Role and Responsibilities of Supervisors in the Sustainable Return to Work of Workers Following a Work-Related Musculosk
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Role and Responsibilities of Supervisors in the Sustainable Return to Work of Workers Following a Work‑Related Musculoskeletal Disorder Iuliana Nastasia1 · Marie‑France Coutu2 · Romain Rives2 · Jessica Dubé1 · Sarah Gaspard2 · Audrey Quilicot2
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose Supervisors play an important role during the return to work (RTW) of injured workers. Yet little research has been done on the actions associated with this role or the contexts in which they are taken. The purpose of this study was to develop courses of action to promote supervisors’ involvement in the process aimed at achieving sustainable RTW for workers following a work-related musculoskeletal disorder (MSD), and to verify their pertinence, feasibility, and applicability in practice. Methods A two-phase qualitative method was used. (1) Secondary content analysis of 46 interviews of 14 workers post-MSD and 32 other actors in the RTW process, conducted during a prior case study, yielded proposals for courses of action composed of specific actions for supervisors. (2) The pertinence, feasibility, and applicability of these courses of action and specific actions were explored, first, through a self-administered questionnaire to initiate individual reflection, and later in greater depth through focus groups to identify the different contexts in which they might be applicable. Thematic analysis was performed for each phase. Results Eight proposed courses of action, including specific concrete actions and conditions influencing supervisors’ involvement, were developed by the researchers and generally perceived as pertinent and feasible by the participants. Several aspects of the organizational context appeared to influence implementation of these courses of action within the organizations. Conclusion Organizational context appears to influence the application of these courses of action, as do the conditions under which they are implemented. Keywords Return-to-work · Workplace · Disability management · Role · Action
Introduction Work-related musculoskeletal disorders (MSDs) are one of the main causes of work disability [1, 2]. In addition to their personal impact, MSDs generate major costs for the healthcare and compensation systems and for employers, due to loss of productivity and absenteeism [3]. Work disability prevention studies show that clinical rehabilitation interventions alone do not ensure the sustainable return to work (RTW) of workers following an
* Iuliana Nastasia [email protected] 1
Institut de recherche Robert‑Sauvé en santé et en sécurité du travail, OHS Prevention and Rehabilitation, 505 De Maisonneuve Blvd. West, Montreal, QC H3A 3C2, Canada
School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Canada
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MSD [4]. Adding a workplace component to RTW programs is necessary to facilitate a prompt return and limit the risks of relapse [5–11]. A review of the best workdisability prevention practices document
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