Table 2 Overview of findings:... | Emerald Publishing

Table 2

Overview of findings: narratives, subnarratives, operational scripts and roles

Narratives	Subnarratives	Operational scripts and role interpretations
1. Work is health-promoting, and you can always do something, even if you are sick	Clients’ work capacity depends on their functional capacity, not on their diagnosis There is a mismatch between healthcare services and the caseworkers in the interpretation of health and sickness	Caseworkers must be detectives, detecting clients’ work capacity by using lay-person strategies, reading between the lines of medical certificates and client dialogue
2. GPs lack an updated and competent view of clients’ work capacity	GPs need to be better informed “Get hold of the patient before the doctor does!” GPs do not contribute to reducing the average sickness level in society Sick-listing is not the best medicine	Because GPs advocate for their patients’ interests, involving them minimally makes RTW processes easier Caseworkers must make their own assessment of clients’ work capacity, despite what the sick-listing medical doctor says
3. The sustainability of the welfare state is under pressure, and saving it depends on us	Clients’ work ethic is diminishing Clients are inclined to misuse or exploit the generous welfare system Clients lack proper working attitudes, and standards were better before	Caseworkers have to be restrictive in their eligibility assessments Caseworkers must be more ”insurance-like” Caseworkers cannot be soft-hearted Casework is a heroic task Caseworkers guard the gate to the welfare state

Narratives	Subnarratives	Operational scripts and role interpretations
1. Work is health-promoting, and you can always do something, even if you are sick	Clients’ work capacity depends on their functional capacity, not on their diagnosis There is a mismatch between healthcare services and the caseworkers in the interpretation of health and sickness	Caseworkers must be detectives, detecting clients’ work capacity by using lay-person strategies, reading between the lines of medical certificates and client dialogue
2. GPs lack an updated and competent view of clients’ work capacity	GPs need to be better informed “Get hold of the patient before the doctor does!” GPs do not contribute to reducing the average sickness level in society Sick-listing is not the best medicine	Because GPs advocate for their patients’ interests, involving them minimally makes RTW processes easier Caseworkers must make their own assessment of clients’ work capacity, despite what the sick-listing medical doctor says
3. The sustainability of the welfare state is under pressure, and saving it depends on us	Clients’ work ethic is diminishing Clients are inclined to misuse or exploit the generous welfare system Clients lack proper working attitudes, and standards were better before	Caseworkers have to be restrictive in their eligibility assessments Caseworkers must be more ”insurance-like” Caseworkers cannot be soft-hearted Casework is a heroic task Caseworkers guard the gate to the welfare state

Source(s): Authors’ work