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从老年员工角度出发的工作场所慢性肌肉骨骼疾病管理:一项混合方法研究。

Management of Chronic Musculoskeletal Disorders in the Workplace from the Perspective of Older Employees: A Mixed Methods Research Study.

机构信息

School of Sport, Exercise and Rehabilitation Sciences, Department of Physiotherapy, University of Birmingham, Birmingham B15 2TT, UK.

Department of Occupational Sciences and Occupational Therapy, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.

出版信息

Int J Environ Res Public Health. 2022 Jul 30;19(15):9348. doi: 10.3390/ijerph19159348.

Abstract

(1) Background: This mixed methods research (MMR) study explored older employees' experiences of chronic musculoskeletal disorders (CMSDs) in relation to their employment, their perspectives on managing these conditions in the workplace and the strategies used to facilitate and maintain their roles and responsibilities. The services offered to them were also identified. (2) Methods: A mixed methods exploratory sequential design was implemented. In the first qualitative phase, 16 semi-structured interviews gathered in-depth information from older employees. The findings informed the development of an online questionnaire in the survey phase, which was administered to older employees ( = 107). Both sets of findings were then integrated using a narrative joint display. (3) Results: The phenomena of presenteeism and leaveism were important components of employees' strategies for managing their condition. The integrated findings highlighted the roles of employers, managers and social support in encouraging disclosure and supporting the management of CMSDs. The results also emphasised how self-management and professional health services are crucial for sustaining employability. (4) Conclusions: Current challenges call for employers to identify effective ways to support the ageing workforce and invest in training opportunities for managers and collaborative opportunities with healthcare professionals and other stakeholders. A flexible, empathetic and resourceful work environment is optimal for supporting sustained employability for an ageing workforce.

摘要

(1) 背景:本混合方法研究(MMR)探讨了老年员工在工作中患有慢性肌肉骨骼疾病(CMSD)的经历,他们对在工作场所管理这些疾病的看法,以及为促进和维持其角色和责任而使用的策略。还确定了为他们提供的服务。(2) 方法:采用混合方法探索性顺序设计。在第一阶段的定性研究中,对 16 名老年员工进行了半结构化访谈,以获取深入的信息。调查阶段制定了在线问卷,共 107 名老年员工参与了问卷调查。然后使用叙述性联合展示来整合这两个阶段的发现。(3) 结果:出勤主义和缺勤主义是员工管理病情策略的重要组成部分。综合研究结果强调了雇主、经理和社会支持在鼓励披露和支持 CMSD 管理方面的作用。结果还强调了自我管理和专业医疗服务对维持就业能力的重要性。(4) 结论:目前的挑战要求雇主寻找有效方法来支持老龄化劳动力,并为经理提供培训机会,与医疗保健专业人员和其他利益相关者合作。一个灵活、富有同情心和资源丰富的工作环境对于支持老龄化劳动力的持续就业能力是最佳的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7be5/9367967/74353f0a0caf/ijerph-19-09348-g001.jpg

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