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Journal of Cancer Survivorship
Published in: Journal of Cancer Survivorship 4/2014

01-12-2014 | Review

Qualitative meta-synthesis of survivors’ work experiences and the development of strategies to facilitate return to work

Authors: Mary Stergiou-Kita, Alisa Grigorovich, Victrine Tseung, Elizabeth Milosevic, Debbie Hebert, Stephanie Phan, Jennifer Jones

Published in: Journal of Cancer Survivorship | Issue 4/2014

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Abstract

Purpose

To review the empirical qualitative literature on cancer survivors’ experiences of the return to work process in order to develop strategies for health and vocational professionals to facilitate return to work.

Methods

A rigorous systematic search of five databases was completed to identify relevant qualitative studies published between Jan 2000 and July 2013. All potentially relevant titles and abstracts were reviewed by two reviewers. For studies that met eligibility, the full-text articles were obtained and assessed for quality. The collected evidence was then synthesized using meta-ethnography methods.

Results

In total, 39 studies met the eligibility criteria and passed the quality assessment. The synthesis of these studies demonstrated that cancer diagnosis and treatment represented a major change in individuals’ lives and often resulted in individuals having to leave full-time work, while undergoing treatment or participating in rehabilitation. Thus, many survivors wanted to return to some form of gainful or paid employment after treatment and rehabilitation. However, there was also evidence that the meaning of paid employment could change following cancer. Return to work was found to be a continuous process that involved planning and decision-making with respect to work readiness and symptom management throughout the process. Nine key factors were identified as relevant to work success. These include four related to the person (i.e., symptoms, work abilities, coping, motivation), three related to environmental supports (i.e., family, workplace, professionals), and two related to the occupation (i.e., type of work/demands, job flexibility). Finally, issues related to disclosure of one’s cancer status and cancer-related impairments were also found to be relevant to survivors’ return to work experiences.

Conclusions

This review reveals that cancer survivors experience challenges with maintaining employment and returning to work following cancer and may require the coordinated support of health and vocational professionals.

Implications for Cancer Survivors

Cancer survivors need integrated support from health and vocational professionals (e.g., assistance with defining work goals, determining work readiness, determining how symptoms may impact work performance, suggesting workplace supports, and accommodations) to maintain and return to work after cancer diagnosis and treatment. These supports need to be provided throughout the recovery and rehabilitation process.
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Metadata
Title
Qualitative meta-synthesis of survivors’ work experiences and the development of strategies to facilitate return to work
Authors
Mary Stergiou-Kita
Alisa Grigorovich
Victrine Tseung
Elizabeth Milosevic
Debbie Hebert
Stephanie Phan
Jennifer Jones
Publication date
01-12-2014
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 4/2014
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-014-0377-z

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