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Why Do Nurses Work While Sick? An Exploratory Study of Nurse Leaders' Cognitive Preferences Toward Presenteeism
Wenzhen Li1, Wei Wang1, Geyan Shan2
1Institute of Psychology and Behavior, Henan University, Kaifeng, China.
Journal of Nursing Management
|April 14, 2025
Summary
Head nurses
Area of Science:
- Nursing Management
- Occupational Health
- Organizational Behavior
Background:
- Presenteeism is prevalent in nursing, often linked to adverse outcomes.
- Understanding antecedents of nurse presenteeism is crucial for effective management.
- Head nurses' attitudes towards presenteeism may influence their subordinates.
Purpose of the Study:
- To investigate the influence of head nurses' cognitive preference for presenteeism on subordinate nurses' presenteeism (SNP).
- To examine the mediating role of subordinate nurses' perception of head nurses' cognitive preference.
- To explore the mechanism linking head nurse cognition to SNP.
Main Methods:
- Cross-sectional study with 256 head nurses and 1424 subordinate nurses in China (July-August 2022).
- Utilized Nurse Presenteeism Questionnaire and Cognitive Preference Questionnaire.
- Employed multilevel correlation and multilevel structural equation modeling for data analysis.
Main Results:
- A high prevalence of nurse presenteeism (93.4%) was observed in the past six months.
- Head nurses' cognitive preference for presenteeism positively correlated with SNP, both within and between teams.
- Subordinate nurses' perception of head nurses' cognitive preference significantly mediated this relationship.
Conclusions:
- Head nurses' cognitive preferences are significant predictors of subordinate nurses' presenteeism.
- Subordinate nurses' subjective initiative plays a critical role in the head nurse-SNP relationship.
- Interventions targeting head nurses' values and leader-subordinate communication are recommended for managing presenteeism.
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