The impact and mechanisms of ethical leadership on nurse presenteeism: A multicenter longitudinal study
Jun-Tong Jing1, Hang-Na Qiu2, Yong-Kang Fu2
1Nursing Department of Huaihe Hospital, Henan University, Kaifeng, Henan, China; Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, Henan, China.
Background:
Nurse presenteeism threatens healthcare quality and team stability, yet its antecedents remain insufficiently explored.
Purpose:
To examine the longitudinal impact of ethical leadership on nurse presenteeism and the mediating roles of organizational climate and professional identity.
Methods:
A three-wave study (February-August 2024) surveyed 1,218 nurses using validated scales. Data were analyzed using SPSS 25.0 and AMOS 26.0.
Discussion:
Ethical leadership consistently predicted lower presenteeism across waves. Organizational climate and professional identity partially mediated this association, forming a significant sequential pathway.
Conclusion:
Ethical leadership reduces nurse presenteeism directly and through improvements in organizational climate and professional identity, highlighting the importance of leadership-driven, multilevel interventions in nursing management.
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