UMR INSERM 1246 SPHERE "methodS in Patient-Centered Outcomes and HEalth ResEarch", Nantes University, University of Tours, 22 Boulevard Benoni Goullin, Nantes, France.
Integrated Center for Oncology, Boulevard Jacques Monod, 44805, Nantes, Saint-Herblain, France.
J Occup Rehabil. 2023 Dec;33(4):687-701. doi: 10.1007/s10926-023-10101-x. Epub 2023 Mar 31.
Managers' actions can facilitate the return to work (RTW) process for breast cancer survivors (BCS). However, data on BCS' experiences of managers' actions regarding RTW are dispersed across multiple qualitative studies and do not offer useful insights for managers to support employees returning to work. This study aimed to summarize and map managers' actions experienced by BCS over three RTW phases (before, during, after) and categorize them as facilitating or hindering RTW.
A scoping review of qualitative studies was conducted. Four databases (MEDLINE, PsycINFO, Cochrane Library, EMBASE) were systematically searched for articles published between 2000 and 2022. Studies and participant characteristics were extracted using an excel spreadsheet. A thematic analysis with a predominantly deductive and semantic approach was conducted.
Twenty-nine studies were included after screening 1042 records. Five themes were generated from the data. Two themes addressed the phase 'before RTW': 'managers' interpersonal skills' and 'preparing for RTW'; three in the 'during RTW' phase: 'managers' interpersonal skills', 'offering work flexibility', and 'offering work accommodations', and only one, 'paying attention to follow-up', was addressed in the 'after RTW' phase.
This review mapped managers' actions experienced by BCS in three phases of the RTW process. Results suggested that, according to BCS, managers need to mobilize specific skills to provide appropriate support during the RTW process. Further research is needed to better understand the skills underlying managers' actions facilitating the RTW process.
管理者的行为可以促进乳腺癌幸存者（BCS）重返工作岗位（RTW）的过程。然而，关于 BCS 对管理者在 RTW 方面的行为体验的数据分散在多个定性研究中，并且无法为管理者提供支持员工重返工作岗位的有用见解。本研究旨在总结和描述 BCS 在 RTW 的三个阶段（之前、期间、之后）中经历的管理者行为，并将其归类为促进或阻碍 RTW。
对定性研究进行了范围综述。系统地在四个数据库（MEDLINE、PsycINFO、Cochrane Library、EMBASE）中搜索了 2000 年至 2022 年期间发表的文章。使用电子表格提取研究和参与者特征。采用主要采用演绎和语义方法的主题分析。
经过筛选 1042 条记录后，纳入了 29 项研究。从数据中生成了五个主题。前 RTW 阶段有两个主题：“管理者的人际交往能力”和“为 RTW 做准备”；RTW 期间有三个主题：“管理者的人际交往能力”、“提供工作灵活性”和“提供工作便利”，仅在 RTW 之后阶段有一个主题“关注随访”。
本综述描述了 BCS 在 RTW 过程的三个阶段中经历的管理者行为。结果表明，根据 BCS 的说法，管理者需要调动特定技能，在 RTW 过程中提供适当的支持。需要进一步研究以更好地理解促进 RTW 过程的管理者行为背后的技能。
