Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Eur J Oncol Nurs. 2011 Jul;15(3):267-74. doi: 10.1016/j.ejon.2011.03.005. Epub 2011 Apr 8.
Long-term sickness absence is common among women with breast cancer and more knowledge, from the individuals' perspective, is needed regarding factors that influence their return to work (RTW). The aim was to gain knowledge about women's experiences of encounters regarding RTW after breast cancer surgery.
Qualitative content analysis was applied to data obtained in four focus group interviews with 23 women treated for breast cancer regarding aspects of RTW.
The women talked about encounters regarding RTW they had had with the following stakeholders: social insurance staff, employers, colleagues, healthcare personnel, family, and friends. Three categories of such encounters were identified, involving: (i) adjustments associated with the women's needs (e.g., at work, handling sickness benefits, or care), (ii) information shared with the women (e.g., concerning sickness insurance or side effects of treatment), and (iii) attitudes perceived and appraised by the women, respectively. The third category comprised two subcategories of stakeholders' attitudes: those concerning work adjustments or being sickness absent, and those directed towards the women themselves, respectively.
Women with breast cancer experience that encounters with many different types of stakeholders affect their RTW. Important aspects of the encounters are what attitudes the professionals convey, what information the women receive, and whether adjustments of relevance are discussed. A mutual knowledge about other stakeholders involved in the RTW process and how the women are encountered by others, may be useful for each stakeholder to facilitate a closer collaboration in order to find flexible solutions and adjustments for individuals which in turn may facilitate RTW.
乳腺癌女性长期请病假的情况较为常见，需要从个人角度更多地了解影响其重返工作岗位（RTW）的因素。本研究旨在了解女性在乳腺癌手术后关于重返工作岗位的经历。
采用定性内容分析法，对 23 名接受乳腺癌治疗的女性进行了 4 次焦点小组访谈，探讨了与重返工作岗位相关的方面。
女性谈到了与以下利益相关者有关重返工作岗位的经历：社会保险工作人员、雇主、同事、医疗保健人员、家庭和朋友。确定了三类此类遭遇，分别涉及：（i）与女性需求相关的调整（例如，在工作中、处理病假福利或护理）；（ii）与女性分享的信息（例如，有关病假保险或治疗副作用）；（iii）女性分别感知和评价的态度。第三类包含利益相关者态度的两个亚类：分别涉及工作调整或病假的态度，以及针对女性自身的态度。
患有乳腺癌的女性经历了与许多不同类型的利益相关者的遭遇，这些遭遇影响了她们的 RTW。遭遇的重要方面包括专业人员传达的态度、女性收到的信息以及是否讨论了相关的调整。每个利益相关者了解参与 RTW 过程的其他利益相关者以及他人如何与女性接触，可能有助于促进更紧密的合作，以便为个人找到灵活的解决方案和调整，从而促进 RTW。
