Workplace Social System and Sustained Return-to-Work: A Study of Supervisor and Co-worker Supportiveness and Injury Reaction
Workplace Social System and Sustained Return-to-Work: A Study of Supervisor and Co-worker Supportiveness and Injury Reaction
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DOI：
10.1007/s10926-017-9724-z
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发表时间：
2018-09-01
影响因子：
3.3
通讯作者：
Smith, Peter
中科院分区：
文献类型：
--
作者：
Jetha, Arif;LaMontagne, Anthony D.;Smith, Peter
目的 探讨社会工作场所制度对持续重返工作岗位（SRTW）的影响。方法 随机抽取工人赔偿索赔人样本，在索赔接受后（基线）和 6 个月后（时间 2）完成调查。在基线和时间 2 时，SRTW 被归类为报告返回工作时间 > 28 天的人员。同事和主管的支持分别使用五个和七个项目进行评估，并得出总分。向参与者提供了一份潜在的主管和同事反应清单，参与者被问到这些反应是否适用于他们；反应被编码为阳性或非阳性。收集了人口统计和伤害特征以及工作环境因素。进行基线和时间 2 个多变量模型来检查主管和同事的支持以及伤害反应对SRTW 的影响。结果整个队列中有 551 名（基线）和 403 名（时间 2）参与者符合研究资格标准。在基线时，59% 的参与者表示SRTW； 70% 的人在时间 2 报告了 STRTW。参与者报告了来自其主管（平均值 = 8.5 +/- 3.9；中值 = 8.2；范围 = 5-15）和同事（平均值 = 10.2 +/- 4.5；中值 = 10.3；范围 = 5-25）的中等支持。超过一半的人表示对主管（59%）或同事受伤反应（71%）有积极反应。多变量模型发现，阳性主管伤害反应与基线（OR 2.3；95% CI 1.4-3.9）和时间 2（OR 1.6；95% CI 1.1-2.3）的 SRTW 显着相关。结论 提高主管对受伤工人的积极性是一项重要的组织工作残疾管理策略。
Objective To examine the impact of the social workplace system on sustained return-to-work (SRTW). Methods A random sample of workers' compensation claimants was recruited to complete a survey following claim acceptance (baseline), and 6 months later (time 2). SRTW, at baseline and time 2, was classified as those reporting being back at work for > 28 days. Co-worker and supervisor support were assessed using five and seven items, respectively, and total scores were produced. A list of potential supervisory and co-worker reactions were presented to participants who were asked whether the reaction applied to them; response were coded as positive or non-positive. Demographic and injury characteristics, and work context factors were collected. Baseline and at time 2 multivariable models were conducted to examine the impact of supervisory and coworker support and injury reaction on SRTW. Results 551 (baseline) and 403 (time 2) participants from the overall cohort met study eligibility criteria. At baseline, 59% of all participants indicated SRTW; 70% reported SRTW at time 2. Participants reported moderate support from their supervisor (mean = 8.5 +/- 3.9; median = 8.2; range = 5-15) and co-workers (mean = 10.2 +/- 4.5; median = 10.3; range = 5-25). Over half reported a positive supervisor (59%) or co-worker injury reaction (71%). Multivariable models found that a positive supervisor injury reaction was significantly associated with SRTW at baseline (OR 2.3; 95% CI 1.4-3.9) and time 2 (OR 1.6; 95% CI 1.1-2.3). Conclusions Promoting supervisor positivity towards an injured worker is an important organizational work disability management strategy.