Presenteeism has attracted the attention of scholars in medical and health organizations; however, research focusing on the prevalence and factors influencing presenteeism among tertiary hospital nurses is rare.
Objective
To investigate presenteeism in tertiary hospital nurses and its influencing factors.
Methods
A cross-sectional study was conducted. Data were collected by questionnaires, including the Sickness Presenteeism Questionnaire, demographic characteristics, and work-related factors. Multivariable linear regression was used to explore the factors influencing presenteeism.
Results
The results of the study showed an average presenteeism score of 2.428. Nurses in the emergency department demonstrated higher presenteeism than those in the operating room. In addition, poor health status, less income satisfaction, being a head nurse, higher professional title, and housework without assistance from their family were associated with higher presenteeism in the regression model.
Conclusions
A high incidence of presenteeism was observed among tertiary hospital nurses in China. This study may also help nursing leaders to better understand nursing presenteeism and identify high-risk nurses to reduce presenteeism and ensure patient safety. Future studies should increase sample sizes to include diverse regions of China. Additionally, objective data collection methods should be employed to minimize recall bias and social desirability bias.
OralBSolakYDurmusH. Evaluation of absenteeism and presenteeism status of factory employees. Work2024; 79: 449–457.
2.
JiangHJiaHZhangJ, et al.Nurses’ occupational stress and presenteeism: the mediating role of public service motivation and the moderating role of health. Int J Environ Res Public Health2021; 18: 3523.
3.
MohammadiMMDehghan NayeriNVaraeiS, et al.Exploring the concept of presenteeism in nursing: a hybrid concept analysis. Int J Nurs Knowl2021; 32: 166–176.
4.
RainbowJGSteegeLM. Presenteeism in nursing: an evolutionary concept analysis. Nurs Outlook2017; 65: 615–623.
5.
KnaniMFournierPSBironC. Revisiting presenteeism to broaden its conceptualization: a qualitative study. Work2021; 70: 547–559.
MartinezLFFerreiraAI. Sick at work: presenteeism among nurses in a Portuguese public hospital. Stress Health2012; 28: 297–304.
8.
FioriniLAHoudmontJGriffithsA. Nurses’ perceived work performance and health during presenteeism: cross-sectional associations with personal and organisational factors. J Nurs Manag2022; 30: 37–45.
9.
ShanGWangSWangW, et al.Presenteeism in nurses: prevalence, consequences, and causes from the perspectives of nurses and chief nurses. Front Psychiatry2020; 11: 584040.
10.
LetvakSARuhmCJGuptaSN. Nurses’ presenteeism and its effects on self-reported quality of care and costs. Am J Nurs2012; 112: 30–38. ; quiz 48, 39.
11.
NagataTMoriKOhtaniM, et al.Total health-related costs due to absenteeism, presenteeism, and medical and pharmaceutical expenses in Japanese employers. J Occup Environ Med2018; 60: e273–e280.
12.
WarrenCLWhite-MeansSIWicksMN, et al.Cost burden of the presenteeism health outcome: diverse workforce of nurses and pharmacists. J Occup Environ Med2011; 53: 90–99.
13.
LuLLinHYCooperCL. Unhealthy and present: motives and consequences of the act of presenteeism among Taiwanese employees. J Occup Health Psychol2013; 18: 406–416.
14.
WebsterRKLiuRKarimullinaK, et al.A systematic review of infectious illness presenteeism: prevalence, reasons and risk factors. BMC Public Health2019; 19: 799.
15.
MinAKangMParkH. Global prevalence of presenteeism in the nursing workforce: a meta-analysis of 28 studies from 14 countries. J Nurs Manag2022; 30: 2811–2824.
16.
LuLCooperCLLinHY. A cross-cultural examination of presenteeism and supervisory support. Career Dev Int2013; 18: 440–456.
17.
WuQZhaoLYeXC. Shortage of healthcare professionals in China. Br Med J2016; 354: i4860.
18.
ZhangWDengZEvansR, et al.Social Media landscape of the tertiary referral hospitals in China: observational descriptive study. J Med Internet Res2018; 20: e249.
19.
LiYGongWKongX, et al.Factors associated with outpatient satisfaction in tertiary hospitals in China: a systematic review. Int J Environ Res Public Health2020; 17: 7070.
20.
WanXFengX. A survey on the current status of pediatric nursing human resources in sichuan province of China. J Evid Based Med2015; 8: 209–214.
21.
AikenLHSloaneDMBruyneelL, et al.Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet2014; 383: 1824–1830.
22.
Mosteiro-DiazMPBaldonedo-MosteiroMBorgesE, et al.Presenteeism in nurses: comparative study of spanish, Portuguese and Brazilian nurses. Int Nurs Rev2020; 67: 466–475.
23.
LiuTWangWShanG, et al.Job crafting and Nurses’ presenteeism: the effects of job embeddedness and job irreplaceability. Front Public Health2022; 10: 930083.
24.
Sánchez-ZaballosMBaldonedo-MosteiroMMPM-D. Presenteeism among emergency health care staff. Emergencias2018; 30: 35–40.
25.
YoshimotoTOkaHOchiaiH, et al.Presenteeism and associated factors among nursing personnel with low back pain: a cross-sectional study. J Pain Res2020; 13: 2979–2986.
26.
HelgessonMMarklundSGustafssonK, et al.Favorable working conditions related to health behavior among nurses and care assistants in Sweden-A population-based cohort study. Front Public Health2021; 9: 681971.
27.
ShanGWangWWangS, et al.Authoritarian leadership and nurse presenteeism: the role of workload and leader identification. BMC Nurs2022; 21: 337.
28.
FreelingMRainbowJGChamberlainD. Painting a picture of nurse presenteeism: a multi-country integrative review. Int J Nurs Stud2020; 109: 103659.
29.
ChoiBLeeS. The psychological mechanism of construction workers’ safety participation: the social identity theory perspective. J Safety Res2022; 82: 194–206.
30.
AndresEBLuiJNMSongW, et al.Exploring Hong Kong nurses’ decision-making processes around presenteeism. Occup Med (Lond)2021; 71: 189–195.
31.
Cunningham-BurleySBackett-MilburnKKemmerD. Constructing health and sickness in the context of motherhood and paid work. Sociol Health Illn2006; 28: 385–409.
32.
DurandACBompardCSportielloJ, et al.Stress and burnout among professionals working in the emergency department in a French university hospital: prevalence and associated factors. Work2019; 63: 57–67.
33.
DaneshMKGarosiEGolmohamadpourH. The COVID-19 pandemic and nursing challenges: a review of the early literature. Work2021; 69: 23–36.
34.
LiuYXianJSWangR, et al.Factoring and correlation in sleep, fatigue and mental workload of clinical first-line nurses in the post-pandemic era of COVID-19: a multi-center cross-sectional study. Front Psychiatry2022; 13: 963419.
35.
AnholonRRampassoISDibbernT, et al.COVID-19 and decent work: a bibliometric analysis. Work2022; 71: 833–841.
36.
BilgicSCelikkalpUMisirliC. Stress level and sleep quality of nurses during the COVID-19 pandemic. Work2021; 70: 1021–1029.
37.
KangJKimHChoOH. Quiet quitting among healthcare professionals in hospital environments: a concept analysis and scoping review protocol. BMJ Open2023; 13: e077811.
38.
AnYYangYWangA, et al.Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. J Affect Disord2020; 276: 312–315.
39.
DanielsSWeiHHanY, et al.Risk factors associated with respiratory infectious disease-related presenteeism: a rapid review. BMC Public Health2021; 21: 1955.
40.
HoffmanECowmanKShapiroL, et al.Respiratory illness presenteeism in academic medicine: a conceivable COVID-19 culture change for the better. J Hosp Med2021; 16: 308–310.
41.
MatsuoATsujitaMKitaK, et al.The mediating role of psychological safety on humble leadership and presenteeism in Japanese organizations1. Work2024; 79: 437–447.
