Original Research

Letvak, Susan; Ruhm, Christopher J.; Gupta, Sat

doi:10.1097/01.naj.0000411176.15696.f9

Cited by 269 publications

(122 citation statements)

References 1 publication

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“…In our opinion, showing up to work while ill could be a sign of commitment as discussed earlier, and a sing of fear of losing the job when being absent too often. Nevertheless, one could also see presenteeism as a risk of poor performance due to illness and a sign of lost productivity [21]. …”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, existing studies have highlighted the magnitude of presenteeism not only by its cost of lost productivity, but also by negatively affecting quality patient care [21]. While various hospital studies in Europe and the US have examined the prevalence of presenteeism (ranging from 21.9 to 62.0%) and its associated factors [14,19,21], evidence from nursing home settings is scarce. Although the relationships between absenteeism and presenteeism are unclear, Kristensen [22] argued convincingly that both behaviors are outcomes of the same decision process.…”

Section: Introductionmentioning

confidence: 99%

“…Compared to absenteeism, presenteeism has been relatively less researched, probably because it is harder to track associated cost [21]. Nonetheless, existing studies have highlighted the magnitude of presenteeism not only by its cost of lost productivity, but also by negatively affecting quality patient care [21].…”

Section: Introductionmentioning

confidence: 99%

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Absenteeism and Presenteeism among Care Workers in Swiss Nursing Homes and Their Association with Psychosocial Work Environment: A Multi-Site Cross-Sectional Study

et al. 2015

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Background: Worker productivity is central to the success of organizations such as healthcare institutions. However, both absenteeism and presenteeism impair that productivity. While various hospital studies have examined the prevalence of presenteeism and absenteeism and its associated factors among care workers, evidence from nursing home settings is scarce. Objective: To explore care workers' self-reported absenteeism and presenteeism in relation to nursing homes' psychosocial work environment factors. Methods: We performed a cross-sectional study utilizing survey data of 3,176 professional care workers in 162 Swiss nursing homes collected between May 2012 and April 2013. A generalized estimating equation ordinal logistic regression model was used to explore associations between psychosocial work environment factors (leadership, staffing resources, work stressors, affective organizational commitment, collaboration with colleagues and supervisors, support from other personnel, job satisfaction, job autonomy) and self-reported absenteeism and presenteeism. Results: Absenteeism and presenteeism were observed in 15.6 and 32.9% of care workers, respectively. While absenteeism showed no relationship with the work environment, low presenteeism correlated with high leadership ratings (odds ratio [OR] 1.22, 95% confidence interval [CI] 1.01-1.48) and adequate staffing resources (OR 1.18, 95% CI 1.02-1.38). Conclusion: Self-reported presenteeism is more common than absenteeism in Swiss nursing homes, and leadership and staffing resource adequacy are significantly associated with presenteeism, but not with absenteeism.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Absenteeism and Presenteeism among Care Workers in Swiss Nursing Homes and Their Association with Psychosocial Work Environment: A Multi-Site Cross-Sectional Study

et al. 2015

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“…So far, this issue has received modest attention (33)(34)(35), especially in Croatia (30), and the main objective of our study was to establish the association between presenteeism and absenteeism on the one hand and patient safety culture on the other. We also wanted to check again our previous negative findings (30) -no association between presenteeism and patient safety culture -on a much larger sample.…”

mentioning

confidence: 99%

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

Brborović

2017

Archives of Industrial Hygiene and Toxicology

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Healthcare workers have high rates of injuries and illnesses at the workplace, and both their absence from work due to illness (absenteeism) or working ill (presenteeism) can compromise patient safety and the quality of health care delivered. Following this premise, we wanted to determine whether presenteeism and absenteeism were associated with patient safety culture (PSC) and in what way. Our sample consisted of 595 Croatian healthcare workers (150 physicians and 445 nurses) who answered the short-form WHO Health and Work Performance Questionnaire and the Hospital Survey on Patient Safety Culture. The results have confirmed the association with both presenteeism and absenteeism in several PSC dimensions, but not as we expected based on the premise from which we started. Opposite to our expectations, lower job performance (as a measure of presenteeism) was associated with higher PSC instead of lower PSC. Absenteeism, in turn, was associated with lower PSC, just as we expected. These findings suggest that it is the PSC that shapes presenteeist and absenteeist behaviour and not the other way around. High PSC leads to presenteeism, and low PSC to absenteeism. We also believe that the presenteeism questionnaires should be adjusted to health care and better define what lower performance means both quantitatively and qualitatively in a hospital setting. KEY WORDS: nurses; physicians; work performancePresenteeism and absenteeism are rather widespread and present a growing public health concern (1-3). Presenteeism is summarily defined as working ill instead of having taken leave (4) and entails lower performance at work due to health problems (3,5,6). Absenteeism is defined as absence from work (7) due to valid (sick-leave) or less valid reasons (taking a day-off) (8). Both have a very similar negative effect on business, such as expenses and losses in work hours, production, and work morale (9, 10). Presenteeism is often a hidden cost, as workers are physically present, but their performance/productivity is poor (3,11). A large study (12) reported presenteeismrelated production losses of 72 % compared with 28 % of those caused by absenteeism. Other studies also reported higher costs of presenteeism than of absenteeism (13,14).Two longitudinal studies have indicated that presenteeism may increase the risk of future health disorders (15, 16), as it stands in the way of recovery (3, 17). In fact, presenteeism can lead to more sickness absence, as indicated by the positive correlation between the two in several studies (4,18,19).The extent of presenteeism is perhaps best illustrated by a Dutch study (20) reporting that 70 % of the randomly selected participants had claimed to have worked sick at least once a year (20). With physicians, this prevalence soars to 90 % (21-25).In medical profession, presenteeism not only affects the quality of work (3, 11, 26) but puts patients, colleagues, and visitors at the risk of contagion (3,27). In other words, it compromises the very purpose of their work -patient safety. However, pa...

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“…Presenteeism implies limited job performance due to a health problem (1)(2)(3)(4). Research has shown that in occupations such as nursing, poor performance at work can have serious consequences for patient safety (5)(6)(7). Patient safety culture (PSC) is a set of individual and group values, attitudes, perceptions, competencies, and behavioural patterns towards health and safety (8).…”

mentioning

confidence: 99%

Are nurse presenteeism and patient safety culture associated: a cross-sectional study

Brborović

Brumen

et al. 2014

Archives of Industrial Hygiene and Toxicology

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Working as a nurse involves great dedication and sacrifice: working night shifts, working overtime, and coming to work sick. The last is also known as presenteeism. Research has shown that poor nurse performance can affect both caregiver's and patient's safety. The aim of this cross-sectional study was to investigate whether nurse presenteeism affected patient safety culture and to look deeper into the characteristics of nurse presenteeism and patient safety culture in Croatia. The study was conducted in one general hospital in Croatia over April and May 2012 and specifically targeted medical nurses as one of the largest groups of healthcare professionals. They were asked to fill two questionnaires: the six-item Stanford Presenteeism Scale (SPS-6) and the Hospital Survey on Patient Safety Culture (HSOPSC). We found no association between presenteeism and patient safety culture. Overall positive perception of safety was our sample's strength, but other dimensions were positively rated by less than 65 % of participants. The lowest positive response concerned "nonpunitive response to error", which is consistent with previous studies. Presenteeist nurses did not differ in their characteristics from nurses without presenteeism (gender, age, years of experience, working hours, contact with patients and patient safety grades). Our future research will have to include a broader healthcare population for us to be able to identify weak spots and suggest improvements toward high-quality and cost-effective health care.

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Original Research

Abstract: More attention must be paid to the health of the nursing workforce to positively influence the quality of patient care and patient safety and to control costs.

Cited by 269 publications

References 1 publication

Absenteeism and Presenteeism among Care Workers in Swiss Nursing Homes and Their Association with Psychosocial Work Environment: A Multi-Site Cross-Sectional Study

Absenteeism and Presenteeism among Care Workers in Swiss Nursing Homes and Their Association with Psychosocial Work Environment: A Multi-Site Cross-Sectional Study

Patient safety culture shapes presenteeism and absenteeism: a cross-sectional study among Croatian healthcare workers

Are nurse presenteeism and patient safety culture associated: a cross-sectional study

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