College of Nursing, University of Arizona, Tucson, AZ, USA.
J Nurs Manag. 2019 Oct;27(7):1530-1537. doi: 10.1111/jonm.12839.
To describe factors leading to and consequences of nurse presenteeism.
Presenteeism is more prevalent among nurses than other occupational groups. Existing literatures focuses on prevalence and consequences of presenteeism for patients, health care organizations, and nurses. However, we lack understanding of nurse perceptions of factors leading to and consequences of presenteeism.
A total of 295 free responses to a cross-sectional survey were analysed using conventional content analysis.
Nurses consider multiple factors in deciding how to respond when presentee. These include illness, staffing, availability of leave time, patients, financial constraints and guilt. Consequences of presenteeism identified were decreased mental acuity and attitude leading to lessened communication both in-person and in documentation, transmission of illness, and decline in unit culture, patient care, and nurse health and well-being.
Multiple factors lead to nurse presenteeism and there are negative consequences to nurses' health, work environment and patient care outcomes.
This study leads to key discoveries to the reasons for and consequences of nurse presenteeism. Many of the factors leading to presenteeism can be addressed through culture and policy changes within organizations. The consequences to patient care outcomes and the work environment emphasize the importance of addressing presenteeism.
描述导致护士出勤主义的因素及其后果。
出勤主义在护士中比其他职业群体更为普遍。现有文献主要关注出勤主义对患者、医疗保健组织和护士的流行率及其后果。然而，我们对护士对导致出勤主义的因素及其后果的看法缺乏了解。
对横断面调查的 295 份自由回复进行了常规内容分析。
护士在决定出勤时会考虑多种因素。这些因素包括疾病、人员配备、休假时间的可用性、患者、财务限制和内疚感。确定的出勤主义后果包括精神敏锐度下降和态度不佳，导致面对面和书面沟通减少、疾病传播，以及单位文化、患者护理、护士健康和福祉下降。
多种因素导致护士出勤主义，这对护士的健康、工作环境和患者护理结果都有负面影响。
这项研究揭示了导致护士出勤主义的原因和后果的关键发现。许多导致出勤主义的因素可以通过组织内部的文化和政策变革来解决。对患者护理结果和工作环境的影响强调了解决出勤主义的重要性。
