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Ethnocultural Minority Workers and Sustainable Return to Work Following Work Disability: A Qualitative Interpretive Description Study

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Abstract

Purpose This article provides a state-of-the-art review of issues and factors associated with the sustainable return to work (S-RTW) of ethnocultural minority workers experiencing disability situations attributable to one of four major causes: musculoskeletal disorders, common mental disorders, other chronic diseases or cancer. Methods Using an interpretive description method, an integrative review was conducted of the literature on ethnocultural factors influencing S-RTW issues and factors associated with these four major work-disability causes. An initial review of the 2006–2016 literature was subsequently updated for November 2016–May 2021. To explore and contextualize the results, four focus groups were held with RTW stakeholders representing workplaces, insurers, the healthcare system and workers. Qualitative thematic analysis was performed. Results A total of 56 articles were analyzed and 35 stakeholders participated in four focus groups. Two main findings emerged. First, belonging to an ethnocultural minority group appears associated with cumulative risk factors that may contribute to vulnerability situations and compound the complexity of S-RTW. Second, cultural differences with respect to the prevailing host-country culture may generate communication and trust issues, and conflicts in values and representations, in turn possibly hindering the establishment of positive relationships among all stakeholders and the ability to meet workers’ needs. Being a woman in these groups and/or having a lower level of integration into the host country’s culture also appear associated with greater S-RTW challenges. Conclusions Based on our findings, we recommend several possible strategies, such as the cultural humility model, for preventing differences from exacerbating the already significant vulnerability situation of some ethnocultural minority workers.

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Notes

  1. Bourdieu, 1986, p.2, defines social capital as “all the actual or potential resources related to having a sustainable network of relationships…” [76]

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Acknowledgements

We are grateful for the contribution of all health professionals, workers’ representatives, employers and insurers who participated in the focus groups. Our thanks go to Michaël Bernier, who conducted the initial literature search. Lastly, we would like to thank all the social partners who participated in the study as part of the MIST-CAPRIT team’s advisory committee.

Funding

This study was jointly funded by the Social Sciences and Humanities Research Council (SSHRC) and the Canadian Institutes of Health Research (CIHR) under the Healthy and Productive Work initiative (Grant No. 890-2016-3028).

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Authors and Affiliations

  1. Centre d’action en Prévention et Réadaptation des Incapacités au Travail (CAPRIT), Université de Sherbrooke, 150 Place Charles-Le Moyne, Suite 200, Longueuil, QC, J4K 0A8, Canada

    Marie-France Coutu, Marie-José Durand, Chantal Sylvain & Marie-Andrée Paquette

  2. Centre de Recherche Charles-le Moyne (CRCLM), Université de Sherbrooke, 150 Place Charles-Le Moyne, Suite 200, Longueuil, QC, J4K 0A8, Canada

    Marie-France Coutu, Marie-José Durand, Dominique Tremblay, Chantal Sylvain & Marie-Andrée Paquette

  3. School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 150 Place Charles-Le Moyne, Suite 200, Longueuil, QC, J4K 0A8, Canada

    Marie-France Coutu, Marie-José Durand & Chantal Sylvain

  4. Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST), 505 Boulevard De Maisonneuve West, Montreal, QC, H3A 3C2, Canada

    Daniel Coté & Iuliana Nastasia

  5. School of Nursing, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, QC, J4K 0A8, Canada

    Dominique Tremblay

  6. Department of Management and Human Resource Management, School of Management, Université de Sherbrooke, 2500 Boulevard de l’Université, Sherbrooke, QC, J1K 2R1, Canada

    Marie-Michelle Gouin

  7. Faculty of Nursing, Université de Montréal, Station Centre-ville, PO Box 6128, Montreal, QC, H3C 3J7, Canada

    Karine Bilodeau

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  1. Marie-France Coutu
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  2. Marie-José Durand
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  3. Daniel Coté
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  4. Dominique Tremblay
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Correspondence to Marie-France Coutu.

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Coutu, MF., Durand, MJ., Coté, D. et al. Ethnocultural Minority Workers and Sustainable Return to Work Following Work Disability: A Qualitative Interpretive Description Study. J Occup Rehabil 32, 773–789 (2022). https://doi.org/10.1007/s10926-022-10044-9

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