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Article
Publication date: 29 April 2021

Jirachat Tangchareonsamut, Chathaya Wongrathanandha, Siriluk Khamsee and Wichai Aekplakorn

The aim of the study is to determine the prevalence of absenteeism and presenteeism and explore their association with work performance among support workers in a medical…

Abstract

Purpose

The aim of the study is to determine the prevalence of absenteeism and presenteeism and explore their association with work performance among support workers in a medical school hospital in Thailand.

Design/methodology/approach

A cross-sectional study was conducted among 1,102 support workers in the Faculty of Medicine Ramathibodi Hospital, Mahidol University, in June–August 2020. The World Health Organization Health and Work Performance Questionnaire (HPQ) was used to assess absenteeism, presenteeism, work performance and related factors. Multiple logistic regression was used to examine the association between current work performance and absenteeism and presenteeism in the past year.

Findings

A total of 505 (45.8%) support workers completed the self-report questionnaire. Prevalence of sickness absence, non-sickness absence and presenteeism in the past year was 54.2%, 81.4% and 48.1%, respectively. Sickness absence and presenteeism in the past year were significantly associated with increased odds of poor work performance: (OR 3.05, 95% CI: 1.24–7.49) and (OR 5.12, 95% CI: 2.25–11.64), respectively. Support workers with high levels of stress and burnout were 3.89 (95% CI: 1.56–9.68) and 2.66 (95% CI: 1.50–4.72) times more likely to report poor work performance.

Originality/value

Sickness absence and presenteeism are associated with poor work performance in hospital support workers. Other factors such as stress and burnout also contribute to poor work performance, and interaction among these factors needs further research. To improve productivity, hospital administrators might consider intervention programs to enhance work performance among workers with sickness absence and presenteeism.

Details

Journal of Health Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0857-4421

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Article
Publication date: 1 December 2006

Caroline Biron, Jean‐Pierre Brun, Hans Ivers and Cary Cooper

Many studies have shown that an unfavourable psychosocial environment increases the risk of mental and physical illness, as well as absenteeism, or sickness absence…

Abstract

Many studies have shown that an unfavourable psychosocial environment increases the risk of mental and physical illness, as well as absenteeism, or sickness absence. However, more costly than absenteeism is presenteeism, where a person is present at work even though disabled by a mental or physical illness. We sought to identify factors explaining why workers would come to work even when their health is impaired. In a cross‐sectional design data were collected from 3825 employees of a Canadian organisation. The results show a high occurrence of presenteeism: workers went to work in spite of illness 50% of the time. Presenteeism propensity (the percentage of days worked while ill over total number of sick days) was higher for workers who were ill more often. Heavier workloads, higher skill discretion, harmonious relationships with colleagues, role conflict and precarious job status increased presenteeism, but decision authority did not. Workers reporting high psychological distress and more severe psychosomatic complaints were also more likely to report higher rates of presenteeism. These results suggest that stress research should not only include absenteeism as an outcome indicator, but also consider presenteeism.

Details

Journal of Public Mental Health, vol. 5 no. 4
Type: Research Article
ISSN: 1746-5729

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Article
Publication date: 22 June 2012

Alison Collins and Susan Cartwright

The purpose of this paper is to explore the perceptions of managers and employees, in one private and one public sector organization, towards an individual's decision to…

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Abstract

Purpose

The purpose of this paper is to explore the perceptions of managers and employees, in one private and one public sector organization, towards an individual's decision to go to work, despite being unwell, a phenomenon known as presenteeism in the literature.

Design/methodology/approach

Qualitative interviews (n=33) were used to investigate the personal beliefs and attitudes of managers and employees towards presenteeism in an attempt to understand why individuals come into work, despite being unwell, rather than taking time off work.

Findings

This paper explores the factors that influence an individual's decision to come into work despite being ill. Employees who are unwell are likely to take into consideration a combination of factors before deciding whether to come into work or take sick leave. The study's findings highlight the importance of both the work environment and an individual's personal motivation, including their work ethic, on presenteeism, providing further evidence that context is important.

Originality/value

The study's findings support previous research that attendance management mechanisms implemented by the organization can lead to absenteeism. However, well‐designed and managed return to work policies can be of reciprocal benefit to both the organization and the employee.

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Article
Publication date: 20 June 2008

James N. MacGregor, J. Barton Cunningham and Natasha Caverley

The purpose of this paper is to investigate the relationship of stressful life events and health related events with sickness absenteeism and presenteeism (attending work…

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7079

Abstract

Purpose

The purpose of this paper is to investigate the relationship of stressful life events and health related events with sickness absenteeism and presenteeism (attending work while ill or injured).

Design/methodology/approach

A web‐based survey was conducted within a public service organization which had just undergone a significant downsizing, where the workforce was reduced by over 30 per cent.

Findings

The findings indicated that stressful life events were significantly associated with both presenteeism and absenteeism, to the same degree.

Research limitations/implications

These results extend previous research in suggesting that employees are substituting presenteeism for absenteeism. However, different health risks (chronic conditions vs needing counselling support) were more likely to predict absenteeism than presenteeism.

Originality/value

By supporting a substitution hypothesis, the present study suggests that both presenteeism and absenteeism are important measures of employee health and organizational productivity.

Details

Management Research News, vol. 31 no. 8
Type: Research Article
ISSN: 0140-9174

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Article
Publication date: 17 October 2018

James MacGregor and J. Barton Cunningham

The purpose of this paper is to analyze the results from two public sector organizations to test a model of the organizational antecedents and health consequences of…

Abstract

Purpose

The purpose of this paper is to analyze the results from two public sector organizations to test a model of the organizational antecedents and health consequences of sickness presenteeism (SP) in the workplace.

Design/methodology/approach

The study reports on two surveys of public employees, one including 237 respondents and another of 391 employees. The combined sample allowed for the testing of a model of organizational antecedents and the health consequences of SP.

Findings

The results supported the model, indicating that increased leader support and goal clarity decrease SP indirectly through increased trust. Decreasing presenteeism is associated with decreased sickness absence and better health.

Practical implications

The key practical application is in encouraging managers and scholars to recognize that the costs of presenteeism are as higher or higher than the costs of absenteeism.

Social implications

The social implications are clear in helping us recognize that when people come to work sick, they are not productive and are endangering the productivity of others.

Originality/value

This is the first time that research had defined and operationalized a causal model linking antecedents such as leader-member relations, goal clarity and trust with SP and absenteeism.

Details

Journal of Organizational Effectiveness: People and Performance, vol. 5 no. 4
Type: Research Article
ISSN: 2051-6614

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Article
Publication date: 16 September 2013

Luo Lu, Cary L. Cooper and Hui Yen Lin

The aim of this study was two-fold: first, to examine the noxious effects of presenteeism on employees' work well-being in a cross-cultural context involving Chinese and…

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2048

Abstract

Purpose

The aim of this study was two-fold: first, to examine the noxious effects of presenteeism on employees' work well-being in a cross-cultural context involving Chinese and British employees; second, to explore the role of supervisory support as a pan-cultural stress buffer in the presenteeism process.

Design/methodology/approach

Using structured questionnaires, the authors compared data collected from samples of 245 Chinese and 128 British employees working in various organizations and industries.

Findings

Cross-cultural comparison revealed that the act of presenteeism was more prevalent among Chinese and they reported higher levels of strains than their British counterparts. Hierarchical regression analyses showed that presenteeism had noxious effects on exhaustion for both Chinese and British employees. Moreover, supervisory support buffered the negative impact of presenteeism on exhaustion for both Chinese and British employees. Specifically, the negative relation between presenteeism and exhaustion was stronger for those with more supervisory support.

Practical implications

Presenteeism may be used as a career-protecting or career-promoting tactic. However, the negative effects of this behavior on employees' work well-being across the culture divide should alert us to re-think its pros and cons as a career behavior. Employees in certain cultures (e.g. the hardworking Chinese) may exhibit more presenteeism behaviour, thus are in greater risk of ill-health.

Originality/value

This is the first cross-cultural study demonstrating the universality of the act of presenteeism and its damaging effects on employees' well-being. The authors' findings of the buffering role of supervisory support across cultural contexts highlight the necessity to incorporate resources in mitigating the harmful impact of presenteeism.

Details

Career Development International, vol. 18 no. 5
Type: Research Article
ISSN: 1362-0436

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Abstract

Details

Human Resource Management International Digest, vol. 15 no. 5
Type: Research Article
ISSN: 0967-0734

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Article
Publication date: 12 September 2016

Babette Bronkhorst and Brenda Vermeeren

The purpose of this paper is to investigate the relationship between organizational safety climate and organizational health performance outcomes (i.e. absenteeism…

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1204

Abstract

Purpose

The purpose of this paper is to investigate the relationship between organizational safety climate and organizational health performance outcomes (i.e. absenteeism, presenteeism, health care utilization) mediated by individual worker health. The authors used three pathways to examine this relationship: a physical pathway starting with physical safety climate and mediated by musculoskeletal disorders (MSDs), a psychosocial pathway starting with psychosocial safety climate and mediated by emotional exhaustion, and a combined pathway starting with psychosocial safety climate and mediated by both MSDs and emotional exhaustion.

Design/methodology/approach

Three mediational multilevel analyses were conducted using a sample of 8,761 employees working in 177 health care organizations.

Findings

Although the findings did not support the hypothesized physical pathway, they showed that the psychosocial pathway worked satisfactorily for two of the three health performance outcomes (absenteeism and presenteeism). The combined physical and psychosocial pathway explained differences in the third outcome: health care utilization.

Originality/value

This is one of the few studies to include both physical and psychosocial pathways that lead to employee health and organizational performance. The results underscore the importance of paying attention to psychological health and safety in the health care workplace. Not only for the psychological health of employees, but also to improve their physical health and subsequent organizational health performance.

Details

International Journal of Workplace Health Management, vol. 9 no. 3
Type: Research Article
ISSN: 1753-8351

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Article
Publication date: 7 March 2016

Chiara Panari and Silvia Simbula

The purpose of this paper is to examine the antecedents and consequences of the phenomenon of presenteeism in the educational sector. Particularly, the authors tested the…

Abstract

Purpose

The purpose of this paper is to examine the antecedents and consequences of the phenomenon of presenteeism in the educational sector. Particularly, the authors tested the relationship between excessive work responsibilities, presenteeism, work-to-family conflict and workers’ emotional exhaustion.

Design/methodology/approach

A self-report questionnaire was administered to 264 teachers in secondary schools.

Findings

A subsequent mediation of presenteeism and work-to-family conflict between work responsibilities and emotional exhaustion was found.

Originality/value

The findings of this study will provide help today’s organisations for better understanding and managing the new phenomenon of presenteeism in order to promote workers’ well-being and performance.

Details

International Journal of Workplace Health Management, vol. 9 no. 1
Type: Research Article
ISSN: 1753-8351

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Article
Publication date: 10 May 2018

Subramaniam Ananthram, Matthew J. Xerri, Stephen T.T. Teo and Julia Connell

The purpose of this paper is to empirically examine the relationships between high-performance work systems (HPWSs) and four employee outcomes – job satisfaction, employee…

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1574

Abstract

Purpose

The purpose of this paper is to empirically examine the relationships between high-performance work systems (HPWSs) and four employee outcomes – job satisfaction, employee engagement, presenteeism and well-being – in Indian call centres.

Design/methodology/approach

A path model is developed to investigate the direct and mediation effects between the assessed variables. The study utilised a survey of 250 call centre employees working in five business process management firms based in India.

Findings

The findings indicate that HPWSs have a positive relationship with job satisfaction, engagement and well-being. Job satisfaction also had a positive relationship with engagement and presenteeism, and engagement was positively related to presenteeism and well-being. However, there was no significant direct effect of HPWS on presenteeism. Mediation analysis showed that HPWS has an indirect effect on well-being via engagement and also via job satisfaction and engagement combined.

Research limitations/implications

HPWS significantly increases job satisfaction and employee engagement and indirectly influences employee well-being via these outcomes. However, job satisfaction and employee engagement was also found to increase presenteeism, which, in turn, can reduce employee well-being. These findings contribute to the HPWS theory and the literature on employee well-being, and have implications for HR personnel and call centre management.

Originality/value

Given the well-established challenges with employee retention in Indian call centre environments, one solution may be the adoption of a more strategic approach to HRM using HPWS. Such an approach may enhance employees’ perceptions that HPWS practices would have a positive influence on job satisfaction, employee engagement and employee well-being.

Details

Personnel Review, vol. 47 no. 4
Type: Research Article
ISSN: 0048-3486

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