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Contributing Factors of Presenteeism among Portuguese and Swiss Nurses: A Qualitative Study Using Focus Groups

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  • Carlos Laranjeira

    (School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
    Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Campus 5, Rua de Santo André—66–68, 2410-541 Leiria, Portugal
    Research in Education and Community Intervention (RECI I&D), Piaget Institute, 3515-776 Viseu, Portugal)

  • Filipa Pereira

    (School of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l’Agasse, CH-1950 Sion, Switzerland)

  • Ana Querido

    (School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal
    Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Campus 5, Rua de Santo André—66–68, 2410-541 Leiria, Portugal
    Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal)

  • Marion Bieri

    (School of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l’Agasse, CH-1950 Sion, Switzerland)

  • Henk Verloo

    (School of Health Sciences, HES-SO Valais/Wallis, 5 Chemin de l’Agasse, CH-1950 Sion, Switzerland
    Service of Old Age Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Prilly, Switzerland)

Abstract

Evidence of nurse presenteeism has mainly focused on quantifying its prevalence and consequences on productivity, quality of care, and patient safety. Few data exist on nurses’ perceptions of their presenteeism and its related causes. We explored concepts of presenteeism and its contributing factors with frontline nurses and nurse managers in different healthcare settings in Portugal and Switzerland. Our qualitative study design involved 8 online focus groups involving 55 participants. The transcribed data was explored using thematic analysis. Three main reasons for presenteeism were identified: unfamiliar terminology; the paradoxical effect of `being present’ but absent; and presenteeism as a survival strategy. Six contributing factors were also recognized: (a) institutional disinterest toward employees; (b) paradigm shift: the tension between person-centered and task-centered care; (c) sudden changes in care practices due to the COVID-19 pandemic; (d) a lack of shared work perspectives with hierarchical superiors; (e) the financial burden of being absent from work; and (f) misfit of human responses. This study generates valuable, in-depth knowledge about the concepts and causes of presenteeism, and significant suggestions for the broader audience of nurse managers and leaders seeking to improve the quality of care.

Suggested Citation

  • Carlos Laranjeira & Filipa Pereira & Ana Querido & Marion Bieri & Henk Verloo, 2022. "Contributing Factors of Presenteeism among Portuguese and Swiss Nurses: A Qualitative Study Using Focus Groups," IJERPH, MDPI, vol. 19(14), pages 1-19, July.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8844-:d:867795
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    References listed on IDEAS

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    1. Johnson, Ryan C. & Dhanani, Lindsay Y. & Sultan, Mohsin & Pueschel, Andrew, 2021. "COVID-19 and the reimagining of working while sick," Industrial and Organizational Psychology, Cambridge University Press, vol. 14(1-2), pages 260-263, June.
    2. María-Carmen De-la-Calle-Durán & José-Luis Rodríguez-Sánchez, 2021. "Employee Engagement and Wellbeing in Times of COVID-19: A Proposal of the 5Cs Model," IJERPH, MDPI, vol. 18(10), pages 1-15, May.
    3. Kathleen Tori & Thi Thuy Ha Dinh & Carey Mather, 2021. "Healthcare Professional Presenteeism during a COVID-19 Outbreak in an Australian Rural Healthcare Environment: A Case Analysis," IJERPH, MDPI, vol. 18(16), pages 1-9, August.
    4. Marvin Reuter & Morten Wahrendorf & Cristina Di Tecco & Tahira M. Probst & Sascha Ruhle & Valerio Ghezzi & Claudio Barbaranelli & Sergio Iavicoli & Nico Dragano, 2019. "Do Temporary Workers More Often Decide to Work While Sick? Evidence for the Link between Employment Contract and Presenteeism in Europe," IJERPH, MDPI, vol. 16(10), pages 1-17, May.
    5. Abbas Karami & Jamileh Farokhzadian & Golnaz Foroughameri, 2017. "Nurses’ professional competency and organizational commitment: Is it important for human resource management?," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-15, November.
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