How policy implementation impacts employee suffering at work: An exploration of medical leaves of absence  ↗️

Liza Y. Barnes, Christina N. Lacerenza, & Ashley E. Hardin
Journal of Applied Psychology, 2026

Each year, more than eight million U.S. employees take medical leave for their own serious health condition-yet millions more who qualify don’t, fearing career penalties or job loss. In a country without a federal job-protected paid medical leave policy, organizations ultimately determine whether leave becomes a pathway to healing or a source of additional suffering for employees. Leveraging interviews with employees who have taken leave and HR leave coordinators, we introduce a “healing-centered implementation approach” to medical leave. Our work highlights medical leave as a notable policy worthy of scholarly study, elevates healing as a key indicator of policy effectiveness, and shows that the way leave policies are both enacted and written profoundly shapes employee health. In this article, we provide actionable steps for organizational leaders to implement medical leave policies in a way that reduces employee suffering, fosters healing, and ultimately builds a more sustainable business.