Andres E B, Lui J N M, Song W, Johnston J M
School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong G/F, Patrick Manson Building (North Wing), 7 Sassoon Road, Pokfulam, Hong Kong Special Administrative Region, China.
Occup Med (Lond). 2021 Aug 20;71(4-5):189-195. doi: 10.1093/occmed/kqab047.
Presenteeism among nurses is the common behaviour of being physically present at work when one should not be due to personal health and well-being, a stressful work environment, lack of work-life balance, or a sense of professional identity or obligation.
To explore nurses' decision-making process related to presenteeism in a large Hong Kong public hospital.
As part of a larger study on nurse presenteeism in Hong Kong, we conducted focus groups with nurses to understand their considerations related to working sick.
Eleven major themes emerged from the focus groups, which we grouped into three organizational domains reflecting nurses' decision-making process around presenteeism: consideration for colleagues, organizational factors and professional identity.
Presenteeism was a familiar behaviour among Hong Kong nurses in our study. We found both overlap and divergence with prior presenteeism research in the domains and themes identified. Loyalty to colleagues, written and unwritten rules and professional identity as nurses all seemed to encourage presenteeism among Hong Kong nurses. Organizations seeking to discourage presenteeism should evaluate policies such as sick leave certificates, ensure appropriate coverage for all nurse ranks and address subcultural norms encouraging presenteeism.
护士出勤主义是指护士因个人健康状况不佳、工作环境压力大、缺乏工作与生活的平衡、职业认同感或职业义务感等原因，在本不应出勤时仍坚持出勤的常见行为。
探讨香港一家大型公立医院护士与出勤主义相关的决策过程。
作为香港护士出勤主义一项更大规模研究的一部分，我们与护士进行了焦点小组访谈，以了解他们在带病工作方面的考虑因素。
焦点小组访谈产生了11个主要主题，我们将其归纳为三个组织领域，反映了护士围绕出勤主义的决策过程：对同事的考虑、组织因素和职业认同感。
在我们的研究中，出勤主义是香港护士中一种常见行为。我们发现在所确定的领域和主题方面，与之前的出勤主义研究既有重叠之处，也有不同之处。对同事的忠诚、书面和不成文的规定以及护士的职业认同感似乎都在鼓励香港护士出现出勤主义行为。试图抑制出勤主义的组织应评估诸如病假证明等政策，确保为所有护士职级提供适当的人员配置，并应对鼓励出勤主义的亚文化规范。
