Article

Support from the workplace seems to be a key element in addressing
the poor return-to-work (RTW) rate of employees with breast cancer. We aim to
acquire an in-depth understanding of how Flemish employees experience their RTW
after breast cancer and the support from the workplace. METHOD: Fourteen in-depth
interviews of women who experienced breast cancer and returned to work (high
school graduates, age range 42-55 years, mean age 48 at time of surgery) were
analysed using the Qualitative Analysis Guide of Leuven (QUAGOL), based on a
Grounded Theory approach. RESULTS: The key experiences were feeling vulnerable,
feeling able to work and need for support. Although little diversity in RTW experiences was found, the background of the vulnerability varied. Women
experienced support (which could be emotional or practical) only as adequate if
it addressed their specific vulnerability. CONCLUSIONS: Employees felt
particularly vulnerable. Vulnerability is not the same as low-work ability and as
such it should be added as theoretical concept in RTW research. Adequate
workplace support addresses the specific vulnerability of an individual woman.
Our study offers a nuanced insight into the RTW process of breast cancer
survivors. IMPLICATIONS FOR REHABILITATION: Upon actual return-to-work (RTW)
after breast cancer treatment, women feel vulnerable but able to work and, hence,
have a high need for workplace support. Support from the workplace during RTW
after breast cancer treatment is experienced as adequate when it expresses
genuine recognition of the individual woman's vulnerability.

Langue : ANGLAIS