Li Wenzhen, Wang Wei, Shan Geyan, Wang Hongxia, Guo Shujie, Li Yongxin
Institute of Psychology and Behavior, Henan University, Kaifeng, China.
Business School, Henan University, Kaifeng, China.
J Nurs Manag. 2024 Nov 8;2024:5522654. doi: 10.1155/2024/5522654. eCollection 2024.
Nursing is a representative profession with a high prevalence of presenteeism, which is usually associated with negative outcomes. Therefore, it is important to explore the antecedent factors of nurse presenteeism behavior. This study aims to explore the impact and mechanism of head nurses' cognitive preference toward presenteeism on subordinate nurses' presenteeism (SNP), and the mediation effects of subordinate nurses' perception of head nurses' cognitive preference. A cross-sectional study was conducted from July to August 2022. A total of 256 head nurses and 1424 subordinate nurses were recruited from six hospitals located in Zhengzhou, Henan Province, China. The Nurse Presenteeism Questionnaire (NPQ) and Cognitive Preference Questionnaire were used to assess head nurses' cognitive preference toward presenteeism, SNP, and subordinate nurses' perception of head nurse's cognition of presenteeism. We conducted description, multilevel correlation, and multilevel structural equation models for the data analysis. In the past 6 months, 93.4% of nurses experienced presenteeism. Within and between the team, head nurses' cognitive preference toward presenteeism is positively associated with SNP. The mediation effect of nurses' perception of head nurses' cognitive preference was also significant. Head nurses' cognitive preferences are essential predictors of subordinates' presenteeism. In this process, subordinates' subjective initiative plays a crucial role. Hospital managers should focus on head nurses' values to formulate multiple interventions of presenteeism and strengthen communication between leaders and subordinates to promote transforming negative outcomes into positive outcomes.
护理是一个出勤主义盛行率很高的代表性职业，而出勤主义通常与负面结果相关。因此，探索护士出勤主义行为的前置因素很重要。本研究旨在探讨护士长对出勤主义的认知偏好对下属护士出勤主义（SNP）的影响及机制，以及下属护士对护士长认知偏好的感知的中介作用。于2022年7月至8月进行了一项横断面研究。从中国河南省郑州市的六家医院招募了256名护士长和1424名下属护士。使用护士出勤主义问卷（NPQ）和认知偏好问卷来评估护士长对出勤主义的认知偏好、SNP以及下属护士对护士长出勤主义认知的感知。我们对数据分析采用了描述、多层次相关和多层次结构方程模型。在过去6个月里，93.4%的护士经历过出勤主义。在团队内部和团队之间，护士长对出勤主义的认知偏好与SNP呈正相关。护士对护士长认知偏好的感知的中介作用也很显著。护士长的认知偏好是下属出勤主义的重要预测因素。在此过程中，下属的主观能动性起着关键作用。医院管理者应关注护士长的价值观，制定出勤主义的多种干预措施，并加强领导与下属之间的沟通，以促进将负面结果转化为正面结果。
