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- Murley, Chantelle, et al.
(författare)
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Exploring the working life of people with multiple sclerosis during the COVID-19 pandemic in Sweden
- 2024
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Ingår i: BMC Public Health. - : Springer Nature. - 1471-2458. ; 24
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Tidskriftsartikel (refereegranskat)abstract
- Background The COVID-19 pandemic led to vast changes in working life and conditions in which we work. Thesechanges may affect people with multiple sclerosis (PwMS) differently. We aimed to describe the working situation ofPwMS during the COVID-19 pandemic and the pandemic’s impact on their working lives.Methods All individuals aged 20–50 listed in the Swedish Multiple Sclerosis Registry were invited to participate inan online survey in 2021. Closed and open-ended responses linked to individual-level register data were used in this exploratory mixed-methods study. Differences in the proportions reporting specific impacts were assessed with chisquare tests by sex, MS severity, education, and profession. The open-ended answers were analysed through contentanalysis.Results Over 8500 PwMS were invited (52% response rate). We included the 3887 respondents who answered questions about the impact of the pandemic on working life. Most (93.7%) reported being in paid work. An impactof the ongoing pandemic to one’s daily occupation was reported by 26.2%, with different characteristics observedacross the impacts. Four categories of type of answers were identified from the open-ended answers: Direct impacton one’s occupation, Disclosing or concealing MS in the workplace, Worry and uncertainty, and Broader impact to lifesituation.Conclusions PwMS navigated the pandemic by interrupting as well as continuing their working lives. Many PwMSreported that the pandemic did not affect their work situation. However, the reported impacts differed among theparticipants and a sense of uncertainty and worry was often underlying their statements. Lessons from the pandemicmay support future work participation.Keywords SARS-CoV-2, Containment measures, W
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| 2. |
- Söderman, Mirkka, et al.
(författare)
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Oncologists’ experiences of and prerequisites for sickness certification tasks: A nationwide questionnaire study
- 2021
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Ingår i: European Journal of Cancer Care. - : Hindawi Limited. - 0961-5423 .- 1365-2354. ; 30:4
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Tidskriftsartikel (refereegranskat)abstract
- Oncologists frequently have sickness certification (SC) consultations, however, little is known about their experiences of such tasks.ObjectiveTo investigate oncologists’ experiences of organisational prerequisites for SC tasks, and if lack of resources was related to experiencing SC as problematic.MethodQuestionnaire data from 342 oncologists in Sweden were used for descriptive statistics and to calculate odds ratios (OR) with 95% confidence intervals (CI).ResultsThe majority (92.2%) had SC consultations weekly; 17.8% of the oncologists experienced such consultations as problematic weekly. About a third appreciated the national guidelines for SC (34.5%) and had joint routines/policies regarding SC at their clinic (29.7%). Experiencing SC consultations as problematic was associated with stating not having enough resources for such work (OR 3.47; 95% CI 1.92–6.25). Lack of resources was associated with: experiencing lack of competence in insurance medicine (3.34; 1.92–5.82), conflicts with patients regarding SC (4.22; 1.96–9.07), finding it problematic to manage the two roles as medical expert and as the patient's treating physician (3.31; 2.04–5.34), or to assess work capacity (2.28; 1.46–3.56).ConclusionAlthough oncologists often had SC tasks, most did not experience them as problematic weekly. However, lack of resources for SC tasks was associated with experiencing SC as problematic.
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| 3. |
- Wennman-Larsen, Agneta, et al.
(författare)
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Factors of decisive importance for being in work or not during two years after breast cancer surgery : content analysis of 462 women’s open answers
- 2021
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Ingår i: BMC Women's Health. - : BioMed Central. - 1472-6874. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Paid work is one of the most important aspects in life among working-aged women diagnosed withbreast cancer. Despite several attempts, no previous study provides a comprehensive overview from the women’s perspective about factors of importance for being able to work or not. Therefore, the aim of this study was to gainknowledge about factors that women themselves state are of decisive importance for being able to work or not during the frst two years after breast cancer surgery.Methods: Data was collected in a two-year follow-up questionnaire within the frame of a prospective cohort studyof working-aged women who had undergone breast cancer surgery. 749 were included in the questionnaire studyand of the 616 (82%) responding women, 462 (75%) wrote statements on an open-ended question about factors ofdecisive importance for being able to work or not work during the past two years. The statements were analyzed withcontent analysis.Results: Five categories of factors of importance for being able to work or not were identifed, each covering severalsub-categories: Health and wellbeing, Contacts and encounters, Flexibility and adjustment possibilities, Socioeconomic consequences from working/not working, and Own motivation and characteristics. A wide variety of factorswere mentioned by the women and the fndings give a multifaceted picture of many single but interrelated factors ofdecisive importance for being able to work/not work. The importance of fexibility in the return-to-work process wasstressed, as well as the importance of supportive encounters from, e.g., colleagues, managers, as well as relatives.Conclusions: The results give a comprehensive overview over a variety of diferent types of factors for being ableto return to/remain in work or to not work after breast cancer surgery, adding new knowledge about e.g. the importance of colleagues, and the women’s own preferences or characteristics. These are factors that diferent stakeholders, both from healthcare but also from the work place and the insurance ofce, need to be aware of and collaboratearound to support women with breast cancer during the period of treatment, rehabilitation and return to work.
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