Breaking the Cycle of Nurse Manager Presenteeism: A Convergent Mixed-Methods Study.
Claire Bethel1, Caitlin McIntosh, Jessica G Rainbow
1Author Affiliations: Magnet Program Director (Dr Bethel), UPMC Community Osteopathic Hospital, Colonial Park; and Magnet Program Director (McIntosh), UPMC West Shore Hospital, Mechanicsburg, Pennsylvania; and Associate Professor and Director of Research Clinical Partnerships (Dr Rainbow), The University of Arizona School of Nursing, Tucson.
Nurse manager presenteeism, working while unwell, creates a cycle of adverse consequences. Reducing work demands and increasing support are crucial for breaking this cycle and improving performance.
Area of Science:
- Nursing Management
- Occupational Health
- Healthcare Administration
Background:
- Presenteeism, defined as working while not fully functional, is common in nurses.
- Previous research has not addressed presenteeism specifically among nurse managers.
Purpose of the Study:
- To identify factors contributing to nurse manager presenteeism.
- To explore coping strategies and consequences of nurse manager presenteeism.
- To understand the cyclic nature of presenteeism in nursing leadership.
Main Methods:
- Convergent mixed-methods design.
- 1:1 interviews and demographic questionnaires.
- Utilized the Job Stress-Related Presenteeism Scale (JSPS) and health/work situation assessments.
Main Results:
- Identified a cyclic pattern where work demands, personal factors, and illness contribute to presenteeism.
- Adverse consequences of presenteeism include increased demands and potential career dissatisfaction.
- Protective factors, coping mechanisms, and support systems can disrupt the presenteeism cycle.
Conclusions:
- Nurse managers experience presenteeism due to work demands and personal factors.
- Presenteeism negatively impacts nurse managers and can lead to burnout.
- Organizational support and reduced demands are necessary to mitigate nurse manager presenteeism.
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