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Presenteeism: Nurse perceptions and consequences.

Jessica G Rainbow1

  • 1College of Nursing, University of Arizona, Tucson, AZ, USA.

Journal of Nursing Management
|August 10, 2019
PubMed
Summary
This summary is machine-generated.

Nurse presenteeism, working while ill, stems from factors like staffing and guilt. This negatively impacts nurse well-being, patient care, and unit culture, highlighting the need for organizational change.

Keywords:
employee healthnursing workorganizational culturepatient carepresenteeismstaffing levels

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Area of Science:

  • Nursing Research
  • Healthcare Management
  • Occupational Health Psychology

Background:

  • Nurse presenteeism is a significant issue, often more prevalent than in other professions.
  • Existing literature primarily addresses the prevalence and consequences of presenteeism for patients, organizations, and nurses, but lacks insight into nurses' perceptions.
  • Understanding nurses' perspectives on the drivers and outcomes of presenteeism is crucial for effective intervention.

Purpose of the Study:

  • To explore and describe the factors that lead to nurse presenteeism.
  • To identify and describe the consequences of nurse presenteeism from the nurses' viewpoint.
  • To inform healthcare organizations and nursing management on addressing presenteeism.

Main Methods:

  • A cross-sectional survey was employed to gather data.
  • 295 free-text responses from nurses were analyzed.
  • Conventional content analysis was utilized to interpret the qualitative data.

Main Results:

  • Nurses identified multiple factors influencing their decision to be present when ill, including staffing levels, leave availability, patient needs, financial pressures, and feelings of guilt.
  • Consequences reported include diminished mental acuity, impaired communication (verbal and written), illness transmission, and a decline in unit culture, patient care quality, and nurse health.
  • These findings underscore a complex interplay between organizational factors and individual nurse decisions.

Conclusions:

  • Nurse presenteeism results from a combination of factors and has detrimental effects on nurses' health, the work environment, and patient care outcomes.
  • Addressing presenteeism requires organizational culture and policy changes to mitigate its negative impacts.
  • Recognizing and acting upon the drivers and consequences of nurse presenteeism is vital for improving healthcare delivery and nursing well-being.