Health care professionals' perspective on return to work in cancer survivors

Yagil, Dana; Eshed-Lavi, Nofar; Carel, Rafi; Cohen, Miri

doi:10.1002/pon.4649

Cited by 15 publications

(12 citation statements)

References 37 publications

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“…Confusion over which member of the healthcare team is responsible for addressing employment may serve as a barrier to addressing these issues as part of care delivery. There may also be differences by discipline in how providers view their role in addressing employment issues and concerns (22).…”

Section: Healthcare Providers and Delivery System Level Gaps And Research Recommendations (Box 2)mentioning

confidence: 99%

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Recommendations for Research and Practice to Improve Work Outcomes Among Cancer Survivors

Moor

Alfano

Kent

et al. 2018

JNCI: Journal of the National Cancer Institute

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Major knowledge gaps limit the development and implementation of interventions to improve employment outcomes among people with cancer. To identify research priorities to improve employment outcomes after cancer, the National Cancer Institute sponsored the meeting "Evidence-Based Approaches for Optimizing Employment Outcomes among Cancer Survivors." This article describes research recommendations stemming from the meeting. At the patient level, longitudinal studies are needed to better understand how patient sociodemographic and clinical characteristics and their experiences at work shape employment outcomes. Interventions that mitigate the impact of cancer and its treatment on employment are critical. At the provider-level, future research is needed to characterize the extent to which physicians and other healthcare providers talk to their patients about employment concerns and how that information is used to inform care. Additionally, there is a need to test models of care delivery that support routine screening of employment concerns, the capture of employment outcomes in electronic health records, and the effective use of this information to improve care. At the employer level, evidence-based training programs are needed to prepare supervisors, managers, human resources staff, and occupational health professionals to address health issues in the workplace; and future interventions are needed to improve patient -employer communication and facilitate workplace accommodations. Importantly, research is needed that reflects the perspectives and priorities of patients and their families, providers and healthcare systems, and employers. Transdisciplinary partnerships and stakeholder engagement are essential to ensure that employment-focused interventions and policies are developed, implemented, and sustained in real-world healthcare delivery and workplace settings.

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Section: Healthcare Providers and Delivery System Level Gaps And Research Recommendations (Box 2)mentioning

confidence: 99%

“…. It is also widely accepted that a survivor's job performance, satisfaction, and engagement prior to cancer diagnosis are important drivers of work outcomes after cancer (22). However, few studies have examined these relationships and their impact on employment and job performance.…”

mentioning

confidence: 99%

Recommendations for Research and Practice to Improve Work Outcomes Among Cancer Survivors

Moor

Alfano

Kent

et al. 2018

JNCI: Journal of the National Cancer Institute

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“…OHNs are the frontline staff among occupational health professionals and if OHNs can be the good healthcare providers to the workers with cancer, the resignation rate can decrease. One of the important challenges toward the future should be to strengthen the collaboration among multi‐institutions and multiprofessionals including occupational health nursing professionals. Recently, Stone et al reported that interaction processes between cancer survivors and occupational and environmental health professionals comprised revealing the survivor‐self, sustaining workability, gatekeeping (employment opportunities and RTW), and accessing support.…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of a training program for occupational health nurses regarding support for workers with cancer and their workplaces

Nishikido

Sasaki

Yoshikawa

et al. 2019

Journal of Occupational Health

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Objectives This study aimed to develop and evaluate a training program for occupational health nurses (OHNs) regarding support for workers with cancer and their workplaces. Methods Based on our prior research, we engaged in multiple discussions on the development of training program for OHNs. For examining the effectiveness of the developed training program, we collected and analyzed the data from three repeated surveys conducted before, immediately after, and 3 months after the training on self‐confidence levels of the participants regarding 23 items associated with support for workers with cancer and their workplaces. Results We made a 3‐hour training program including a lecture and a group work. First, we gave a lecture explaining the support scheme consisting of 4 parts and the 12 hints in action phrase while using the guidebook. Second, we conducted the group work regarding the case of a female worker diagnosed with breast cancer. Of the participants who supported workers with cancer in actuality during the 3‐month post‐training, 86% acknowledged the utility of the training in implementing support. As for the pre‐post evaluation of the training program, most items of the participants’ self‐confidence significantly increased from pretraining to immediately after and 3 months post‐training. Discussion This study demonstrated that the developed training program was effective in that the participants learned the support schemes and skills and gained self‐confidence in implementing supports in real‐work settings. We hope that this training program will be extensively used in the future, enabling OHNs to contribute toward balancing cancer treatment and work.

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“…The ethical review board of the School of Health Sciences in Tokai University approved this study (no. [11][12][13][14][15][16]. Along with the questionnaire, written explanations of the study objectives and ethical considerations, which include information about voluntary cooperation with no penalty for not responding to a questionnaire, anonymous response, and guaranteed privacy, were sent to the OHNs.…”

Section: Ethical Considerationmentioning

confidence: 99%

“…The importance of the healthcare professional roles has been investigated from the hospital-and workplace-based standpoints [15][16][17] . Yagil et al 16) reported studies that conducted inter views using questionnaires on specialties, showing that social workers and psychologists jointly discussed options and implications with the cancer sur vivor, while physicians and nurses provided information and suggestions. In a qualitative study, Stone et al.…”

mentioning

confidence: 99%

Sense of Difficulty in Providing Support for Balancing Cancer Treatment and Work Among Occupational Health Nurses

Nishikido

Yoshikawa

Sasaki

et al. 2020

Japanese Journal of Health and Human Ecology

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Objectives:This study aimed to assess the sense of difficulty in providing support for balancing cancer treatment and work among occupational health nurses (OHNs). Methods: Based on our previous qualitative study, we established a questionnaire including 11 items about the sense of difficulty in providing support to workers with cancer and their workplaces. The questionnaire was distributed to OHNs by mail. The 4-point Likert scale was used to obtain a higher score associated with a higher degree of difficulty. Factor analysis of the 11 items was conducted, and the difficulty score was calculated for each factor. To compare the difficulty scores among the factors, the Wilcoxon signed-rank test was conducted after the Friedman test. Rank correlation analysis was used to identify the relationship between the sense of difficulty and other variables. Results: The sense of difficulty was divided into the following four factors: difficulty in supporting along with the feelings of the worker with cancer, difficulty in collaborating with people concerned outside the company, difficulty in supporting the supervisors and workplaces, and difficulty in collaboration within the company. Significant difference among the factors was detected by Freidman test. Wilcoxon signed-rank test revealed that the second factor showed significantly higher difficulty score than others. A significant association was observed between greater sense of difficulty and less implementation of support. Discussion: Collaboration with people outside the company, such as hospital staffs and family members, seemed to be the most difficult activities for OHNs. Development of training programs based on this study will help OHNs overcome these difficulties and promote support to balance cancer treatment and work.

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Health care professionals' perspective on return to work in cancer survivors

Abstract: The training of professionals should increase awareness of the assumptions they make about cancer survivors in regard to RTW. Additionally, training might elaborate professionals' view of their role in the interaction with cancer survivors regarding RTW.

Cited by 15 publications

References 37 publications

Recommendations for Research and Practice to Improve Work Outcomes Among Cancer Survivors

Recommendations for Research and Practice to Improve Work Outcomes Among Cancer Survivors

Development and evaluation of a training program for occupational health nurses regarding support for workers with cancer and their workplaces

Sense of Difficulty in Providing Support for Balancing Cancer Treatment and Work Among Occupational Health Nurses

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