Wu Jijun, Li Yuxin, Lin Qin, Zhang Jiquan, Liu Zhenfan, Liu Xiaoli, Rong Xian, Zhong Xiaoli
Department of Cardiology, Deyang People's Hospital, Deyang, China.
School of Nursing, North Sichuan Medical College, Sichuan, China.
Front Psychol. 2024 Jan 31;15:1347249. doi: 10.3389/fpsyg.2024.1347249. eCollection 2024.
Nurses are the largest occupational group in the health field, with inestimable value in realizing universal health coverage, and nurses' physical and mental health has become an ordinary global reality. Compared with explicit absence, nurses' presenteeism has a more lasting impact and significant harm and loss. It has become an essential factor affecting nurses' physical and mental health, declining quality of healthcare services, and elevated healthcare-related risks. There is a lack of research exploring whether occupational coping self-efficacy influences nurses' presenteeism behavior, especially in less-developed regions of China.
This study aimed to investigate the current status of ICU nurses' occupational coping self-efficacy and presenteeism in public hospitals in western China and to explore the impact of ICU nurses' occupational coping self-efficacy on presenteeism.
A cross-sectional research design selected 722 ICU nurses in western China from January to February 2023 as survey respondents. A general information questionnaire, Occupational Coping Self-Efficacy Scale (OCSE-N), and Stanford Presenteeism Scale (SPS-6) were used. SPSS 21.0 software was used for statistical analysis. Pearson correlation analysis and multivariate hierarchical regression were used to explore the influence of ICU nurses' occupational coping self-efficacy on presenteeism.
A total of 722 ICU nurses completed the questionnaire. The OCSE-N score of ICU nurses was (22.24 ± 6.15), and the SPS-6 score was (16.83 ± 4.24). The high presenteeism was 67.23%. Correlation analysis showed that in ICU nurses, OCSE-N total score was negatively correlated with SPS-6 total score ( = -0.421, < 0.05), indicating that the higher the level of occupational coping self-efficacy, the lower the presenteeism. Multiple hierarchical regression analysis showed that occupational coping self-efficacy strongly predicted presenteeism, accounting for approximately 18.35% of the total variance.
There is a correlation between ICU nurses' occupational coping self-efficacy and presenteeism, and nurses' occupational coping self-efficacy affects presenteeism differently. Managers should pay attention to nurses' occupational coping self-efficacy to promote nurses' presenteeism reduction.
护士是卫生领域最大的职业群体，在实现全民健康覆盖方面具有不可估量的价值，而护士的身心健康已成为一个普遍的全球现实。与显性缺勤相比，护士的出勤主义有更持久的影响和重大危害及损失。它已成为影响护士身心健康、医疗服务质量下降以及医疗相关风险升高的一个重要因素。目前缺乏研究探讨职业应对自我效能是否会影响护士的出勤主义行为，尤其是在中国欠发达地区。
本研究旨在调查中国西部公立医院重症监护室（ICU）护士职业应对自我效能和出勤主义的现状，并探讨ICU护士职业应对自我效能对出勤主义的影响。
采用横断面研究设计，选取2023年1月至2月中国西部722名ICU护士作为调查对象。使用一般信息问卷、职业应对自我效能量表（OCSE-N）和斯坦福出勤主义量表（SPS-6）。采用SPSS 21.0软件进行统计分析。采用Pearson相关分析和多元层次回归分析探讨ICU护士职业应对自我效能对出勤主义的影响。
共有722名ICU护士完成问卷。ICU护士的OCSE-N得分为（22.24±6.15），SPS-6得分为（16.83±4.24）。出勤主义程度高的占67.23%。相关分析显示，在ICU护士中，OCSE-N总分与SPS-6总分呈负相关（r=-0.421，P<0.05），表明职业应对自我效能水平越高，出勤主义程度越低。多元层次回归分析显示，职业应对自我效能强烈预测出勤主义，约占总方差的18.35%。
ICU护士职业应对自我效能与出勤主义之间存在相关性，且护士的职业应对自我效能对出勤主义的影响存在差异。管理者应关注护士的职业应对自我效能，以促进护士减少出勤主义行为。
