The Strategies Used to Balance Health and Work Across the Solid Organ Transplantation Trajectory.

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  • Additional Information
    • Source:
      Publisher: Sage Country of Publication: United States NLM ID: 100909380 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2164-6708 (Electronic) Linking ISSN: 15269248 NLM ISO Abbreviation: Prog Transplant Subsets: MEDLINE
    • Publication Information:
      Publication: 2016- : Thousand Oaks, California : Sage
      Original Publication: Aliso Viejo, CA : Published for NATCO by InnoVision Communications, Inc, c2000-
    • Subject Terms:
      Focus Groups* ; Organ Transplantation* ; Return to Work*; Humans ; Male ; Female ; Middle Aged ; Adult ; Quebec ; Self-Management ; Qualitative Research ; Transplant Recipients/psychology ; Transplant Recipients/statistics & numerical data
    • Abstract:
      Introduction: Workers who undergo solid organ transplantation report frequent conflicts between the unpredictable demands of their health condition and the rigid requirements of their employer and of health services. The present study aimed to describe the self-management strategies adopted by workers while staying at work before transplantation and during sustainable return-to-work posttransplantation. Methods: Fifteen employed kidney, liver, and lung transplant recipients were recruited from 2 large urban university health centers in Montreal, Canada. Three focus groups were held, and thematic analysis was performed. Findings: Seven strategies were identified: responding promptly and consistently to fatigue-related needs, planning ahead with immediate supervisors while remaining strategic about when to disclose transplantation, requesting work accommodations, requesting flexibility in healthcare provision, consulting physicians about work-related issues, informing co-workers about work limitations and immunosuppression and asking not to be treated differently in the workplace. Conclusion: Access to work accommodations, support from physicians and flexibility in treatment and appointment schedules supported workers' ability to manage their health while staying at work before and after undergoing solid organ transplantation. In light of findings, it may be useful for healthcare professionals to address workers' concerns about work limitations and work accommodation implementation, especially when the illness-management burden increases before transplantation and during posttransplantation sick leave. Future studies could describe the strategies used by other important stakeholders when attempting to provide support to workers.
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    • Contributed Indexing:
      Keywords: coping strategies; help-seeking; job retention; self-management; solid organ transplantation; workplace accommodations
    • Publication Date:
      Date Created: 20240405 Date Completed: 20240507 Latest Revision: 20240511
    • Publication Date:
      20240511
    • Accession Number:
      PMC11080381
    • Accession Number:
      10.1177/15269248241239245
    • Accession Number:
      38576412