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Many nursing students attend class and clinicals while sick, despite knowing the risks to patient safety. This presenteeism is driven by a lack of opportunities to make up missed work.

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Area of Science:

  • Nursing Education
  • Healthcare Safety
  • Public Health

Background:

  • Presenteeism, working while ill, is linked to adverse outcomes like medication errors and reduced care quality.
  • Previous research has not detailed presenteeism among nursing students.

Purpose of the Study:

  • To investigate and describe the phenomenon of presenteeism within international nursing student populations.
  • To identify the prevalence and contributing factors of presenteeism in nursing education.

Main Methods:

  • A cross-sectional survey design utilizing self-administered questionnaires with open-ended responses was employed.
  • Data were collected from nursing students across three distinct international nursing programs.

Main Results:

  • A high prevalence of presenteeism was observed, with 85.5% attending class and 69.5% attending clinical experiences while sick.
  • Nearly all respondents acknowledged the risk of disease transmission to classmates and patients.
  • A primary reason cited for presenteeism was the lack of opportunities to reschedule missed academic or clinical time.

Conclusions:

  • Nursing students across diverse international settings engage in presenteeism, attending classes and clinicals while ill.
  • This behavior persists despite students' awareness of the associated risks to patient and peer safety.
  • Addressing systemic factors, such as flexible make-up policies, may be crucial in mitigating presenteeism in nursing education.