Introduction There is little research on return to work (RTW) from a workplace perspective following hip and knee replacement (THR/TKR) despite employers and other workplace personnel having a key role. Our aim was to explore the experiences of individuals in the workplace in managing employees undergoing THR/TKR. Methods Employers and other workplace representatives from a cross-section of employment sectors and sizes, with experience of managing employees undergoing THR/TKR in the previous 12 months, were recruited. Interviewees included small business owners, line managers, colleagues, human resources managers and occupational health advisers. Semi-structured, qualitative interviews were conducted and data were analysed thematically. Results Twenty-five individuals were interviewed. The main themes identified were accommodating the employee, and barriers and facilitators to RTW. Accommodations included changes to the work environment, amended duties, altered hours, changed roles and colleague support. Perceived barriers and facilitators to RTW included the role of GPs and occupational health, surgical issues, characteristics of the work environment and of employees. Conclusions Employers are motivated to effect supported RTW for employees undergoing THR/TKR but have insufficient guidance. Strategies are required to signpost employers to existing RTW advice, and to develop recommendations specific to lower limb arthroplasty. Communication between medical practitioners and employers should be facilitated in order to enhance the RTW experience of individuals undergoing THR/TKR.
National Joint Registry. 2016. http://www.njrreports.org.uk. Accessed 9 Aug 2018.
Waddell G, Burton AK, Kendall N. Vocational rehabilitation: what works for whom and when? London: TSO; 2008.
van Oostrom SH, Driessen MT, de Vet HC, Franche RL, Schonstein E, Loisel P, et al. Workplace interventions for preventing work disability. Cochrane Database Syst Rev. 2009;2:CD006955.
Department of Works and Pensions guidance for employers and line managers. 2016. https://www.gov.uk/government/publications/fit-note-guidance-for-employers-and-line-managers. Accessed 9 Aug 2018.
Tiedtke C, Donceel, de Rijk A, de Casterle BD. Return to work following breast cancer treatment: the employers’ side. J Occup Rehabil. 2014;24(3):399–409. PubMed
Malviya A, Wilson G, Kleim B, Kurtz SM, Deehan D. Factors influencing return to work after hip and knee replacement. Occup Med. 2014;64(6):402–409. CrossRef
Baker PN, Coole C, Drummond A, McDaid C, Khan S, Thomson L, Hewitt C, McNamara I, McDonald D, Fitch J, Rangan A. Development of an occupational advice intervention for patients undergoing lower limb arthroplasty (The OPAL study). BMC Health Serv Res. 2018;18:504. CrossRef
Ritchie J, Lewis J. Qualitative research practice: a guide for social science students and researchers. London: SAGE; 2003.
Gonzalez Carreras FJ, Speckesser S, Hillage J. Fit for Work: Scoping the feasibility of an impact evaluation. Department for Work and Pensions Research Report No 961. 2018. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/716878/fit-for-work-scoping-the-feasability-of-an-impact-evaluation.pdf. Accessed 9 Aug 2018.
Department for Work and Pensions, Department of Health. Improving lives. The future of work, health and disability. In: Presented to parliament by the secretary of state for work and pensions and the secretary of state for health by command of her majesty. London: Department for Work and Pensions, Department of Health; 2017.
Allen J, Cohen D. Attitudes to work and health in doctors in training. Occup Med. 2010;60(8):640–644. CrossRef
Stigmar K, Dahlberg L, Zhou C, Lidgren H, Petersson IF, Englund M. Sick leave in Sweden before and after total joint replacement in hip and knee osteoarthritis. ActaOrthopaedica. 2017;88(2):152–157.
Barten D-JJA, Smink A, Swinkels ACS, Veenhof C, Schers H, Vlieland TV, deBakker DH, Dekker J, van den Ende CHM. Factors associated with referral to secondary care in patients with osteoarthritis of the hip or knee after implementation of a stepped-care strategy. Arthritis Care Res. 2017;69(2):216–225. CrossRef
Hoorntje A, Janssen KY, Bolder SBT, Koenraadt KLM, Daams JG, Blankevoort L, Kerkhoffs GMMJ, Kuijer PPFM. The effect of total hip arthroplasty on sports and work participation: a systematic review and meta-analysis. Sports Med. 2018. https://doi.org/10.1007/s40279-018-0924-2. PubMedPubMedCentralCrossRef
Royal College of Surgeons. Recovering from surgery https://www.rcseng.ac.uk/patient-care/recovering-from-surgery/. Accessed 9 Aug 2018.
- Managing Employees Undergoing Total Hip and Knee Replacement: Experiences of Workplace Representatives
- Springer US
Journal of Occupational Rehabilitation
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688