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The Strategies Used to Balance Health and Work Across the Solid Organ Transplantation Trajectory

Title: The Strategies Used to Balance Health and Work Across the Solid Organ Transplantation Trajectory
Authors: Gaudet, Keira; Corbiere, Marc; Chen, Tianyan; Cardinal, Heloise; Achille, Marie
Contributors: Université de Montréal; Fonds de Recherche du Québec-Société et Culture
Source: Progress in Transplantation ; volume 34, issue 1-2, page 32-40 ; ISSN 1526-9248 2164-6708
Publisher Information: SAGE Publications
Publication Year: 2024
Description: Introduction: Workers who undergo solid organ transplantation report frequent conflicts between the unpredictable demands of their health condition and the rigid requirements of their employer and of health services. The present study aimed to describe the self-management strategies adopted by workers while staying at work before transplantation and during sustainable return-to-work posttransplantation. Methods: Fifteen employed kidney, liver, and lung transplant recipients were recruited from 2 large urban university health centers in Montreal, Canada. Three focus groups were held, and thematic analysis was performed. Findings: Seven strategies were identified: responding promptly and consistently to fatigue-related needs, planning ahead with immediate supervisors while remaining strategic about when to disclose transplantation, requesting work accommodations, requesting flexibility in healthcare provision, consulting physicians about work-related issues, informing co-workers about work limitations and immunosuppression and asking not to be treated differently in the workplace. Conclusion: Access to work accommodations, support from physicians and flexibility in treatment and appointment schedules supported workers’ ability to manage their health while staying at work before and after undergoing solid organ transplantation. In light of findings, it may be useful for healthcare professionals to address workers’ concerns about work limitations and work accommodation implementation, especially when the illness-management burden increases before transplantation and during posttransplantation sick leave. Future studies could describe the strategies used by other important stakeholders when attempting to provide support to workers.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1177/15269248241239245
Availability: https://doi.org/10.1177/15269248241239245; https://journals.sagepub.com/doi/pdf/10.1177/15269248241239245; https://journals.sagepub.com/doi/full-xml/10.1177/15269248241239245
Rights: https://creativecommons.org/licenses/by/4.0/ ; https://journals.sagepub.com/page/policies/text-and-data-mining-license
Accession Number: edsbas.78406876
Database: BASE