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  4. A Mega-Ethnography of Qualitative Meta-Syntheses on Return to Work in People with Chronic Health Conditions

A Mega-Ethnography of Qualitative Meta-Syntheses on Return to Work in People with Chronic Health Conditions

Rehabilitation, 2024 · DOI: 10.1055/a-2129-2731 · Published: August 21, 2023

Occupational HealthRehabilitationResearch Methodology & Design

Simple Explanation

This study looks at research on how people with long-term health issues go back to their jobs. It aims to create a general plan that helps improve ways to support them during this process. The study combined the results of 19 reviews that focused on different health problems like muscle issues, brain injuries, cancer, and mental health. It looked for common themes to understand what helps or hinders people's return to work. The research found that going back to work is complex and depends on many things, like the person's health, their job, and the support they get. It suggests that helping people return to work needs a comprehensive approach that considers their individual needs and the involvement of different people and groups.

Study Duration
Not specified
Participants
19 QMS (qualitative meta-syntheses)
Evidence Level
Review, Mega-ethnography

Key Findings

  • 1
    RTW is a multifactorial and highly interactive multistakeholder process, embedded in the individual’s life and working history, as well as in a determined social and societal context.
  • 2
    The RTW process affects the person’s identity and the further coping with the illness.
  • 3
    RTW is not only a problem of the individual, but also a matter of the social environment and system, requiring a holistic, person-centered, and systemic approach as well as a designated coordinator.

Research Summary

The aim of this study was to synthesize the findings of qualitative meta-syntheses (QMS) on return to work (RTW) of people with different chronic illnesses and to develop a generic RTW model that can provide advice on how to improve RTW interventions and strategies. Through systematic comparison and reciprocal translation of the single QMS findings, we could identify a set of key cross-cutting themes/concepts, which formed the basis for four RTW principles and a generic RTW model. RTW is a multifactorial and highly interactive multistakeholder process, embedded in an individual‘s life and working history, as well as in a determined social and societal context.

Practical Implications

Holistic Perspective

Considers the interplay between the chronic health condition, the actual limitations of the patient, the respective impact on the work-tasks, and other relevant dimensions.

Person-Centered Approach

Acknowledges the individual’s sense of identity as well as the embeddedness of those returning to work into an intertwined biography that is shaped by social support.

Systemic Approach

Reflects that RTW is a highly interactive process, taking place in an arena of different actors and stakeholders, indicating the need for a coordinating body.

Study Limitations

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