Abstract
Introduction: Musculoskeletal complaints can impact on work in terms of productivity, sickness absence and long term incapacity for work. While employee attitudes and knowledge can drive absenteeism and presenteeism behaviour, managers also play an important role in influencing this via the quality of their relationships with employees and their role in implementing organisational policies and procedures. The aims of this study were to investigate the beliefs and attitudes of managers and employees with musculoskeletal pain about sickness absence, presenteeism, and return to work and to identify areas of consensus and conflict. Methods: 18 employees with musculoskeletal pain and 20 managers from two large public sector organisations in South Wales, UK, took part in individual face-to-face interviews. Data were analysed thematically using NVivo. Results: Employees’ and managers’ reports indicated that there was a strong culture of presenteeism in these organisations. Establishing the legitimacy of complaints was a salient theme for both managers and employees, although their views were in conflict. Employees reported feeling that contact with employers was intrusive when sickness absence was legitimate. Managers were supportive of those who they felt were ‘genuinely’ unwell, but also cited examples of people ‘working the system’ and not reporting absences appropriately. Conclusions: These issues require careful consideration of the rights and responsibilities of both employees and employers, where strategies for improving communication, trust, and creating an environment conducive to successful return to work need to be investigated.
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References
CIPD. Annual survey report 2006: absence management. In. London: Chartered Institute of Personnel and Development; 2006.
Nguyen TH, Randolph DC. Nonspecific low back pain and return to work. Am Fam Physician. 2007;76:1497–502.
Waddell G, Aylward M. The scientific and conceptual basis of incapacity benefits. London: TSO; 2005.
Maniadakis N, Gray A. The economic burden of back pain in the UK. Pain. 2000;84(1):95–103.
Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health conditions in the United States: results from the American Productivity Audit. J Occup Environ Med. 2003;45(12):1234–46.
Van Leeuwen MT, Blyth FM, March LM, Nicholas MK, Cousins MJ. Chronic pain and reduced work effectiveness: the hidden cost to Australian employers. Eur J Pain. 2006;10:161–6.
Barnes MC, Buck R, Williams G, Webb KL, Aylward M. Beliefs about common health problems and work: a qualitative study. Soc Sci Med. 2008;67(4):657–65.
Main CJ, Sullivan MJ, Watson PJ. Pain and work: organisational perspectives. In: Pain management: practical application of the biopsychosocial perspective in clinical and occupational settings. Churchill Livingstone; 2007:369–91.
Buck R, Barnes MC, Cohen D, Aylward M. Common health problems, yellow flags and functioning in a community setting. J Occup Rehab. 2010;20(2):235–46.
Johansson G, Lundberg I. Adjustment latitude and attendance requirements as determinants of sickness absence or attendance. Empirical tests of the illness flexibility model. Soc Sci Med. 2004;58(10):1857–68.
Aronsson G, Gustafsson K. Attendance presenteeism: prevalence, attendance-pressure factors and an outline of a model for research. J Occup Environ Med. 2005;47(9):258–966.
Halligan PW. Beliefs: shaping experience and understanding illness. In: Halligan PW, Aylward M, editors. The power of belief. Oxford: Oxford University Press; 2006.
Leventhal H, Leventhal EA, Contrada RJ. Self-regulation, health, and behavior: a perceptual-cognitive approach. Psychol Health. 1998;13(4):717–33.
Diefenbach MA, Leventhal H. The common-sense model of illness representation: theoretical and practical considerations. J Soc Distress Homel. 1996;5(1):11–38.
Weinman J, Petrie KJ. Illness perceptions: a new paradigm for psychosomatics? J Psychosom Res. 1997;42(2):113–6.
Buck R, Porteous C, Wynne-Jones G, Marsh K, Phillips CJ, Main CJ. Using the Flags system to identify problems and potential solutions for employees with common health problems; a qualitative approach (in press).
Baker-McClearn D, Greasley K, Dale J, Griffith F. Absence management and presenteeism: the pressures on employees to attend work and the impact of attendence on performance. Hum Resource Manag. 2010;20(3):311–28.
Munir F, Randall R, Yarker J, Nielsen K. The influence of employer support on employee management of chronic health conditions at work. J Occup Rehab. 2009;19:333–44.
Munir F, Yarker J, Haslam C. Sickness absence management: encouraging attendance or ‘risk-taking’ presenteeism in employees with chronic illness? Disabil Rehabil. 2008;30(19):1461–72.
Wynne-Jones G, Buck R, Varnava A, Phillips CJ, Main CJ. Impacts on work absence and performance: what really matters? Occup Med. 2009;59(8):556–62.
Wynne-Jones G, Varnava A, Buck R, Karanika-Murray M, Griffiths A, Phillips C, Cox T, Kahn S, Main CJ. Examination of the work organization assessment questionnaire in public sector workers. J Occup Environ Med. 2009;51(5):586–93.
Aas RW, Ellingsen KL, Lindoe P, Moller A. Leadership qualities in the return to work process: a content analysis. J Occup Rehab. 2008;18(4):335–46.
Kvale S. InterViews: an introduction to qualitative research interviews. Thousand Oaks: Sage Publications; 1996.
Blaxter M. Health. Cambridge: Polity Press; 2004.
Dey I. Qualitative data analysis: a user friendly guide for social scientists. London: Routledge; 1993.
Cunningham-Burley S, Backett-Milburn K, Kemmer D. Constructing health and sickness in the context of motherhood and paid work. Sociol Health Ill. 2006;28(4):385–409.
van Duijn M, Miedema H, Elders L, Burdorf A. Barriers for early return-to-work of workers with musculoskeletal disorders according to occupational health physicians and human resource managers. J Occup Rehab. 2004;14(1):31–41.
Parsons T. The social system. New York: Free Press; 1951.
Williams G. Health knowlegde. Cambridge: Polity Press; 2006.
Shaw WS, van der Windt DA, Main CJ, Loisel P, Linton SJ, Group tDotFW. Early patient screening and intervention to address individual-level occupational factors (“Blue Flags”) in back pain disability. J Occup Rehab. 2009;19:64–80.
Kendall N, Burton A, Main C, Watson P. Tackling musculoskeletal problems: a guide for the clinic and workplace—identifying obstacles using the psychosocial flags framework. London: The Stationary Office; 2009.
Acknowledgments
This research was funded by the Welsh Assembly Government and the Wales Centre for Health. We wish to acknowledge the Well-being in Work steering group for their advice and support and we would like to thank the participating organisations and employees. We would like thank Katie Marsh for her assistance during the data collection and early analysis stages of this study.
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Wynne-Jones, G., Buck, R., Porteous, C. et al. What Happens to Work if you’re Unwell? Beliefs and Attitudes of Managers and Employees With Musculoskeletal Pain in a Public Sector Setting. J Occup Rehabil 21, 31–42 (2011). https://doi.org/10.1007/s10926-010-9251-7
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DOI: https://doi.org/10.1007/s10926-010-9251-7
Keywords
- Managers
- Employees
- Communication
- Sickness absence
- Presenteeism