Chronically ill employees in the context of organizational culture

Abstract

In this article, the differences in implementation of policies in relation to chronically ill employees are discussed in the context of organizational culture. It appears that an appropriate organizational culture is required to be able to take measures to retain chronically ill employees. Various stakeholders view organizational culture as a magic bullet to help introduce company policy to retain chronically ill workers. Within functionalist approach to organizational culture, the three perspectives integration, fragmentation and differentiation can be distinguished. According to these perspectives, we classify organizations in accordance to the decision-making and hierarchical structures. We shall explore how the three organizational culture perspectives can be used for understanding what may constitute ‘best practice’ or ‘best strategy’ in order to address the question of what the organizations can do to facilitate sustained employability for chronically ill workers. The main objective was to determine what type of organizational culture is more effective for policies and practices in case of optimal functioning of chronically ill employees. Preliminary research results are based on a number of case studies conducted with the managers and HRM of government and commercial organizations between March 2007 and October 2008. These case studies were based on open interviews and focus group sessions for human resource departments which were consequently analyzed using thematic analysis. For group sessions, we used concept mapping to collect information from two groups of HRM professionals and managers. Concept mapping is a structured methodology for eliciting, organizing and aggregating the ideas of groups of diverse stakeholders on a certain focus question. It uses qualitatively collected data from group members and results in quantitatively derived graphic maps concept maps displaying the interrelationships among ideas expressed by the group and its subgroups. iiiWe used literature study using systematic hand-search strategy involving medical, statistical, management and social science databases Web of Science, MedLine, Pub Med, Psych Info, etc. . For the purpose of this study we only included physical and NOT psychological or mental disorders

Keywords

• organizational culture, policy, employees, chronic diseases, integration approach, fragmentation approach, differentiation approach

References

1. Allan, C. M., W. N., Guptill, C. A., Stephenson, F. F. and Campbell, K. E. (2006) 'A Conceptual Model for Interprofessional Education: The international classification of functioning, disability and health (ICF)', Journal of Interprofessional Care, 20:3, 235 – 245.
2. Alvesson, M. (2002) Understanding Organizational Culture. SAGE Publications. London.
3. Amick, B. C. III, R. V. Habeck, Hunt, A., Fossel, A. H., Chaplin, A. Keller, R. B., Katz, J. N. (2000) Measuring the impact of organizational behaviors on Work Disability Prevention and Management. Journal of Occupational Rehabilitation, Vol. 10, No. 1.
4. Baanders, A. N., Rijken, P. M., Peters, L. (2002) Labour participation of the chronically ill: a profile sketch. European Journal of Public Health. Vol. 12, pp. 124-130.
5. Bannic, D. and de Vroom, B. (2007) Eurofound, Employment and labour market policies for an ageing workforce and initiatives at the workplace National overview report: The Netherlands.
6. Barney, J.B. (1986). Types of competition and the theory of strategy: Toward an integrative framework. Academy of Management Review, 11(3), 791-800.
7. Beatty, J. E. and Joffe, R. (2006) An Overlooked Dimension of Diversity: The Career Effects of Chronic Illness. Organizational Dynamics, Vol. 35, No.2, pp. 182-195.
8. Beer, de, P. (2007) Het psychologish contract onder druk. Ziek en mondig op het werk. Dilemma’s bij veranderende verhoudingen. Gelling Publishing. Nieuwerkerk aan den Ijssel.

9. Black, C. (2008) Working for a Healthier Tomorrow. Presented to the Secretary of State for Health and the Secretary of State for Work and Pensions. London. http://www.workingforhealth.gov.uk/documents/working-for-a-healthier-tomorrowtagged.pdf
10. Bloch, F.S., Prins, R., eds. Who returns to work and why? A six-country study on work incapacity and reintegration. London, UK: Transaction Publishers, (2001); (summary available at: http://www.issa.int/pdf/publ/2wirbooklet.pdf International Social Security Association Research Programme, Geneva).
11. Bruins Slot, J. H. W. (2006) 1.775.000 plus 1 arbeidsgehandicapten in de beroepsleeftijd. Chronisch zieken aan het werk. Arbo Unie 15 November 2006. http://www.arbounie.nl/pdf/arbeidsgehandicapten_in_de_beroepsleeftijd.pdf
12. Bryman, A. (2004) Social Research Methods. Oxford University Press.
13. Deal, T. E. and Kennedy, A. A. (1982) Corporate Cultures: The rights and Rituals of corporate life. Reading (Mas.), Addison-Wesley.
14. Detaille, S. I., Haafkens, J. A., Hoekstra, J. B. van Dijk, F. J. (2006) What employees with diabetes mellitus need to cope at work: views of employees and health professionals. Patient Education and Counseling December 2006, Vol. 64 (1-3), pp. 183-90.
15. Disability Discrimination Act (1995) chapter 50. Office of Public Sector Information http://www.opsi.gov.uk/acts/acts1995/ukpga_19950050_en_1
16. European Agency for Safety and Health at Work http://nl.osha.europa.eu/legislation/?language=en
17. European Foundation for Improvement of Living and Working Conditions (2002). Quality of work and employment in Europe. Issues and Challenges. Foundation Paper, No. 1, February. Dublin. http://www.eurofound.europa.eu/
18. European Foundation for Improvement of Living and Working Conditions (2003). Illness, disability and social Inclusion. Dublin. http://www.eurofound.europa.eu/
19. http://www.eurofound.europa.eu/pubdocs/2003/32/en/1/ef0332en.pdf Info for Indicator- chronic illness
20. http://www.eurofound.europa.eu/areas/qualityoflife/eurlife/index.php?template=6&radi oindic=183&idDomain=1
21. Eurostat news release (2003) One in six of the EU working-age population report disability http://ec.europa.eu/employment_social/health_safety/docs/ceremony_en.pdf
22. Eurostat (2003) Employment of Disabled People in Europe in 2002 http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-NK-03-026/EN/KS-NK-03- 026-EN.PDF
23. Glanstra, F. (1999) Organisaties en diversiteit. Naar een contextuele benadering van intercultureel management. Lemma, Utrecht.
24. Grammenos, S. (2006) Illness, disability and Social Inclusion (report). European Foundation for Improvement of Living and Working Conditions. Centre for European
25. Social and Economic Policy (CESEP), Brussels. 17 February http://www.eurofound.europa.eu/publications/htmlfiles/ef0335.htm
26. Guest, D. E. (1998) Is the psychological contract worth taking seriously? Journal of Organizational Behavior, 19, pp. 649-664.
27. Haafkens, J. (2008) Perspectives of HRM professionals and managers on what policies and practices are needed within an organization to enable sustained employability for chronically ill employees. Working paper 9th International Conference on Human Resource Development Research and Practice Across Europe: IÉSEG School of
28. Management, Catholic University of Lille, 21-23 May, 2008.
29. Hofstede, G. J. (1980) Cultures Consequences: International Differences in workrelated values. Beverly Hills: Sage.
30. Hofstede, G. J. (1991) Cultures and Organizations, Software of the Mind. New York. McGraw-Hill.
31. Illness, Disability and Social Inclusion report http://www.eurofound.europa.eu/pubdocs/2003/32/en/1/ef0332en.pdf
32. Johnson, J.V., Hall, E.M. (1988) Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. American Journal of Public Health, Vol. 78, pp. 1336–1342.
33. Kloss, D. (2005) Occupational Health Law. Blackwell Science, Oxford.
34. Kluytmans, F. (2005) Leerboek Personeelsmanagement. Wolters-Noordhoff, Groningen.
35. Kroon op het Werk http://www.kroonophetwerk.nl/Waterland_Ziekenhuis_winnaar_2006%20_eigen_verant woordelijkheid_teruggeven_327.html
36. Martin, J. (2002) Organizational Culture: Mapping the Terrain. Sage Publications. Thousand Oaks, London.
37. Meijden, van der, A. (2005) HRM en de chronisch zieke werknemer. Working paper. Amsterdamse Hogeschool voor Human Resource Management, Lectoraat Gedifferentieerd Human Resource Management.
38. Meijden, van der, A. (2006) Onderzoeksverslag werknemers met een gezondheidsbeperking bij KCS. Lectoraat Gedifferentieerd HRM van de Hogeschool van Amsterdam. Juli 2006.
39. Ministerie van Volksgezondheid, Welzijn en Sport www.minvws.nl Mintzberg, H. and Waters, J. (1985) Of Strategies, Deliberate and Emergent, Strategic Management Journal 6, 257-272.
40. Moss, M. (2001) Sensemaking, Complexity and Organisational Knowledge. The Journal of Knowledge and Process Management, Volume 8, Issue 4 (Oct-Dec 2001)
41. Munir, F., Leka, S. and Griffiths, A. (2005) Dealing with self-management of chronic illness at work: predictors for self-disclosure. Social Science and Medicine, Vol. 60, 1397-1407.
42. Nagi, S. Z. (1979) The concept and measurement of disability. In Disability Policies and Government Programs (Edited by Berkowitz, E. D.) pp. 1-15. Praeger, New York.
43. Ouchi, W. G. and A. L. Wilkins (1985) Organizational culture, Annual Review of Sociology 11 (1985), pp. 457–483.
44. Quinn, R. E. (1988) Beyond Rational Management: Mastering the paradoxes and competing demands of high performance. San-Francisco, Jossey-Bass.
45. Schien, E. H. (1992) Organizational Culture and Leadership. 2d. Ed. San Francisco, CA.: Jossey Bass.
46. Tylor, E. B. (1920) [1871]. Primitive Culture. New York: J.P. Putnam’s Sons.
47. U.K. Prospective Diabetes Study group (1999) http://www.diabetesmonitor.com/d03.htm UWV Voor re-integratie en tijdelijk inkomen. Wat is WAZ? http://www.uwv.nl/particulieren/arbeidsongeschikt/WAZ/index.aspx
48. Varekamp I., Verbeek J.H.A.M., Van Dijk, F.J.H., (2006) ‘How can we help employees with chronic diseases to stay at work? A review of interventions aimed at job retention and based on the empowerment perspective’. International Archives of Occupational Environmental Health 80: 87-97.
49. Varenkamp, I. D. Spreeuwers, F.J.H. van Dijk (2005) ‘Werknemers met reuma, astma en diabetes: Een verkennend onderzoek naar de aandacht die medisch specialisten en gespecialiseerde verpleegkundigen besteden aan werkgerelateerde problematiek. Coronel Instituut voor Arbeid, Milieu en Gezondheid/ Nederlands Centrum voor Beroepsziekten
50. Varenkamp, I., Haafkens, J. A., Detaille, S. I., Tak, P. P., van Dijk, F. J. H. (2005) Preventing work disability among employees with rheumatoid arthritis: What medical professionals can learn from the patients’ perspective. In Arthritis Care and Research. December 2005, Vol. 53 (6), pp. 965-972.
51. Verbrugge, L. M. and A. M. Jetie (1994) The Disablement Process. Social Science Medical, Vol. 38, No. 1. pp. l-14.
52. Verburg, R. and den Hartog, D. (2008) De Kern van HRM. Uitgeverij SWP, Amsterdam.
53. Weick, K. E. (1995) Sensemaking in Organizations, (Series Foundations for Organizational Science) Thousand Oaks CA: Sage Publications.
54. World Health Organization http://www.who.int/topics/disabilities/en/ http://www.who.int/classifications/icf/site/checklist/icf-checklist.pdf
55. Zirkzee, E. J. M., Sneep, A. C., de Buck, P. D. M., Allaart, C. F., Peeters, A. J.,Ronday H. K., Westedt, M.L., Cessie, S. and Vliet Vlieland, T. P. M. (2008) Sick leave and work disability in patients with early arthritis. Clinical Rheumatology 2008 January; 27(1): 11–19.