Perceived employer‐related barriers and facilitators for work participation of cancer survivors: A systematic review of employers' and survivors' perspectives

Objective To identify employer‐related barriers and facilitators for work participation of cancer survivors from the perspective of both employers and cancer survivors, and to synthesise these perceived barriers and facilitators to understand their perceived consequences. Methods A systematic review...

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Bibliographic Details
Published in:	Psycho-oncology (Chichester, England) Vol. 27; no. 3; pp. 725 - 733
Main Authors:	Greidanus, M.A., Boer, A.G.E.M., Rijk, A.E., Tiedtke, C.M., Dierckx de Casterlé, B., Frings‐Dresen, M.H.W., Tamminga, S.J.
Format:	Journal Article
Language:	English
Published:	England Wiley Subscription Services, Inc 01-03-2018
Subjects:	Barriers Cancer cancer survivor Communication Content analysis Discrimination employer Employers employment Evidence-based medicine Labor force participation manager oncology qualitative return to work Survivor Systematic review Work environment manager qualitative return to work employer cancer employment systematic review oncology cancer survivor
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Summary:	Objective To identify employer‐related barriers and facilitators for work participation of cancer survivors from the perspective of both employers and cancer survivors, and to synthesise these perceived barriers and facilitators to understand their perceived consequences. Methods A systematic review of qualitative studies focusing on employers' and cancer survivors' perspectives on the work participation of cancer survivors was performed. Four databases (MEDLINE, EMBASE, PsycINFO, and Business Source Premier) were systematically searched, and the quality of studies included was assessed using the CASP checklist. Perceived barriers and facilitators were extracted and synthesised to conduct a content analysis. Results Five studies representing the employers' perspectives and 47 studies representing the cancer survivors' perspectives were included. Employers perceived barriers and facilitators related to support, communication, RTW policies, knowledge about cancer, balancing interests and roles, and attitude. Survivors perceived barriers and facilitators related to support, communication, work environment, discrimination, and perception of work ability. The synthesis found that the employers' willingness to support can be understood by perceptions they have of the survivor, goals of the employer, and national or organisational policies. Employers require knowledge about cancer and RTW policies to be able to support survivors. Conclusions This review identified a plurality of and a large variety in perceived employer‐related barriers and facilitators for work participation of cancer survivors, which can be understood to be related to both employers' willingness and ability to support. There is a need for interventions targeting employers, with the aim of enhancing the sustainable work participation of cancer survivors.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	1057-9249 1099-1611
DOI:	10.1002/pon.4514