OTNarrative ReviewJournal of occupational rehabilitation2016

Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence.

Vicki L Kristman, William S Shaw, Cécile R L Boot and 3 others

PMID 27550629

WHAT IT FOUND

Workplace factors linked to long sickness absence include high physical demands, low control, poor support, and workplace attitudes.

Employer guides emphasise policies, supervisors, accommodations and case management, so they are not proof that changing them helps.

Key findings

01Peer-reviewed reviews identify high physical demands, job strain, low control, poor social and supervisory support, low job satisfaction and poor leadership as associated with work disability.

02The employer-directed publications were 33 heterogeneous documents, mostly expert opinion and case studies, and were grouped into 12 workplace domains.

03Employer materials focus on management systems and organisational outcomes, while research focuses on individual worker perceptions and outcomes.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

This is a conference subgroup narrative review and grey-literature comparison, not a test of workplace interventions. The article summarises existing peer-reviewed literature rather than reporting a new study of workers. The employer documents were a heterogeneous sampling supplied by conference organizers, and many relied on expert opinion or case studies rather than systematic empirical support. Much of the cited research samples large workplaces selected through researcher networks, so it may not apply to small or medium enterprises. Workplace factors are often measured as worker or employer perceptions, which makes it hard to separate workplace characteristics from worker characteristics. The proposed barriers, aversive features and appetitive features are organising principles for future research, not tested assessment tools.

The easy way to misread this

Do not read the listed workplace factors or employer recommendations as proof that changing them reduces sickness absence. This paper reviews literature and employer publications, not tested interventions.

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