Elements of a comprehensive absenteeism control program: role of the occupational health nurse

Absence from work costs American companies more than $40 billion annually. Absenteeism control programs can be cost effective, but relatively few companies in the U.S. seem to have comprehensive programs. Key elements in a comprehensive program include return to work opportunities, careful job design, standards for expected times off, clear administrative responsibility for communicating with absent employees and health care providers, and an effective information system. Perhaps the most important factor in a successful program is employee centered management and a corporate philosophy that views employees as assets. The occupational health nurse is ideally suited by education, knowledge, and job function to lead the design and management of a comprehensive absenteeism control program.