Colorectal cancer survivors' challenges to returning to work: A qualitative study

Inga Gruß, Ginger Hanson, Cathy Bradley, Carmit McMullen, Debra Ritzwoller, Stephanie Hodge, Alexandra Varga, Matthew P. Banegas

Research output: Contribution to journalArticle

Abstract

Objective: To assess the challenges and needs of colorectal cancer (CRC) survivors in maintaining employment and returning to work (RTW) from the perspectives of both CRC survivors and employers in the United States. Methods: Semi-structured interviews with CRC survivors (n = 10) and employers (n = 4) were transcribed, coded and thematically analysed using NVivo 12 software. Results: Workplace challenges for survivors included the following: inadequate availability of paid and unpaid leave, limited availability of workplace accommodations, and employers' lack of knowledge about CRC and the recovery process. Survivors were concerned about the lack of adequate financial resources to take unpaid leave and the need to relearn control of bodily functions. Workplace challenges for employers of cancer survivors included the following: limited institutional flexibility to provide individualised accommodations, communication with frontline managers about leave availability for employees and communication with employees about legal protections and limitations. Employers perceived that employees were unwilling to take leave. Conclusion: Colorectal cancer survivors in the US face difficult, sometimes insurmountable, challenges when trying to balance their physical and financial needs within the constraints of employment. Employers recognise challenges associated with this concern. Multi-level interventions—ranging from flexible work schedules to training for frontline managers—might facilitate the RTW process.

Original languageEnglish (US)
Article numbere13044
JournalEuropean Journal of Cancer Care
DOIs
StatePublished - Jan 1 2019

Fingerprint

Survivors
Colorectal Neoplasms
Workplace
Communication
Appointments and Schedules
Software
Interviews
Neoplasms

Keywords

  • colorectal cancer
  • qualitative methods
  • return to work
  • stakeholder perspectives

ASJC Scopus subject areas

  • Oncology

Cite this

Gruß, I., Hanson, G., Bradley, C., McMullen, C., Ritzwoller, D., Hodge, S., ... Banegas, M. P. (2019). Colorectal cancer survivors' challenges to returning to work: A qualitative study. European Journal of Cancer Care, [e13044]. https://doi.org/10.1111/ecc.13044

Colorectal cancer survivors' challenges to returning to work : A qualitative study. / Gruß, Inga; Hanson, Ginger; Bradley, Cathy; McMullen, Carmit; Ritzwoller, Debra; Hodge, Stephanie; Varga, Alexandra; Banegas, Matthew P.

In: European Journal of Cancer Care, 01.01.2019.

Research output: Contribution to journalArticle

Gruß, Inga ; Hanson, Ginger ; Bradley, Cathy ; McMullen, Carmit ; Ritzwoller, Debra ; Hodge, Stephanie ; Varga, Alexandra ; Banegas, Matthew P. / Colorectal cancer survivors' challenges to returning to work : A qualitative study. In: European Journal of Cancer Care. 2019.
@article{f0ccc68fb4774ba1bc5174a4f9139451,
title = "Colorectal cancer survivors' challenges to returning to work: A qualitative study",
abstract = "Objective: To assess the challenges and needs of colorectal cancer (CRC) survivors in maintaining employment and returning to work (RTW) from the perspectives of both CRC survivors and employers in the United States. Methods: Semi-structured interviews with CRC survivors (n = 10) and employers (n = 4) were transcribed, coded and thematically analysed using NVivo 12 software. Results: Workplace challenges for survivors included the following: inadequate availability of paid and unpaid leave, limited availability of workplace accommodations, and employers' lack of knowledge about CRC and the recovery process. Survivors were concerned about the lack of adequate financial resources to take unpaid leave and the need to relearn control of bodily functions. Workplace challenges for employers of cancer survivors included the following: limited institutional flexibility to provide individualised accommodations, communication with frontline managers about leave availability for employees and communication with employees about legal protections and limitations. Employers perceived that employees were unwilling to take leave. Conclusion: Colorectal cancer survivors in the US face difficult, sometimes insurmountable, challenges when trying to balance their physical and financial needs within the constraints of employment. Employers recognise challenges associated with this concern. Multi-level interventions—ranging from flexible work schedules to training for frontline managers—might facilitate the RTW process.",
keywords = "colorectal cancer, qualitative methods, return to work, stakeholder perspectives",
author = "Inga Gru{\ss} and Ginger Hanson and Cathy Bradley and Carmit McMullen and Debra Ritzwoller and Stephanie Hodge and Alexandra Varga and Banegas, {Matthew P.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/ecc.13044",
language = "English (US)",
journal = "European Journal of Cancer Care",
issn = "0961-5423",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Colorectal cancer survivors' challenges to returning to work

T2 - A qualitative study

AU - Gruß, Inga

AU - Hanson, Ginger

AU - Bradley, Cathy

AU - McMullen, Carmit

AU - Ritzwoller, Debra

AU - Hodge, Stephanie

AU - Varga, Alexandra

AU - Banegas, Matthew P.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: To assess the challenges and needs of colorectal cancer (CRC) survivors in maintaining employment and returning to work (RTW) from the perspectives of both CRC survivors and employers in the United States. Methods: Semi-structured interviews with CRC survivors (n = 10) and employers (n = 4) were transcribed, coded and thematically analysed using NVivo 12 software. Results: Workplace challenges for survivors included the following: inadequate availability of paid and unpaid leave, limited availability of workplace accommodations, and employers' lack of knowledge about CRC and the recovery process. Survivors were concerned about the lack of adequate financial resources to take unpaid leave and the need to relearn control of bodily functions. Workplace challenges for employers of cancer survivors included the following: limited institutional flexibility to provide individualised accommodations, communication with frontline managers about leave availability for employees and communication with employees about legal protections and limitations. Employers perceived that employees were unwilling to take leave. Conclusion: Colorectal cancer survivors in the US face difficult, sometimes insurmountable, challenges when trying to balance their physical and financial needs within the constraints of employment. Employers recognise challenges associated with this concern. Multi-level interventions—ranging from flexible work schedules to training for frontline managers—might facilitate the RTW process.

AB - Objective: To assess the challenges and needs of colorectal cancer (CRC) survivors in maintaining employment and returning to work (RTW) from the perspectives of both CRC survivors and employers in the United States. Methods: Semi-structured interviews with CRC survivors (n = 10) and employers (n = 4) were transcribed, coded and thematically analysed using NVivo 12 software. Results: Workplace challenges for survivors included the following: inadequate availability of paid and unpaid leave, limited availability of workplace accommodations, and employers' lack of knowledge about CRC and the recovery process. Survivors were concerned about the lack of adequate financial resources to take unpaid leave and the need to relearn control of bodily functions. Workplace challenges for employers of cancer survivors included the following: limited institutional flexibility to provide individualised accommodations, communication with frontline managers about leave availability for employees and communication with employees about legal protections and limitations. Employers perceived that employees were unwilling to take leave. Conclusion: Colorectal cancer survivors in the US face difficult, sometimes insurmountable, challenges when trying to balance their physical and financial needs within the constraints of employment. Employers recognise challenges associated with this concern. Multi-level interventions—ranging from flexible work schedules to training for frontline managers—might facilitate the RTW process.

KW - colorectal cancer

KW - qualitative methods

KW - return to work

KW - stakeholder perspectives

UR - http://www.scopus.com/inward/record.url?scp=85064600332&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85064600332&partnerID=8YFLogxK

U2 - 10.1111/ecc.13044

DO - 10.1111/ecc.13044

M3 - Article

C2 - 31006931

AN - SCOPUS:85064600332

JO - European Journal of Cancer Care

JF - European Journal of Cancer Care

SN - 0961-5423

M1 - e13044

ER -