Abstract
There is a broad literature linking social support to health, which includes evidence that social support from supervisors is positively associated with worker health. In addition, once workers experience a health concern, supervisors may play a key role in supporting workers, keeping them on the job despite health issues. However, there are few studies that investigate the day-to-day strategies supervisors utilize to support their workers and help them stay on the job despite health concerns. The study presented in this paper addresses this gap. Thirty-two supervisors from three companies were interviewed about their experiences supporting and accommodating skilled workers during flare-ups of a health condition. A grounded theory approach was used to analyze the text data and identify themes. Three key themes emerged from the data: 1) workplace policies provide the structure for mutual problem solving; 2) communication skills and existing relationships increase supervisor effectiveness; and 3) strategies were aimed at individual, interpersonal, and institutional supports. Supervisors regularly interact with workers to support and accommodate episodes of illness or pain. While supervisors employ novel and effective strategies, there is an opportunity to improve the range of strategies, better understand and utilize company policies, and facilitate appropriate communication about worker health concerns.
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Ashworth, M. J. (2006). Preserving knowledge legacies: workforce aging, turnover and human resource issues in the US electric power industry. International Journal of Human Resource Management, 9, 1659–1688.
Buck, R., Porteous, C., Wynne-Jones, G., Marsh, K., Phillips, C. J., & Main, C. J. (2011). Challenges to remaining at work with common health problems: what helps and what influence do organizational policies have? Journal of Occupational Rehabilitation, 21, 501–512.
Choi, S. D. (2009). Safety and ergonomic considerations for an aging workforce in the US construction industry. Work, 33, 307–315.
de Jong, M., de Boer, A. G., Tamminga, S. J., & Frings-Dresen, M. H. (2015). Quality of working life issues of employees with a chronic physical disease: a systematic review. Journal of Occupational Rehabilitation, 25(1), 182–196.
Detaille, S. I., Haafkens, J. A., & van Dijk, F. J. (2003). What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work. Scandinavian Journal of Work, Environment & Health, 29, 134–142.
Durand, M. J., Vezina, N., Baril, R., Loisel, P., Richard, M. C., & Ngomo, S. (2009). Margin of manoeuvre indicators in the workplace during the rehabilitation process: a qualitative analysis. Journal of Occupational Rehabilitation, 19, 194–202.
Feeney, A., North, F., Head, J., Canner, R., & Marmot, M. (1998). Socioeconomic and sex differentials in reason for sickness absence in the Whitehall II study. Occupational and Environmental Medicine, 55, 91–98.
Gignac, M. A. M., Backman, C. L., Kaptein, S., et al. (2012). Tension at the borders: perceptions of role overload, conflict, strain, and facilitation in work, family and health roles among employed individuals with arthritis. Rheumatology, 51, 324–332.
Hayutin, A., Beals, M., & Borges, E. (2013). The aging US workforce: a chartbook of demographic shifts. Stanford Center on Longevity. http://longevity3.stanford.edu/wp-content/uploads/2013/09/The_Aging_U.S.-Workforce.pdf. Accessed on 4 May 2015.
Hepburn, C. G., Kelloway, E. K., & Franche, R. L. (2010). Early employer response to workplace injury: what injured workers perceive as fair and why these perceptions matter. Journal of Occupational Health Psychology, 15(4), 409–420.
Holmgren, K., & Ivanoff, S. D. (2007). Supervisors’ views on employer responsibility in the return to work process: a focus group study. Journal of Occupational Rehabilitation, 17, 93–106.
Jacobs, P., Bissonnette, R., & Guenther, L. C. (2011). Socioeconomic burden of immune-mediated inflammatory diseases – focusing on work productivity and disability. Journal of Rheumatology Supplement, 88, 55–61.
Johnston, V., Way, K., Long, M. H., Wyatt, M., Gibson, L., & Shaw, W. S. (2015). Supervisor competencies for supporting return to work: a mixed-methods study. Journal of Occupational Rehabilitation, 25(1), 3–17.
King, P., Huddleston, W., & Darragh, A. R. (2009). Work-related musculoskeletal disorders and injuries: differences among older and younger occupational and physical therapists. Journal of Occupational Rehabilitation, 19, 274–283.
Kraaijeveld, R. A., Schaafsma, F. G., Boot, C. R. L., Shaw, W. S., Bultmann, U., & Anema, J. R. (2013). Implementation of the participatory approach to increase supervisors’ self-efficacy in supporting employees at risk for sick leave: design of a randomized controlled trial. BMC Public Health, 13, 750.
Kristensen, T. (1991). Sickness absence and work strain among slaughterhouse workers: an analysis of absence of work regarded as coping behavior. Social Science & Medicine, 32, 15–27.
Lemieux, P., Durand, M. J., & Hong, Q. N. (2011). Supervisors’ perception of the factors influencing the return to work of workers with common mental disorders. Journal of Occupational Rehabilitation, 21(3), 293–303.
Lysaght, R. M., & Larmour-Trode, S. (2008). An exploration of social support as a factor in the return-to-work process. Work, 30, 255–266.
McLellan, R. K., Pransky, G., & Shaw, W. S. (2001). Disability management training for supervisors: a pilot intervention program. Journal of Occupational Rehabilitation, 11(1), 33–41.
Munir, F., Leka, S., & Griffiths, A. (2005). Dealing with self-management of chronic illness at work: predictors for self-disclosure. Social Science & Medicine, 60, 1397–1407.
Munir, F., Randall, R., Yarker, J., & Nielsen, K. (2009). The influence of employer support on employee management of Chronic Health Conditions at Work. Journal of Occupational Rehabilitation, 19, 333–334.
OECD (2010). Sickness, disability and work: Breaking the barriers: Sweden: Will the recent reforms make it?, OECD Publishing, Paris. doi:10.1787/9789264090606-en.
Piktialis, D. (2007). Adaptations to an aging workforce: Innovative responses by the corporate sector. Generations, Spring, 76–82.
Popkin, S. M., Morrow, S. L., Di Domenico, T. E., & Howarth, H. D. (2008). Age is more than just a number: implications for an aging workforce in the US transportation sector. Applied Ergonomics, 39, 542–549.
Pransky, G., Shaw, W. S., & McLellan, R. K. (2001). Employer attitudes, training, and return-to-work outcomes: a pilot study. Assistive Technology, 13(2), 131–138.
QSR International. NVivo 10 for Windows. http://www.qsrinternational.com/. Accessed on 6 May 2015.
Schwatka, N. V., Butler, L. M., & Rosecrance, J. R. (2012). An aging workforce and injury in the construction industry. Epidemiologic Reviews, 34, 156–167.
Serrano, D., Manack, A. N., Reed, M. L., Buse, D. C., Varon, S. F., & Lipton, R. B. (2013). Cost and predictors of lost productive time in chronic migraine and episodic migraine: results from the American Migraine and prevention (amp) study. Value in Health, 16, 31–38.
Shaw, W. S., Robertson, M. M., McLellan, R. K., Verma, S., & Pransky, G. (2006a). A controlled case study of supervisor training to optimize response to injury in food processing industry. Work, 26, 107–114.
Shaw, W. S., Robertson, M. M., Pransky, G., & McLellan, R. K. (2006b). Training to optimize the response of supervisors to work injuries – needs assessment, design, and evaluation. AAOHN Journal, 54(5), 226–235.
Shaw, W. S., Besen, E., Pransky, G., et al. (2014a). Manage at work: a randomized, controlled trial of a self-management group intervention to overcome workplace challenges associated with chronic physical health conditions. BMC Public Health, 14, 515.
Shaw, W. S., Kristman, V. L., Williams-Whitt, K., et al. (2014b). The Job Accommodation Scale (JAS): psychometric evaluation of a new measure of employer support for temporary job modifications. Journal of Occupational Rehabilitation, 24, 755–765.
Smith, K., Baughman, R. (2007). Caring for America’s aging population: A profile of the direct-care workforce. Monthly Labor Review, September, 20-26.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks: Sage Publications, Inc.
Thornton-Snider, J., Romley, J. A., Wong, K. S., Zhang, J., Eber, M., & Goldman, D. P. (2012). The disability burden of COPD. COPD, 9, 513–521.
Tjulin, A., MacEachen, E., & Ekberg, K. (2010). Exploring workplace actors experiences of the social organization of return-to-work. Journal of Occupational Rehabilitation, 20(3), 311–321.
Tveito, T. H., Shaw, W. S., Huang, Y. H., Nicholas, M., & Wagner, G. (2010). Managing pain in the workplace: a focus group study of challenges, strategies and what matters most to workers with low back pain. Disability and Rehabilitation, 32, 2035–2045.
Verbrugge, L. M., & Jette, A. M. (1994). The disablement process. Social Science & Medicine, 38(1), 1–14.
Virtanen, P., Vahtera, J., Nakari, R., Pentti, J., & Kivimaki, M. (2004). Economy and job contract as contexts of sickness absence practices: revisiting locality and habitus. Social Science & Medicine, 58, 1219–1229.
von Schrader, S., Malzer, V., & Bruyere, S. (2014). Perspectives on disability disclosure: the importance of employer practices and workplace climate. Employee Responsibilities and Rights Journal, 26, 237–255.
Zuhosky, J. P., Irwin, R. W., Sable, A. W., Sullivan, W. J., Panagos, A., & Foye, P. M. (2007). Industrial medicine and acute musculoskeletal rehabilitation: acute industrial musculoskeletal injuries in the aging workforce. Archives of Physical Medicine and Rehabilitation, 88(Suppl 1), S34–S39.
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Funding for this work came from Harvard-Liberty Mutual Post-Doctoral Fellowship and from Liberty Mutual Research Institute for Safety.
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Nelson, C.C., Shaw, W. & Robertson, M. Supervisors and Presenteeism: How do Supervisors Accommodate and Support Skilled Workers with Chronic Health Concerns?. Employ Respons Rights J 28, 209–223 (2016). https://doi.org/10.1007/s10672-015-9275-4
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DOI: https://doi.org/10.1007/s10672-015-9275-4