Abstract
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.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
OECD. Sickness, disability and work: breaking the barriers. A synthyesis of findings across OECD countries. Paris: OECD publishing; 2010.
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.
WorkCover ACT. What is injury management and rehabilitation? [http://www.worksafety.act.gov.au/page/view/1455]. Accessed 12 March 2012.
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.
WorkCover NSW. Injury Management [http://www.workcover.nsw.gov.au/injuriesclaims/injurymanagement/Pages/default.aspx]. Accessed 12 March 2012.
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.
Kuoppala J, Lamminp A. Rehabilitation and work ability: a systematic literature review. J Rehabil Med. 2008;40(10):796–804.
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.
Sager L, James C. Injured workers’ perspectives of their rehabilitation process under the New South Wales workers compensation system. Aust Occup Ther J. 2005;52(2):127–35.
Tjulin Å, MacEachen E, Ekberg K. Exploring workplace actors experiences of the social organization of return-to-work. J Occup Rehabil. 2010;20(3):311–21.
Adams JH, Williams ACdC. What affects return to work for graduates of a pain management program with chronic upper limb pain? J Occup Rehabil. 2003;13(2):91–106.
WorkCover WA. Injury management: a guide for employers. Shenton Park: Author; 2011.
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.
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.
Tjulin Å, Maceachen E, Stiwne EE, Ekberg K. The social interaction of return to work explored from co-workers experiences. Disabil Rehabil. 2011;33(21–22):1979–89.
Tjulin Å, Maceachen E, Ekberg K. Exploring the meaning of early contact in return-to-work from workplace actors’ perspective. Disabil Rehabil. 2011;33(2):137–45.
Glozier N, Hough C, Henderson M, Holland-Elliott K. Attitudes of nursing staff towards co-workers returning from psychiatric and physical illnesses. Int J Soc Psychiatr. 2006;52(6):525–34.
Baril R, Clarke J, Friesen M, Stock S, Cole D. Management of return-to-work programs for workers with musculoskeletal disorders: a qualitative study in three Canadian provinces. Soc Sci Med. 2003;57(11):2101–14.
WorkCover NSW. Guidelines for workplace return to work programs. Gosford: WorkCover Publications; 2010.
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.
Hagen EM, Eriksen HR, Holger U. Does early intervention with a light mobilization program reduce long-term sick leave for low back pain? Spine. 2000;25(15):1973–6.
Krause N, Dasinger K, Neuhauser F. Modified work and return to work: a review of the literature. J Occup Rehabil. 1998;8(2):113–39.
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.
California Department of Industrial Relations. Division of Workers’ Compensation - Employer Information. [http://www.dir.ca.gov/dwc/Employer.htm] Accessed 12 March 2012.
Burton AK, Kendall NAS, Pearce BG, Birrell LN, Bainbridge LC. Management of upper limb disorders and the biopsychosocial model. Occup Med. 2009;59:44–52.
World Health Organization (WHO). International classification of functioning, disability and health (ICF). Geneva: World Health Organization; 2001.
MacEachen E, Kosny A, Ferrier S, Lippel K, Neilson C, Franche R, Pugliese D. The ‘ability’ paradigm in vocational rehabilitation: challenges in an Ontario injured worker retraining program. J Occup Rehabil. 2012;22(1):105–17.
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.
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.
Tjulin A, MacEachen E, Ekberg K. Exploring workplace actors experiences of the social organization of return-to-work. J Occup Rehabil. 2009;20(3):311–21.
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.
Schneider B. The people make the place. Pers Psychol. 1987;40(3):437–53.
Crook J, Milner R, Schultz IZ, Stringer B. Determinants of occupational disability following a low back injury: a critical review of the literature. J Occup Rehabil. 2002;12(4):227–95.
Hoogendoorn WE, Bongers PM, de Vet HCW, Ariëns GAM, van Mechelen W, Bouter LM. High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: results of a prospective cohort study. Occup Environ Med. 2002;59:323–8.
Schultz IZ, Crook J, Meloche GR, Berkowitz J, Milner R, Zuberbier OA, Meloche W. Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model. Pain. 2004;107(1–2):77–85.
Post M, Krol B, Groothoff JW. Work-related determinants of return to work of employees on long-term sickness absence. Disabil Rehabil. 2005;27(9):481–8.
Andersen L, Kines P, Hasle P. Owner attitudes and self reported behavior towards modified work after occupational injury absence in small enterprises: a qualitative study. J Occup Rehabil. 2007;17(1):107–21.
Dekkers S, nchez PM, Wind H, Sluiter JK, Frings-Dresen MHW. A qualitative study of perpetuating factors for long-term sick leave and promoting factors for return to work: chronic work disabled patients in their own words. J Rehabil Med. 2010;42(6):544–52.
Dunn EC, Wewiorski NJ, Rogers ES. A qualitative investigation of individual and contextual factors associated with vocational recovery among people with serious mental illness. Am J Orthopsychiat. 2010;80(2):185–94.
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.
Haugli L, Maeland S, Magnussen L. What facilitates return to work? Patients experiences 3 years after occupational rehabilitation. J Occup Rehabil. 2011;21(4):573–81.
Larsson A, Gard G. How can the rehabilitation planning process at the workplace be improved? a qualitative study from employers’ perspective. J Occup Rehabil. 2003;13(3):169–81.
Lysaght RM, Larmour-Trode S. An exploration of social support as a factor in the return-to-work process. Work. 2008;30(3):255–66.
Macaden AS, Chandler BJ, Chandler C, Berry A. Sustaining employment after vocational rehabilitation in acquired brain injury. Disabil Rehabil. 2010;32(14):1140–7.
Young AE. Return to work following disabling occupational injury—facilitators of employment continuation. Scand J Work Environ Health. 2010;36(6):473–83.
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.
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.
Paton MQ. Qualitative research and evaluation methods. Thousand Oaks, CA: Sage; 2002.
Charmaz K. Premises, principles, and practices in qualitative research: revisiting the foundations. Qual Health Res. 2004;14(7):976–93.
Regional Extended Family Services (REFS). Mediation & conflict resolution training manual. Tamworth, NSW: REFS; 2002.
Rusch FR, Minch KE. Identification of co-worker involvement in supported employment: a review and analysis. Res Dev Disabil. 1988;9(3):247–54.
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.
Acknowledgments
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.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dunstan, D.A., MacEachen, E. Bearing the Brunt: Co-workers’ Experiences of Work Reintegration Processes. J Occup Rehabil 23, 44–54 (2013). https://doi.org/10.1007/s10926-012-9380-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10926-012-9380-2