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RESEARCH PRODUCT

Unity in diversity: employer experiences and needs regarding workers with cancer across 9 countries

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Background In this study we answered the questions what do employers across different countries 1) experience as good practice regarding workers diagnosed with cancer and 2) need in relation to this? Methods Twenty-five semi-structured interviews were held in eight European countries and Israel with 2-3 employers (HRmanager, supervisor) from (non-)profit organisations varying regarding size and sector per country. Interviews were mostly recorded and transcribed verbatim. A grounded theory/ thematic analysis approach including three peer reviewing sessions and individual checks across countries was used to analyse. Results Results showed that overall, employers experienced having a worker with cancer as a complex process. Shaped by worker, employer and country characteristics, the process of good practice included: 1) disclosure as prerequisite ; 2) supervisor collects information on the situation ; 3) decision-making on initial actions ; 4) keeping in touch ; 5) decision-making on return-to-work ; 6) dealing with the next phase. Employers expressed the following needs: 1) structured procedures ; 2) collaboration with other stakeholders, particularly occupational health professionals ; 3) communication skills training ; 4) information on cancer and 5) financial resources. Conclusions Notwithstanding country differences – which need to be studied in more detail in future studies - these employers shared the experience that assisting workers with cancer is complex and that they would profit from structured procedures, collaboration, ’soft skills’ (communication and leadership), information and financial support. Key messages: Employers in 9 countries experience assisting workers with cancer as complex. Employers need structured procedures, collaboration, communication and leadership skills, information and financial support to assist workers with cancer.