Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/18332
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Supporting 'work-related goals' rather than 'return to work' after cancer? A systematic review and meta-synthesis of 25 qualitative studies
Authors: Wells, Mary
Williams, Brian
Firnigl, Danielle
Lang, Heidi
Coyle, Joanne
Kroll, Thilo
MacGillivray, Steve
Contact Email: mary.wells@stir.ac.uk
Keywords: cancer
oncology
work
employment
systematic review
qualitative
meta-synthesis
Issue Date: Jun-2013
Publisher: Wiley-Blackwell
Citation: Wells M, Williams B, Firnigl D, Lang H, Coyle J, Kroll T & MacGillivray S (2013) Supporting 'work-related goals' rather than 'return to work' after cancer? A systematic review and meta-synthesis of 25 qualitative studies, Psycho-Oncology, 22 (6), pp. 1208-1219.
Abstract: Background: This study aimed to systematically review and synthesise qualitative studies of employment and cancer. Methods: A rigorous systematic review and meta-synthesis process was followed. A total of 13 233 papers were retrieved from eight databases; 69 were deemed relevant following title and abstract appraisal. Four further publications were identified via contact with key authors. Screening of full texts resulted in the retention of 25 publications from six countries, which were included in the synthesis. Results: Studies consistently indicate that for people with cancer, ‘work' forms a central basis for self-identity and self-esteem, provides financial security, forms and maintains social relationships, and represents an individual's abilities, talents and health. Work is therefore more than paid employment. Its importance to individuals rests on the relative value survivors place on these constituent functions. The desirability, importance and subsequent interpretation of individuals' experience of ‘return to work' appears to be influenced by the ways in which cancer affects these functions or goals of ‘work'. Our synthesis draws these complex elements into a heuristic model to help illustrate and communicate these inter-relationships. Conclusion: The concept of ‘return to work' may be overly simplistic, and as a result, misleading. The proposed benefits previously ascribed to ‘return to work' may only be achieved through consideration of the specific meaning and role of work to the individual. Interventions to address work-related issues need to be person-centred, acknowledging the work-related outcomes that are important to the individual. A conceptual and operational shift towards supporting survivors to identify and achieve their ‘work-related goals' may be more appropriate.
Type: Journal Article
URI: http://hdl.handle.net/1893/18332
DOI Link: http://dx.doi.org/10.1002/pon.3148
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: HS Research - Stirling
NMAHP Research
University of Dundee
University of Dundee
NMAHP Research
University of Dundee
University of Dundee

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