TY - JOUR

T1 - Navigating employment retention with a chronic health condition

T2 - a meta-ethnography of the employment experiences of people with musculoskeletal disorders in the UK

AU - Holland, Paula Jane

AU - Clayton, Stephen

N1 - This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 30/01/2019, available online: https://www.tandfonline.com/doi/full/10.1080/09638288.2018.1519041

PY - 2020/4/1

Y1 - 2020/4/1

N2 - Purpose: Musculoskeletal disorders (MSDs) are associated with high rates of work disability in the UK. This review synthesised qualitative evidence concerning the employment experiences of people with MSDs to explore the factors shaping their employment trajectories post-onset and the resources they draw on to remain in work. Material and methods: Systematic database searches identified 16 qualitative studies of the employment consequences of having a chronic MSD in the UK. Meta-ethnographic methods were utilised to synthesise this body of evidence. This included a translation of concepts across studies to produce a line of argument synthesis. Results: The lack of certainty associated with often fluctuating and invisible MSD symptoms leads to employees struggling to maintain a stable work identity. Work retention is aided by having: a clear diagnosis, occupational tasks commensurate with altered abilities, and employers and colleagues who understand the nature of the condition. The ability to negotiate and implement workplace adjustments aids work retention but is dependent upon having good quality employee-employer relationships and the degree of autonomy available to the employee. Conclusion: Individuals with MSDs must draw on a range of personal, social, organisational and institutional resources to remain in or return to work post-onset.

AB - Purpose: Musculoskeletal disorders (MSDs) are associated with high rates of work disability in the UK. This review synthesised qualitative evidence concerning the employment experiences of people with MSDs to explore the factors shaping their employment trajectories post-onset and the resources they draw on to remain in work. Material and methods: Systematic database searches identified 16 qualitative studies of the employment consequences of having a chronic MSD in the UK. Meta-ethnographic methods were utilised to synthesise this body of evidence. This included a translation of concepts across studies to produce a line of argument synthesis. Results: The lack of certainty associated with often fluctuating and invisible MSD symptoms leads to employees struggling to maintain a stable work identity. Work retention is aided by having: a clear diagnosis, occupational tasks commensurate with altered abilities, and employers and colleagues who understand the nature of the condition. The ability to negotiate and implement workplace adjustments aids work retention but is dependent upon having good quality employee-employer relationships and the degree of autonomy available to the employee. Conclusion: Individuals with MSDs must draw on a range of personal, social, organisational and institutional resources to remain in or return to work post-onset.

KW - Musculoskeletal disorders

KW - employment

KW - work retention

KW - return-to-work

KW - workplace adjustments

KW - organizational flexibility

KW - qualitative

KW - meta-ethnography

U2 - 10.1080/09638288.2018.1519041

DO - 10.1080/09638288.2018.1519041

M3 - Journal article

VL - 42

SP - 1071

EP - 1086

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

SN - 0963-8288

IS - 8

ER -