This aligns with a variety of theoretical models that emphasize the importance of understanding the (non) actions of individuals’ in their context. This study put forward that making well-founded decisions was not only a cognitive, intellectual exercise but also a multifaceted process including emotional and social aspects. Finally, the study identified “a supportive context, commitment, respect and shared responsibility” as important for enhancing decision making. The study participants also expressed a need “to be sure” and they described that, initially, they were active in information seeking but became gradually less active because they had difficulties finding the information they needed. One of the few studies with a focus on decision making, a qualitative study of women with experiences of sickness absence, identified “feeling capable and having belief in one’s capacity” as important for making well-founded decisions.
IBEHAVE THERAPY GROUP EMPLOYER REVIEWS PROFESSIONAL
Some recurring factors include different kinds of co-worker support, a supportive employer-employee relationship, accommodation of work and work strain, help to maintain routines in life and work identity, professional support and coordination between different actors/systems, help to improve mental health and foster self-efficacy and balance in life, and ability to participate in one’s own sick-leave/rehabilitation process. More research exist on experiences of the sick-leave process itself including factors that facilitate or complicates return to work. However, studies on the specific needs of patients for decision making during sickness absence and the rehabilitation processes are scarce. Thus, the ability to make well-founded decisions is key during this process. Decisions must be made, some of which could be life changing or at least critical in relation to a continued work life. At a time of health problems and generally reduced capacity, the individual must comprehend and navigate through several options presented by health care and social insurance institutions. Sickness absence and rehabilitation processes can be challenging for the individual because they involve decisions related to treatment, rehabilitation and return to work. Current knowledge on strategies to improve health/well-being while being in the sick leave process need to be elaborated, communicated and adapted to each individuals’ unique situation, including clarifying rights, obligations and opportunities during the sick-leave process. Other factors in the context of the individual must also be considered. Collaboration between stakeholders as well as shared decision making should be considered when the time for return to work is discussed with sick-listed individuals. Our findings suggest that alternatives need to be found that address sickness absence and rehabilitation processes from a complex perspective. The analysis revealed three themes that described experiences of decision making during the sick leave and rehabilitation process: Ambiguous roles challenge possibilities for moving on Uncertain knowledge base weakens self-management and Perceived barriers and enablers for ending sick leave. Data analysis was performed using manifest content analysis, meaning that the analysis was kept close to the original text, and on a low level of interpretation and abstraction.
Patients were recruited from different sources in the western part of Sweden, such as primary health care centres, patient organizations and via social media. Face-to-face interviews took place with 11 sick-listed individuals with common mental disorders. MethodsĪ qualitative explorative approach was used. The aim of this study was to investigate the prerequisites for support, knowledge and information related to decision making experienced by people on sickness absence due to common mental disorders. At a time of generally reduced capacity, the individual must comprehend and navigate through several options. Sickness absence and rehabilitation processes can be challenging for an individual.
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