Bearing the Brunt: Co-workers’ Experiences of Work Reintegration Processes
Purpose Work disability research has found co-worker support to be a significant but under-recognised aspect of work reintegration (WR) processes. Although co-workers work alongside returning workers, their practical contribution to WR success or failure is often invisible to others. This study aimed to gain further insight into the role and contribution of co-workers in WR interventions. Method An exploratory qualitative pilot study was conducted in Toronto, Canada in 2011. Three focus groups were conducted with 13 co-workers, recruited for their direct experience of ‘working alongside’ a returning worker. An iterative data gathering and analysis process occurred. Themes were generated from categories in open-ended interview questions and new issues arising from the data. Findings The findings detail co-workers’ practical experiences of WR processes and their reflections on social and work conditions that impacted their participation. Co-workers’ capacity to support returning workers was related to the quality of the WR arrangements, the relationship with the returning worker, work culture, and the duration of the required support. Workplace privacy and confidentiality requirements were identified as a key challenge for co-worker participation. The effects on co-workers of WR processes ranged from the opportunity to learn new skills to disillusionment and withdrawal from the workplace. In worst case scenarios, ‘ripple effects’ including emotional distress, physical injury and termination of co-workers’ employment had occurred. Conclusion Co-workers are not a neutral party in WR procedures. Formalizing the co-worker role to include communication, consideration and recognition might improve co-workers’ WR experiences.
KeywordsCo-workers Return to work Work reintegration Injury management policy Managers
This work was supported by the Work Disability Prevention Canadian Institutes of Health Research (CIHR) Strategic Training Program Grant (FRN: 53909). We thank the Institute for Work & Health for hosting the working visit that supported this research.
- 1.OECD. Sickness, disability and work: breaking the barriers. A synthyesis of findings across OECD countries. Paris: OECD publishing; 2010.Google Scholar
- 2.Anema J, Prinz C, Prins R. Sickness and disability policy interventions. In: Loisel P, Anema JR, Costa-Black K, Feuerstein M, MacEachen E, Pransky G, editors. Handbook of work disability, prevention and management. Springer; forthcoming.Google Scholar
- 3.WorkCover ACT. What is injury management and rehabilitation? [http://www.worksafety.act.gov.au/page/view/1455]. Accessed 12 March 2012.
- 4.New York State Workers Compenstaion Board. Return to Work Handbook. [http://www.wcb.ny.gov/content/main/ReturnToWork/RTW_Handbook.pdf]. Accessed 12 March 2011.
- 5.WorkCover NSW. Injury Management [http://www.workcover.nsw.gov.au/injuriesclaims/injurymanagement/Pages/default.aspx]. Accessed 12 March 2012.
- 6.Workplace Safety and Insurance Board, Ontatio. Return to Work. [http://www.wsib.on.ca/en/community/WSIB/230/ArticleDetail/24338?vgnextoid=7466e35c819d7210VgnVCM100000449c710aRCRD&vgnextchannel=91d20b368d5dd110VgnVCM1000000e18120aRCRD]. Accessed 12 March 2012.
- 8.Franche R-L, Cullen K, Clarke J, Irvin E, Sinclair S, Frank J. Institute for Work & Health (IWH) Workplace-Based RTW Intervention literature review research team. Workplace-based return-to-work interventions: a systematic review of the quantitative literature. J Occup Rehabil. 2005;15(4):607–31.PubMedCrossRefGoogle Scholar
- 12.WorkCover WA. Injury management: a guide for employers. Shenton Park: Author; 2011.Google Scholar
- 13.WorkCover Tasmania. Injury Management: Making it Work, p. 14. [http://www.workcover.tas.gov.au/__data/assets/pdf_file/0003/163686/Making_it_Work.pdf]. Accessed 12 March 2012.
- 14.Workplace Safety and Insurance Board, Ontatio. The facts about injured worker stigma. [http://www.wsib.on.ca/en/community/WSIB/ArticleDetail?vgnextoid=92b75779bdc6e210VgnVCM100000469c710aRCRD]. Accessed 12 March 2012.
- 19.WorkCover NSW. Guidelines for workplace return to work programs. Gosford: WorkCover Publications; 2010.Google Scholar
- 20.Abenhaim L, Rossignol M, Valat J-P, Nordin M, Avouac B, Blotman F, Charlot J, Dreiser RL, Legrand E, Rozenberg S, et al. The role of activity in the therapeutic management of back pain: Report of the International Paris Task Force on back pain. Spine. 2000; 25 (4S) Supplement:1S–33S.Google Scholar
- 23.Workplace Safety and Insurance Board, Ontatio. Return to work plans [http://www.wsib.on.ca/en/community/WSIB/ArticleDetail?vgnextoid=31f84c23529d7210VgnVCM100000449c710aRCRD] Accessed 12 March 2012.
- 24.California Department of Industrial Relations. Division of Workers’ Compensation - Employer Information. [http://www.dir.ca.gov/dwc/Employer.htm] Accessed 12 March 2012.
- 26.World Health Organization (WHO). International classification of functioning, disability and health (ICF). Geneva: World Health Organization; 2001.Google Scholar
- 28.The Australian Institute for Social Research. The role of the workplace in return to work - an evidence base for informing policy and approaches. Discussion Paper. Adelaide; 2008. [http://www.workcover.com/custom/files/Research%20project%20-%20Discussion%20paper%20on%20return%20to%20work%20-%20April%202008.pdf] Accessed 12 March 2012.
- 29.Foreman P, Murphy G, Swerissen H. Barriers and facilitators to return to work: a literature review. Melbourne: Australian Institute for Primary Care, La Trobe University; 2006.Google Scholar
- 31.Chiaburu DS, Harrison DA. Do peers make the place? Conceptual synthesis and meta-analysis of coworker effects on perceptions, attitudes, OCBs, and performance. J Appl Psychol. 2008; 93(5):1082–03.Google Scholar
- 40.Franche R-L, Baril R, Shaw W, Nicholas M, Loisel P. Workplace-based return-to-work interventions: optimizing the role of stakeholders in implementation and research. J Occup Rehabi.l 2005; 15(4):525–42.Google Scholar
- 46.MacEachen E, Clarke J, Franche R-L, Irvin E. Institute for work & health (IWH) workplace-based RTW intervention literature review research team. Systematic review of the qualitative literature on return to work after injury. Scand J Work Environ Health. 2006;32(4):257–69.PubMedCrossRefGoogle Scholar
- 47.Eakin JM, MacEachen E, Clarke J. ‘Playing it smart’ with return to work: small workplace experience under Ontario’s policy of self-reliance and early return. Policy Pract Health Saf. 2003;1(2):19–41.Google Scholar
- 48.Paton MQ. Qualitative research and evaluation methods. Thousand Oaks, CA: Sage; 2002.Google Scholar
- 50.Regional Extended Family Services (REFS). Mediation & conflict resolution training manual. Tamworth, NSW: REFS; 2002.Google Scholar
- 52.Gervey R, Bedell JR. Supported employment in vocational rehabilitation. In: Bedell JR, editor. Psychological assessment and treatment of persons with severe mental disorders. Washington: Taylor & Francis; 1994. p. 151–72.Google Scholar