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Journal of Occupational Rehabilitation

, Volume 15, Issue 1, pp 17–26 | Cite as

Management and Employee Agreement on Reports of Organizational Policies and Practices Important in Return to Work Following Carpal Tunnel Surgery

  • Janet Ossmann
  • Benjamin C. AmickIII
  • Rochelle V. Habeck
  • Allan Hunt
  • Gopika Ramamurthy
  • Valerie Soucie
  • Jeffrey N. Katz
Original Article

Abstract

This study’s purpose was to assess the agreement between management and employee ratings of organizational policies and practices (OPP) involved in the return to work process following carpal tunnel surgery. As a part of the prospective community-based Maine Carpal Tunnel II Study, 65 manager and employee pairs completed a questionnaire tapping four OPP dimensions: people oriented culture, safety climate, ergonomic practices, and disability management. It was hypothesized that managers and employees would agree on their assessment of the four OPPs and a composite organizational support index. Agreement was assessed using Lin’s concordance correlation coefficient. Employee and manager ratings were similar for the organizational support index (rhoc = 0.14, p = 0.08), and people oriented culture (rhoc = 0.25, p = 0.01) but not the other three OPPs. In larger companies (> 450 employees), ratings were also similar for safety climate (rhoc = 0.24, p = 0.09), disability management (rhoc = 0.22, p = 0.07) and ergonomic practices (rhoc = 0.35, p = 0.02). In unionized companies there was agreement for safety climate (rho = 0.44, p = 0.02), disability management (rhoc = 0.41, p = 0.01) and ergonomic practices (rhoc = 0.40, p = 0.06). These preliminary results suggest employees can report on certain OPPs and that an employee questionnaire can be used to assess organizational support. Given recent evidence that employee ratings of OPPs are predictive of injury/illness incidence, work disability and return-to-work outcomes, further research is needed to confirm these findings.

carpal tunnel surgery concordance correlation disability management organizational policies and practices return-to-work 

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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Janet Ossmann
    • 1
  • Benjamin C. AmickIII
    • 1
    • 2
    • 3
    • 7
  • Rochelle V. Habeck
    • 4
  • Allan Hunt
    • 4
  • Gopika Ramamurthy
    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
  • Valerie Soucie
    • 6
  • Jeffrey N. Katz
    • 5
  1. 1.University of Texas, School of Public HealthHouston
  2. 2.Texas Program for Society and Health, James A. Baker III Institute for Public PolicyRice UniversityHouston
  3. 3.Institute for Work and HealthToronto
  4. 4.W.E. Upjohn Institute for Employment ResearchKalamazoo
  5. 5.Robert Brigham Arthritis and Musculoskeletal Clinical Research Center, Section of Clinical Sciences, Division of Rheumatology, Immunology and Allergy, Brigham and Women’s HospitalBoston
  6. 6.Maine Health Information Center (VS)Augusta
  7. 7.Associate Professor, School of Public HealthUniversity of Texas-Houston Health Science CenterHouston

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