described. This article treats the methodology of the listening phase in the data collection. Later on the analysis methods will be described.

Predicting Return To Work After Workplace Injury: A Review of Current Literature

2005 ◽  
Vol 11 (2) ◽  
pp. 84-102
Author(s):  
Richard Hilton
Keyword(s):  
Return To Work ◽  
Living Arrangements ◽  
Current Knowledge ◽  
Secondary Analysis ◽  
Demographic Variables ◽  
Predictor Variables ◽  
Workplace Injury ◽  
Research Focus ◽  
Ongoing Research ◽  
Current Knowledge Base

Eighty-four predictor variables were identified from thirty-four studies that researched return to work after workplace injury. The six most studied variables were then critically reviewed. The variables were age, sex, living arrangements, employment maintenance, delay to rehabilitation, and employment type. Based on the number of statistical findings, and on review of the articles, age, employment maintenance, and delay to rehabilitation demonstrated strong relationships with return to work. The variables of sex, living arrangements and employment type did not demonstrate such relationships. While this research brought together the current knowledge base the inability to quantitatively analyse previous results was a major limitation. It was recommended that ongoing research in this area ensures that analysis and publication of results provides information that would allow such secondary analysis in the future. It was also recommended that the current research focus on demographic variables be shifted to more prospective intervention based research.

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