O-159 Insights Into Small and Medium Enterprises Practices of Early Return to Work With Modified Tasks Following a Work-Related Injury

Introduction Facilitating early return-to-work with modified tasks following work-related injuries is a common practice in industrial countries to promote workers’ rehabilitation. This presentation aims to explore how that strategy is implemented in small and medium enterprises (SMEs) which often experience higher rates of occupational injuries compared to larger corporations. Methods Using a qualitative descriptive design, semi-structured interviews were conducted with managers, while focus groups involved external stakeholders in disability management. The selection of participants was purposeful, aiming to ensure diversity in roles and perspectives. Qualitative content analysis of verbatim transcripts was performed, using a mix-coding approach that integrated both pre-established and emerging topics. Results SMEs have limited options for task modifications tailored to the injured worker’s health condition, abilities and interests. Modified tasks are typically chosen informally by the person in charge of the disability management in the enterprise with the supervisor’s insight, and occasionally the worker’s depending on the company. While follow-ups by a manager are common, they are not consistently standardized, placing the responsibility on workers to raise concerns in case of difficulties. Discussion The informal approach of the early return-to-work with modified tasks, sought-after by SMEs for its flexibility, carries the risk for workers to exceed their limitations, potentially aggravating their injury. The contribution of a healthcare professional throughout the process can reduce these risks and improve rehabilitation. Conclusion While early return-to-work with modified tasks strategies can be beneficial for both SMEs and the injured workers, integrating safeguards can ensure that the worker’s rehabilitation remains at the forefront of the process.