Ill persons and capable workers: Constructing work ability in return-to-work negotiations after sickness absence.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Pub Date : 2024-10-14 DOI:10.1177/13634593241290176
Hanna Keränen, Sanni Tiitinen, Pirjo Juvonen-Posti, Elina Weiste, Soile Seppänen, Leena Ala-Mursula
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引用次数: 0

Abstract

In return-to-work (RTW) negotiations after sickness absence, the work ability of an individual employee becomes a shared interest for the multiple stakeholders representing both the healthcare sector and working life. In practice, the employee, employer and occupational health professionals need to reach a shared understanding of the employee's work ability to enable shared decision-making concerning the plans for sustainable RTW. Drawing on 14 video-recorded RTW negotiations, we used conversation analysis-informed membership categorization analysis to examine how the participants of RTW negotiations discuss the work ability of an employee to pursue a shared understanding of the situation. Work ability was constructed in a very situational way, using illness categories to both explain the work ability of the employee and argue for or against their ability or inability to work. Our study contributes to research on RTW by introducing a new perspective to work ability. We show how work ability is realized during RTW negotiations through interaction, and how participants leverage their cultural understanding of illness and capability when negotiating work ability. We also demonstrate how membership categorization analysis can reveal the situational and consequential aspects of illness and work ability categories.

病人和有能力的工人:在病假后重返工作岗位的谈判中构建工作能力。
在因病缺勤后重返工作岗位(RTW)的谈判中,员工个人的工作能力成为代表医疗保健部门和工作生活的多方利益相关者的共同利益。在实践中,雇员、雇主和职业健康专业人员需要对雇员的工作能力达成共识,以便就可持续的复工计划共同做出决策。根据 14 个复工谈判的视频录像,我们采用对话分析--成员分类分析法,研究复工谈判的参与者如何讨论雇员的工作能力,以寻求对情况的共同理解。工作能力是以一种非常情景化的方式构建的,既使用疾病类别来解释员工的工作能力,也支持或反对他们有能力或无能力工作。我们的研究为工作能力引入了新的视角,从而为复工研究做出了贡献。我们展示了在复工谈判中如何通过互动来实现工作能力,以及参与者在谈判工作能力时如何利用他们对疾病和能力的文化理解。我们还展示了成员分类分析如何揭示疾病和工作能力类别的情景和后果方面。
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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
发文量
0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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