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A Standpoint Approach to Return-to-Work Coordination: Understanding Union Roles

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Abstract

Purpose This study examined how the participation of union representatives impacted return-to-work (RTW) processes, and explored key activities undertaken by union representatives involved in return-to-work coordination. Methods Forty-seven RTW coordinators (RTWCs) participated in in-depth, semi-structured interviews in 2018 as part of a cross-Canadian study investigating their strategies for managing challenges in the RTW process. The study included RTWCs from a variety of organisation types, including unionized organizations. Audio-recordings were transcribed, coded, and analysed using constant case comparison and deviant case analysis leading to the development of findings themes. Results Our findings highlight the role of union representatives in RTW processes and how their activities are seen by other parties involved with work accommodation. First, we describe Union RTWC’s administrative functions and the extent of their involvement in RTW accommodation negotiations. Second, we examine how Union and Non-union RTWCs framed the same RTW processes differently, according to their own accountabilities. Finally, we identify the positive ways that union participation figured into the RTW process, including playing a role in identifying viable modified work and serving as a trusted party to help reluctant workers engage with RTW plans. Conclusions We introduce a standpoint perspective to shed light on how Union and Non-union RTWCs approached accommodation issues and consider acknowledgement of power relations as a starting point for managing divergent interests.

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Data Availability

Due to the possibility of reidentification of anonymized data through details in the complete data set, this data is not available in a public repository.

Code availability

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Notes

  1. Although many international studies have mentioned unions in RTW (E.g., Corbière’s 2020 review [1]), these do not address the substance of the roles of unions involved in RTW coordination.

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Acknowledgements

We thank Research Assistants Nada Dali and Emily Giau for helping in early stages of this research study. We acknowledge the funding support for this research was provided by the Ontario Workplace Safety and Insurance Board grants program.

Funding

This research was funded by the Research and Grants Program of the Workers’ Safety and Insurance Board of Ontario, which runs a competitive, peer-reviewed process.

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Authors

Contributions

Hopwood conducted data analysis and wrote the paper with Ellen MacEachen. MacEachen was the PI for this study and was responsible for study design and oversight. Neiterman and Malachowski were Co-Investigators and McKnight was the project manager. MacEachen, Neiterman, Malachowski and McKnight conducted the interviews. All authors except Hopwood contributed to code development and coding. McKnight, Crouch, McDonald and Hopwood assisted with in-depth analysis. All authors provided feedback on code analysis and the manuscript.

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Correspondence to Ellen MacEachen.

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Ethics approval for this study was provided by University of Waterloo Research Ethics Board (REB #22921)

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all participants for being included in the study.

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All participants in this research study consented to the publication of anonymous quotes.

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Hopwood, P., MacEachen, E., Neiterman, E. et al. A Standpoint Approach to Return-to-Work Coordination: Understanding Union Roles. J Occup Rehabil 32, 564–573 (2022). https://doi.org/10.1007/s10926-022-10025-y

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