IntroductionThis study focuses on the influence of organizational commitment, health complaints and behaviour (visits to general practitioners) on sickness absenteeism among nurses. The central question of this study concerns whether a generalized pattern of low commitment associated with the experience of health problems results in sickness absenteeism, or whether commitment and health of nurses are related to absenteeism in different ways. The study was designed to examine whether changes in commitment and health-related problems over time lead to an increase in absenteeism. The absenteeism measure used in this study is the Objectives To examine the influence over time of organizational commitment, health complaints, and visits to a general practitioner on sickness absenteeism. Design and participants This was a longitudinal, three-wave study in two nursing homes in the Netherlands among 224 nurses. Methods Questionnaire data (self reports of organizational commitment, health complaints, visits to a general practitioner), as well as absenteeism data retrieved from personnel files was used. Results Health complaints and visits to a general practitioner were found to predict absenteeism behaviour. Commitment was related to health complaints at the same point in time, but did not predict future sickness absenteeism. Implications for nursing management With respect to managing sickness absenteeism of nurses it should be acknowledged by managers that nurses call in sick when they perceive that there is a real health problem, not because of negative work attitudes. It is important, however, for managers to signal signs of decreasing organizational commitment because this is associated with increases in health complaints. This can eventually result in increases in absenteeism.