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Work attendance among health care workers: Prevalence, incentives and consequences for health and performance
Sahlgrenska akademin, Göteborgs universitet.
2011 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, no 9, 1918-1929 p.Article in journal (Refereed) Published
Abstract [en]

Aim. This paper is a report of a cohort study of healthcare workers' work attendance, and its long-term consequences' on health, burnout, work ability and performance. Background. Concepts and measures of work attendance have varied in the scientific literature. Attending work in spite of being sick can have serious consequences on health. There is little knowledge on which individual and work-related conditions that increase work attendance and the long-term impact on health and performance. Method. Prospective analyses of three measures of work attendance i.e. sickness attendance, uninterrupted long-term attendance and balanced attendance (≤7days of sick leave per year and no sickness attendance) were done using questionnaire data from a 2-year cohort study (2004-2006) of randomly selected healthcare workers (n=2624). Incentives (e.g. effort-reward balance, social support, meaningfulness) and requirements (e.g. time-pressure, dutifulness, high responsibility) to attend work as well as general health, burnout, sick leave, work ability and performance were assessed. Results. There was a positive relation between balanced work attendance and incentives, whereas high sickness attendance was associated with requirements. Follow up after 2years showed that balanced attendance was associated with sustained health and performance while sickness attendance was associated with poor health, burnout, sick-leave and decreased performance. Conclusion. It is important to distinguish between measures of work attendance as they differ in relation to incentives, and health- and performance-related consequences. Sickness attendance seems to be an important risk indicator. A balanced work attendance should be promoted for sustained health and performance in healthcare organisations.

Place, publisher, year, edition, pages
2011. Vol. 67, no 9, 1918-1929 p.
Keyword [en]
Burnout, Nurses, Nursing workforce, Presenteeism, Psychosocial factors, Sick-leave, Stress, Work ability
National Category
Environmental Health and Occupational Health
URN: urn:nbn:se:kth:diva-78185DOI: 10.1111/j.1365-2648.2011.05630.xISI: 000293698900006PubMedID: 21466574ScopusID: 2-s2.0-80051572182OAI: diva2:492334
QC 20120208Available from: 2012-02-07 Created: 2012-02-07 Last updated: 2012-02-08Bibliographically approved

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