From shaky grounds to solid foundations: A salutogenic perspective on return to work after cancer

Abstract

Background: Almost a third of employed individuals of working age fall out of work after cancer treatment. Aim: To explore cancer survivors' successful return to work, focusing on assets and resources utilised to resolve cancer-and work-related obstacles to achieve long-term employment. Methods: We interviewed eight cancer survivors who had remained at work for at least 3 years after cancer treatment. We performed interpretative phenomenological analysis and applied Antonovsky's salutogenic model of health as a framework. Results: The participants experienced uncertainty regarding cancer recurrence, impairments, and long-lasting effects on work ability. They utilised a wide range of resistance resources at personal, interpersonal, and social levels. Their determination to return to work was generally strong, but the time needed to find sustainable work and strategies to return to work varied. All participants prioritised activities that energised them and adapted actively to their new situation. When unsure about outcomes, they focused on the best alternative and controlled fear cognitively. Conclusions/Significance: Finding meaningful activities, testing actual work ability, and focusing on the best possible outcome seemed important to remain in work after cancer. It may be helpful to identify available resources and utilise them to resolve tensions resulting from cancer and cancer treatment.

Employee burnout: prevention, recovery, and outdoor therapy : A salutogenic perspective

“…Similarly, Brusletto and colleagues (2020) have applied the salutogenic model to understand the RTW process after cancer and also identified similar GRRs, such as focusing on activities that give energy in work and private life. Likewise, SRRs such as the social security systems also played a role in the RTW process after cancer (Brusletto et al, 2020). These observations support the assumption that it is the GRRs that determine the availability of SRRs (Mittelmark et al, 2022).…”