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  • Holland & Collins_Disability & Rehabilitation

    Rights statement: This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 08/12/2016, available online: http://www.tandfonline.com/10.1080/09638288.2016.1258436

    Accepted author manuscript, 766 KB, PDF document

    Available under license: CC BY-NC: Creative Commons Attribution-NonCommercial 4.0 International License

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‘Whenever I can I push myself to go to work’: a qualitative study of experiences of sickness presenteeism among workers with rheumatoid arthritis

Research output: Contribution to journalJournal article

Published
<mark>Journal publication date</mark>2017
<mark>Journal</mark>Disability and Rehabilitation
Issue number4
Volume40
Number of pages10
Pages (from-to)404-413
Publication statusPublished
Early online date8/12/16
Original languageEnglish

Abstract

Purpose: UK government policy emphasizes the importance of continuing to work for recovery from poor health, yet sickness presenteeism (going to work whilst ill) is commonly regarded as having negative consequences for organizations and individuals. Our study explores experiences of working after onset of rheumatoid arthritis (RA), a chronic musculoskeletal disorder characterized by high rates of work disability.

Materials and methods: An exploratory qualitative study consisting of in-depth interviews and six-month follow-up with 11 men and women with RA employed at disease onset.

Results: We expand upon previous models of sickness presenteeism by distinguishing between presenteeism that occurs voluntarily (wanting to work despite illness) and involuntarily (feeling pressured to work when ill). RA onset affected participants’ ability to work, yet motivation to remain working remained high. The implementation of workplace adjustments enabled participants to stay working and restore their work capacity. Conversely, managers’ misinterpretation of organizational sickness absence policies could lead to involuntary presenteeism or delayed return to work, conflicting with the notion of work as an aid to recovery.

Conclusion: Workplace adjustments can facilitate voluntary sickness presenteeism. To reduce work disability and sickness absence, organizational policies should be sufficiently flexible to accommodate the needs of workers with fluctuating conditions.

Implications for rehabilitation
Individuals with rheumatoid arthritis (RA) are at high risk of work disability.

Individuals’ motivation to remain in work following onset of RA remains high, yet sickness presenteeism (working while ill) has received largely negative attention.

It is important to distinguish between voluntary and involuntary forms of sickness presenteeism.

Workplace adjustments facilitate voluntary sickness presenteeism (wanting to work despite illness) and improve job retention and productivity among workers with RA.

Involuntary presenteeism (feeling pressured to work while ill) may occur if organizational policies are not sufficiently flexible to accommodate the needs of workers with RA.

Bibliographic note

This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 08/12/2016, available online: http://www.tandfonline.com/10.1080/09638288.2016.1258436