Bakgrund: Långtidssjukskrivning på grund av stressrelaterad ohälsa har under senaste åren ökat i Sverige. Det medför oftast ett stort lidande för den enskilde och ger även ökade kostnader för samhället. Hur rehabiliteringen genomförs är av vikt för att kunna hjälpa personerna som är långtidssjukskrivna tillbaka till familjeliv och arbetsliv. Därför är det viktigt att få ta del av de sjukskrivnas egna erfarenheter av rehabiliteringen. Syftet: Var att undersöka hur personer som är långtidssjukskrivna > 3 månader på grund av långvarig stress har upplevt sin rehabilitering och vad som har underlättat för återgång till familjeliv och arbetsliv. Metod: Semistrukturerade intervjuer med 4 kvinnor och 1 man (n= 5) har genomförts. Kvalitativ innehållsanalys har använts vid analys av data. Resultat: Följande fem kategorier framkom: Förändringar i arbetslivet, förändringar i det dagliga livet, försäkringskassans, arbetsförmedlingens och arbetsgivarens betydelse, framgångsfaktorer i rehabiliteringen och strategier för att hantera stress. Slutsats: Denna studie visar på betydelsen av att lyssna på personen som är sjukskriven för att kunna upprätta en individuell rehabiliteringsplan. Att ha ett holistiskt perspektiv, för att kunna se helheten och att alla rehabiliteringsaktörer jobbar mot samma mål är viktigt. / Background: Long-term sickness absence due to stress-related illness has increased during recent years in Sweden. Most often the sick-leave entails a great suffering for the individual, as well as increased costs for society. How the rehabilitation is carried out is of importance to help people who are on sick-leave to return to work and family life. Therefore it is importance to listen to these peoples own experience of the rehabilitation. Aim: To examine how people on sick leave > 3 months because of prolonged stress have experience their rehabilitation and what has facilitated for the return to family and work. Method: Semi-structured interviews were conducted with 4 women and 1 man (n= 5) Data was analyzed by qualitative contens analysis. Results: The following five categories were identified: Changes in work life, changes in daily life, insurance offices, empolyment office and employer’s role, successful factors in the rehabilitation and strategies to cope with stress. Conclusion: This study demonstrates the importance of listening to the person who is on sick leave in order to prepare an individual rehabilitation plan. To have a holistic perspective in order to see the big picture and that all rehabilitation actors are working towards the same goal is important.

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INTRODUCTION Sick leave absenteeism is a recognized problem in all work sectors. The financial impact of sick leave has been well-documented. A profile of sick leave records can establish the extent of the sick leave problem in a workplace, the associated and predisposing factors for sick leave and the patterns of sick leave amongst workers. A baseline profile of the sick leave patterns in a workplace should be a preliminary step toward developing a programme aimed at the improvement of workers' health and attendance at work. AIM OF THE STUDY The aim of this study was to profile recorded sick leave for 2004 amongst permanent workers at the Consul Factory in Olifantsfontein, Midrand, Johannesburg in order to make recommendations to management. METHODS This was a cross-sectional study using a retrospective review of sick leave records of permanent workers at the Consul Glass factory for 2004. Information gathered included the demographic profile of workers who recorded sick leave, the frequency of sick leave, associated factors for sick leave, health care choices of workers with sick leave and the reasons for sick leave. Descriptive and analytic statistics have been presented. RESULTS • Workers over the age of fifty years had sick leave of longer duration compared to those younger than 50 years old (p<0.05). The median hours taken off for sick leave was higher in the male subgroup compared to the female subgroup of workers in the study population (p<0.05); • Workers from the production areas had more sick leave episodes for the year than workers from the non-production areas (p<0.05). Workers with bronchitis working in the production areas of the factory, had longer duration of sick leave compared to workers with bronchitis working in the nonproduction areas of the factory (p<0.05); • Workers on a variable shift schedule took more sick leave on days of the week that were unlinked to weekends and public holidays (p<0.05).A longer duration of sick leave occurred with certified sick leave compared with self reported sick leave (p<0.05); • In the study population, the majority were not medical aid members. Medical aid members had a longer duration of sick leave per episode compared to non-medical aid members (P<0.05); • Respiratory tract infection was the most common reason for sick leave. Of the ten most common reasons for sick leave, there was a significant difference in the mean number of hours of sick leave taken per episode for dental treatment and backache (p<0.05); • There was a significant difference in the mean number of hours of sick leave recommended by the four different sources of sick notes (p<0.05); • There was a significant association for worker interviews/counselling by the Human Resources' Department official and the worker having had four or more episodes of sick leave for the year (p<0.05). CONCLUSION The profile of sick leave at this company identified important associations with sick leave patterns. These significant findings provide management with baseline information, which can be used for the development of workplace interventions to address the taking of sick leave at the Consul Glass factory. / Thesis (M.Med.)-University of KwaZulu-Natal, Durban, 2008.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

Diss. (sammanfattning) Linköping : Univ., 2006. / Härtill 5 uppsatser.

No summary available / Industrial and Organisational Psychology / M. Comm. (Industrial Psychology)

Magister Administrationis - MAdmin / Nursing is a vital part of the health care delivery system, but managers of health care facilities worldwide are increasingly asked to “do more with less”. Nurses are under increasing work pressure and this often manifests in stress and conflict at work and possible absenteeism. Very few researchers have focused on the patterns of absenteeism among different demographics, length of service and occupational strata. The main question this research seeks to answer is: what is the extent and costs of absenteeism amongst nurses and do seniority, length of service and demographic factors matter at Groote Schuur hospital (GSH). Confined to a period of two years, 2012 to 2013, this study draws on a data set of about 1,635 nurses in order to provide a more accurate analysis of sick leave trends showing occupational levels, gender, age, and race. Nurses at GSH are predominantly female and almost 55% of the workforce is classified as “Coloured”. African nurses in general are younger than the Coloured, White and Indian nurses. The research shows that the nurses in age category 60-66 in fact have a better attendance record; but the data shows there is no overall correlation between years of service and absenteeism. The study suggests that contrary to assumed views, absenteeism is well managed at GSH.

The purpose with this essay is to highlight the attending elements in a working environment that is marked by high absenteeism. Our aim is to gain a deeper understanding of the main factors that may have an affect on the attendance in a working environment that is characterized by high levels of sick leave. Therefore, we conducted a qualitative study through interviews on a communal home care center. In order to answer the study questions, we turned to the sociological theories of KASAM, thedemand control model and the process model for help during our investigation. Our results mainly suggest that the feeling of having social support is a contributing factor and also having a high sense of KASAM when it comes to maintain a high level of attendance in a working environment. These factors has been proven to be of great importance in order to handle situations that can easily lead to stress. We also concluded that by being able to maintain a boundary between your work and private life, you have a good chance of recovering properly between shifts. / Syftet med denna uppsats är att lyfta fram frisknärvaronsbeståndsdelar i en arbetsmiljö som präglas av hög sjukfrånvaro. Vi vill få en djupare förståelse för vilka faktorer som kan tänkas påverka frisknärvaron i en arbetsmiljö som präglas av hög sjukfrånvaro och därför genomförde vi en kvalitativ undersökning med hjälp avsemistruktureradeintervjuer videnkommunal hemtjänst. Föratt besvara studiens frågeställningar har vi tagit hjälp av de sociologiska teorierna KASAM, Krav–kontrollmodellen samt processmodellen. Vårt resultat pekar på attkänslan av att ha ett socialt stödoch en hög känsla av sammanhang är tvåbidragande faktorertill att kunna haen hög frisknärvaro i en arbetsmiljö som präglas av en hög sjukfrånvaro. Det har även visat sig vara viktigt attkunna tänja på gränserna i form av att inte stirra sig blind på klockan. Dessa faktorer har visat sig ha en stor betydelse för attkunna hantera situationer som lätt kan leda till stress. Vi har även kommit fram till att genom att kunna upprätthålla en gräns mellan arbetet och privatlivet tenderar man att lättare kunna återhämta sig mellan arbetspassen.

No description available.

Background. Long-term sick leave is one of the main risk factors for permanent exit out of the labour market. The longer the duration of sickness absence, the less likely sick leave conclusion. Objectives and Methods. The aims were to analyse possible determinants of sick leave conclusion and their relative impacts, to analyse the properties of two models for the assessment of sick leave conclusion, to study the impact of a multidisciplinary vocational intervention for sick leave conclusion in a high-risk group for long-term sick leave compared to a matched-control group, and to compare the patients’ own assessment on chance to sick leave conclusion within 6 months with the assessment of a team of rehabilitation professionals. A prospective cohort study of 943 patients aged 18 to 63 years, sickness certified at a Primary Health Care Centre in Sweden during 8 months in 2004, and follow-up for three years. Results. Significant determinants increasing time to sick leave conclusion were number of sick leave days the year before baseline, age and a psychiatric diagnosis (F in ICD-10). Concordance between actual sick leave conclusion and that predicted by a computer-based model was 73-76% during the first 28-180 days in a manual model, and approximately 10% units higher in a computer based model. Three nomograms provided detailed information on the probability on sick leave conclusion. Before intervention started, the rehabilitation group had a 73% higher sick leave conclusion rate than the control group but during the rehabilitation programme period, a 51% lower conclusion rate, and after there were no significant differences between the groups. The patients’ and the rehabilitation teams’ assessment scores were highly correlated (r=0.49).   Conclusions. Previous sick leave was the most influential variable associated with sick leave conclusion. A computer- based assessment model gave more detailed information on sick leave conclusion than a manual model. A multidisciplinary intervention declined sick leave in a high-risk group for long-term sick leave but after intervention there was no difference between groups. Patients’ own view on sick leave conclusion was highly correlated to the assessment of professionals’.