title: Policy implications of the relationship of sick leave benefits, individual characteristics, and fatigue to employment during radiation therapy for cancer.
abstract: Undergoing a course of radiation therapy for cancer does not preclude the need to work during treatment. This study examines the impact of sick leave benefits, individual characteristics, and fatigue on employment during radiation therapy. The conceptual model of nursing and health policy (CMNHP) and the Piper integrated fatigue model (IFM) guided this study. Seventy-seven study participants receiving radiation therapy were recruited from one community hospital. The study employed a prospective, longitudinal design. Data were collected at baseline prior to starting radiation therapy, weekly during treatment, and at the 1-month follow-up visit. Only 49% of study participants had paid sick leave benefits available at the start of radiation. Age, pain, gender, side effects, availability of sick leave benefits, and fatigue were associated with work along the trajectory of radiation therapy. Further research addressing the impact of paid leave policies on the relation between work and cancer-related fatigue is warranted.
authors.affiliation: St. Vincent Hospital Radiation Oncology, Worcester, MA, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Poirier
mesh_terms: D000041:Absenteeism; D000328:Adult; D000368:Aged; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D004651:Employment / Q000706:statistics & numerical data*; D005221:Fatigue / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006291:Health Policy; D006764:Hospitals, Community; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D009369:Neoplasms / Q000150:complications / Q000191:economics / Q000532:radiotherapy*; D024802:Nurse's Role; D011446:Prospective Studies; D012044:Regression Analysis; D012307:Risk Factors; D018582:Sick Leave / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014940:Work Schedule Tolerance