Abstract
Purpose: Musculoskeletal disorders (MSDs) are associated with high rates of work disability
in the UK. This review synthesised qualitative evidence concerning the employment
experiences of people with MSDs to explore the factors shaping their employment
trajectories post-onset and the resources they draw on to remain in work.
Material and methods: Systematic database searches identified 16 qualitative studies of the
employment consequences of having a chronic MSD in the UK. Meta-ethnographic methods
were utilised to synthesise this body of evidence. This included a translation of concepts
across studies to produce a line of argument synthesis.
Results: The lack of certainty associated with often fluctuating and invisible MSD symptoms
leads to employees struggling to maintain a stable work identity. Work retention is aided by
having: a clear diagnosis, occupational tasks commensurate with altered abilities, and
employers and colleagues who understand the nature of the condition. The ability to negotiate
and implement workplace adjustments aids work retention but is dependent upon having
good quality employee-employer relationships and the degree of autonomy available to the
employee.
Conclusion: Individuals with MSDs must draw on a range of personal, social, organisational
and institutional resources to remain in or return to work post-onset.
Original language | English |
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Pages (from-to) | 1-16 |
Journal | Disability and Rehabilitation |
Early online date | 30 Jan 2019 |
DOIs | |
Publication status | E-pub ahead of print - 30 Jan 2019 |
Keywords
- musculoskeletal disorders
- employment
- work retention
- return-to-work
- workplace adjustments
- organisational flexibility
- qualitative
- meta-ethnography.