Contenuto dell'articolo principale
Abstract
INTRODUZIONE: Il presenteismo rappresenta la necessità di "mettersi al lavoro anche se ci si sente male"; influenzando così la qualità del lavoro, portando a errori o omissioni, riducendo la produttività e aumentando i costi. Gli infermieri sono annoverati tra i professionisti con il più alto grado di presenteismo, con potenziali effetti negativi sulla qualità del lavoro.
OBIETTIVI: Accertare la prevalenza del Presenteismo tra gli infermieri italiani.
METODI: E’ stato condotto uno studio trasversale, multicentrico da gennaio a dicembre 2015 su un campione di infermieri italiani. 652 infermieri hanno completato il questionario. Il punteggio totale medio alla Stanford Presenteeism Scale (SPS-6) era 21.6 (± 4.0). Gli infermieri hanno mostrato elevati livelli di Presenteismo nelle sezioni: "Evitare distrazioni" e "Completare il lavoro" della Scala.
RISULTATI: Gli infermieri maschi hanno mostrato livell inferiori di Presenteismo rispetto alle donne, che tendevano anche ad essere minori con l'aumentare dell'età (entrambi p <0,05). La presenza di ≥1 problema di salute auto-riferito è stata associata ad un aumento del punteggio (p <0,05).
CONCLUSIONI: In linea con studi precedenti effettuati nel contesto internazionale, il Presenteismo sembra essere una condizione diffusa anche tra gli infermieri italiani, che dovrebbe essere adeguatamente riconosciuta da parte dei manager sanitari. I risultati di questa indagine potrebbero essere utilizzati come spunto di riflessione, per implementare mirate strategie di politica sanitaria.
Parole chiave
Dettagli dell'articolo
Riferimenti
- Allen, H., Hubbard, D., & Sullivan, S. (2005). The burden of pain on employee health and productivity at a major provider of business service. Journal of Occupational and Environmetal Medicine, 47, 658-670.
- Aronsson, G., & Gustafson, K. (2005). Sickness Presenteeism: prevalence, attendance-pressure factors and an outline of a model for research. Journal of Occupational and Environmental Medicine, 47, 958-966.
- Aronsson, G., Gustafson, K., & Dallner, M. (2000). Sick but yet at work: an empirical study of sickness presenteeism. Journal of Epidemiology and Community Health, 54, 502-509. doi: 10.1136/jech.54.7.502
- Bergström, G., Bodin, L., Hagberg, J., Lindh, T., Aronsson, G., & Josephson, M. (2009). Sickness presenteeism today, sickness absenteeism tomorrow? A prospective study on sickness presenteeism and future sickness absenteeism. Journal of Occupational and Environmental Medicine, 51, 629-638. doi: 10.1097/JOM.0b013e3181a8281b
- Brborović, H., Brborović, O., Brumen, V., Pavleković, G., & Mustajbegović, J. (2014). Are nurse presenteeism and patient safety culture associated: a cross-sectional study. Archives of Industrial Hygiene and Toxicology, 65, 149-156. doi: 10.2478/10004-1254-65-2014-2462
- Burton, W.N., Conti, D.J., Che, C.Y., Schultz, A.B., & Edington, D.W. (2004). The association of medical conditions and presenteeism. Journal of Occupational and Environmental Medicine, 46, S38-45.
- Cicolini, G., Della Pelle, C., Cerratti, F., Franza, M., & Flacco, M.E. (2016). Validation of the Italian version of the Stanford Presenteeism Scale in nurses. Journal of Nursing Management, 25, 598-604. doi: 10.1111/jonm.12362
- Collins, J.J., Baase, C.M., Sharda, C.E., Ozimonkowski, R.J., Nicholson, S., Billotti, G.M., Turpin, R.S., Olson, M., & Berger, M.L. (2005). The assessment of chronic health conditions on work performance, absence, and total economic impact for employers. Journal of Occupational and Environmental Medicine, 47, 547-457.
- D’Errico, A., Viotti, S., Baratti, A., Mottura, B., Barocelli, A.P., Tagna, M., Sgambelluri, B., Battaglino, P., & Converso, D. (2013). Low back pain and associated presenteeism among hospital nursing staff. Journal of Occupational Health, 55, 276-283.
- Demerouti, E., Le Blanc, P.M., Bakker, A.B., Schaufeli, W.B., & Hox, J. (2009). Present but sick: a three-wave study on job demands, presenteeism and burnout. Career Development International, 14, 50-68. doi: 10.1108/13620430910933574
- Elstad, J.I., & Vabø, M. (2008). Job stress, sickness absence and sickness presenteeism in Nordic elderly care. Scandinavian Journal of Publich Health, 36, 467-474. doi: 10.1177/1403494808089557
- Gärtner, F.R., Nieuwenhuijsen, K., Van Dijk, F.J.H., & Sluiter, J.K. (2010). The impact of common mental disorders on the work functioning of nurses and allied health professions: a systematic review. International Journal of Nursing Studies, 47, 1047-1061. doi: 10.1016/j.ijnurstu.2010.03.013
- Goetzel, R.Z., Hawkins, K., Ozminkowski, R.J., & Wang, S. (2003). The health and productivity cost burden of the “top-10” physical and mental health conditions affecting six large U.S. employers in 1999. Journal of Occupational and Environmental Medicine, 45, 5-14.
- Goetzel, R.Z., Long, S., Ozminkowski, R.J., Hawkins, K., Wang, S., & Lynch, W. (2004). Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. Journal of Occupational and Environmental Medicine, 46, 398-412. doi: 10.1097/01.jom.0000121151.40413.bd
- Hemp, P. (2004). Presenteeism: at work – but out of it. Havard Business Review, 82, 49-58.
- Jena, A.B., Baldwin, D.C. Jr., Daugherty, S.R., Meltzer, D.O., & Arora, V.M. (2010). Presenteeism among resident physicians. Journal of the American Medical Association, 304, 1166-1168. doi: 10.1001/jama.2010.1315
- Johns, G. (2010). Presenteeism in the workplace: a review and research agenda. Journal of Organizational Behavior, 31, 519-542.
- Kim, J., Suh, E.E., Ju, S., Choo, H., Bae, H., & Choi, H. (2016). Sickness experience of Korean Registered Nurses at work: a qualitative study on Presenteeism. Asian Nursing Research, 10, 32-38. doi: 10.1016/j.anr.2015.10.009.
- Koopman C, Pelletier KR, Murray JF, et al. Stanford presenteeism scale: health status and employee productivity. Journal of Occupational and Environmental Medicine, 2002;44(1):14–20. doi:10.1097/00043764-200201000-00004.
- Koopmanschap, M., Burdof, A., Jacob, K., Meerding, W.J., Brower, W., & Severens, H. (2005). Measuring productivity changes in economic evaluation: Setting the research agenda. Pharmacoeconomics, 23, 47-54.
- Letvak, S.A., Ruhm, C.J., & Gupta, S.N. (2012). Nurses’ Presenteeism and its effects on self-reported quality of care and costs. The American Journal of Nursing, 112, 30-38. doi: 10.1097/01.NAJ.0000411176.15696.f9
- Martinez, L.F., & Ferreira, A.I. (2012). Sick at work: presenteeism among nurses in a Portoguese public hospital. Stress and Health, 28, 297-304. doi: 10.1002/smi.1432
- McKevit, C., Morgna, M., Dundas, D., & Holland, W.W. (1997). Sickness absence and Working through illness: a comparison of two professional groups. Journal of Public Health Medicine, 19, 295-300.
- Mossad, S.B., Deshpande, A., Schramm, S., Liu, X., & Rothberg, M.B. (2017). Working Despite Having Influenza-Like Illness: Results of An Anonymous Survey of Healthcare Providers Who Care for Transplant Recipients. Infection Control and Hospital Epidemiology, 38, 966-969. doi: 10.1017/ice.2017.91
- Ozminkowski, R.J., Goetzel, R.Z., & Long, S.R. (2003). A validity analysis of the work productivity short inventory (WPSI) instrument measuring employee health and productivity. Journal of Occupational and Environmental Medicine, 45, 1183-1195. doi: 10.1097/01.jom.0000091694.62216.64
- Pilette, P. (2005). Presenteeism in nursing: a clear and present danger to productivity. The Journal of Nursing Administration, 35, 300–303.
- Prasad, M., Wahlqvist, P., Shikiar, R., & Shih, Y.T. (2004). A review of self-report instruments measuring health-related work productivity. Pharmacoeconomics, 22, 225-244.
- Rebmann, T., Turner, J.A., & Kunerth, A.K. (2016). Presenteeism attitudes and behavior among Missouri Kindergarten to twelfth grade (k-12) school nurses. The Journal of School Nursing, 32, 407-415. doi: 10.1177/1059840516637651
- Schultz, A.B., & Edington, D.W. (2007). Employee health and presenteeism: a systematic review. Journal of Occupational Rehabilitation, 17, 547-579. doi: 10.1007/s10926-007-9096-x
- Sheridan, A. (2004). Chronic Presenteeism: The multiple dimensions to men’s absence from part-time work. Gender, Work and Organization, 11, 207-225. doi: 10.1111/j.1468-0432.2004.00229.x
- Skela-Savič, B., Pesjak, K., & Hvalič-Touzery, S. (2017). Low back pain among nurses in Slovenian hospitals: cross-sectional study. International Nursing Review, 64, 544-551. doi: 10.1111/inr.12376
- Simpson, R. (1998). Presenteeism, power and organizational change: Long hours as a career barrier and the impact on the working lives of women managers. British Journal of Management, 9, 37-50. doi: 10.1111/1467-8551.9.s1.5
- Stewart, W.F., Ricci, J.A., Chee, E., & Morganstein, D. (2003). Lost productive work time cost from health condition in the United States: Results from the American Productivity Audit. Journal of Occupational and Environmental Medicine, 45, 1234-1246. doi: 10.1097/01.jom.0000099999.27348.78
- Stewart, W.F., Ricci, J.A., Leotta, C., & Chee, E. (2001). Self-report of health-related lost productive time at work: bias and the optimal recall period. Value in Health, 4, 421.
- Umann, J., Guido Lde, A., & Grazziano Eda, S. (2012). Presenteeism in hospital nurses. Revista Latino-Americana de Enfermagem, 20, 159-166.
- Wang, P.S., Beck, A., Berglund, P., Leutzinger, J.A., Pronk, N., Schenk, T.W., Simon, G., Stang, P., Ustun, T.B., & Kessler, R.C. (2003). Chronic medical conditions and work performance in health and work performance questionnaire calibration surveys. Journal of Occupational and Environmental Medicine, 45, 1303-1311. doi: 10.1097/01.jom.0000100200 .90573.df
- Warren, C.L., White-Means, S.I., Wicks, M.N., Chang, C.F., Gourley, D., & Rice, M. (2011). Cost burden of the presenteeism health outcome: diverse workforce of nurses and pharmacists. Journal of Occupational and Environmental Medicine, 53, 90-99. doi: 10.1097/JOM.0b013e3182028d38
Riferimenti
Allen, H., Hubbard, D., & Sullivan, S. (2005). The burden of pain on employee health and productivity at a major provider of business service. Journal of Occupational and Environmetal Medicine, 47, 658-670.
Aronsson, G., & Gustafson, K. (2005). Sickness Presenteeism: prevalence, attendance-pressure factors and an outline of a model for research. Journal of Occupational and Environmental Medicine, 47, 958-966.
Aronsson, G., Gustafson, K., & Dallner, M. (2000). Sick but yet at work: an empirical study of sickness presenteeism. Journal of Epidemiology and Community Health, 54, 502-509. doi: 10.1136/jech.54.7.502
Bergström, G., Bodin, L., Hagberg, J., Lindh, T., Aronsson, G., & Josephson, M. (2009). Sickness presenteeism today, sickness absenteeism tomorrow? A prospective study on sickness presenteeism and future sickness absenteeism. Journal of Occupational and Environmental Medicine, 51, 629-638. doi: 10.1097/JOM.0b013e3181a8281b
Brborović, H., Brborović, O., Brumen, V., Pavleković, G., & Mustajbegović, J. (2014). Are nurse presenteeism and patient safety culture associated: a cross-sectional study. Archives of Industrial Hygiene and Toxicology, 65, 149-156. doi: 10.2478/10004-1254-65-2014-2462
Burton, W.N., Conti, D.J., Che, C.Y., Schultz, A.B., & Edington, D.W. (2004). The association of medical conditions and presenteeism. Journal of Occupational and Environmental Medicine, 46, S38-45.
Cicolini, G., Della Pelle, C., Cerratti, F., Franza, M., & Flacco, M.E. (2016). Validation of the Italian version of the Stanford Presenteeism Scale in nurses. Journal of Nursing Management, 25, 598-604. doi: 10.1111/jonm.12362
Collins, J.J., Baase, C.M., Sharda, C.E., Ozimonkowski, R.J., Nicholson, S., Billotti, G.M., Turpin, R.S., Olson, M., & Berger, M.L. (2005). The assessment of chronic health conditions on work performance, absence, and total economic impact for employers. Journal of Occupational and Environmental Medicine, 47, 547-457.
D’Errico, A., Viotti, S., Baratti, A., Mottura, B., Barocelli, A.P., Tagna, M., Sgambelluri, B., Battaglino, P., & Converso, D. (2013). Low back pain and associated presenteeism among hospital nursing staff. Journal of Occupational Health, 55, 276-283.
Demerouti, E., Le Blanc, P.M., Bakker, A.B., Schaufeli, W.B., & Hox, J. (2009). Present but sick: a three-wave study on job demands, presenteeism and burnout. Career Development International, 14, 50-68. doi: 10.1108/13620430910933574
Elstad, J.I., & Vabø, M. (2008). Job stress, sickness absence and sickness presenteeism in Nordic elderly care. Scandinavian Journal of Publich Health, 36, 467-474. doi: 10.1177/1403494808089557
Gärtner, F.R., Nieuwenhuijsen, K., Van Dijk, F.J.H., & Sluiter, J.K. (2010). The impact of common mental disorders on the work functioning of nurses and allied health professions: a systematic review. International Journal of Nursing Studies, 47, 1047-1061. doi: 10.1016/j.ijnurstu.2010.03.013
Goetzel, R.Z., Hawkins, K., Ozminkowski, R.J., & Wang, S. (2003). The health and productivity cost burden of the “top-10” physical and mental health conditions affecting six large U.S. employers in 1999. Journal of Occupational and Environmental Medicine, 45, 5-14.
Goetzel, R.Z., Long, S., Ozminkowski, R.J., Hawkins, K., Wang, S., & Lynch, W. (2004). Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. Journal of Occupational and Environmental Medicine, 46, 398-412. doi: 10.1097/01.jom.0000121151.40413.bd
Hemp, P. (2004). Presenteeism: at work – but out of it. Havard Business Review, 82, 49-58.
Jena, A.B., Baldwin, D.C. Jr., Daugherty, S.R., Meltzer, D.O., & Arora, V.M. (2010). Presenteeism among resident physicians. Journal of the American Medical Association, 304, 1166-1168. doi: 10.1001/jama.2010.1315
Johns, G. (2010). Presenteeism in the workplace: a review and research agenda. Journal of Organizational Behavior, 31, 519-542.
Kim, J., Suh, E.E., Ju, S., Choo, H., Bae, H., & Choi, H. (2016). Sickness experience of Korean Registered Nurses at work: a qualitative study on Presenteeism. Asian Nursing Research, 10, 32-38. doi: 10.1016/j.anr.2015.10.009.
Koopman C, Pelletier KR, Murray JF, et al. Stanford presenteeism scale: health status and employee productivity. Journal of Occupational and Environmental Medicine, 2002;44(1):14–20. doi:10.1097/00043764-200201000-00004.
Koopmanschap, M., Burdof, A., Jacob, K., Meerding, W.J., Brower, W., & Severens, H. (2005). Measuring productivity changes in economic evaluation: Setting the research agenda. Pharmacoeconomics, 23, 47-54.
Letvak, S.A., Ruhm, C.J., & Gupta, S.N. (2012). Nurses’ Presenteeism and its effects on self-reported quality of care and costs. The American Journal of Nursing, 112, 30-38. doi: 10.1097/01.NAJ.0000411176.15696.f9
Martinez, L.F., & Ferreira, A.I. (2012). Sick at work: presenteeism among nurses in a Portoguese public hospital. Stress and Health, 28, 297-304. doi: 10.1002/smi.1432
McKevit, C., Morgna, M., Dundas, D., & Holland, W.W. (1997). Sickness absence and Working through illness: a comparison of two professional groups. Journal of Public Health Medicine, 19, 295-300.
Mossad, S.B., Deshpande, A., Schramm, S., Liu, X., & Rothberg, M.B. (2017). Working Despite Having Influenza-Like Illness: Results of An Anonymous Survey of Healthcare Providers Who Care for Transplant Recipients. Infection Control and Hospital Epidemiology, 38, 966-969. doi: 10.1017/ice.2017.91
Ozminkowski, R.J., Goetzel, R.Z., & Long, S.R. (2003). A validity analysis of the work productivity short inventory (WPSI) instrument measuring employee health and productivity. Journal of Occupational and Environmental Medicine, 45, 1183-1195. doi: 10.1097/01.jom.0000091694.62216.64
Pilette, P. (2005). Presenteeism in nursing: a clear and present danger to productivity. The Journal of Nursing Administration, 35, 300–303.
Prasad, M., Wahlqvist, P., Shikiar, R., & Shih, Y.T. (2004). A review of self-report instruments measuring health-related work productivity. Pharmacoeconomics, 22, 225-244.
Rebmann, T., Turner, J.A., & Kunerth, A.K. (2016). Presenteeism attitudes and behavior among Missouri Kindergarten to twelfth grade (k-12) school nurses. The Journal of School Nursing, 32, 407-415. doi: 10.1177/1059840516637651
Schultz, A.B., & Edington, D.W. (2007). Employee health and presenteeism: a systematic review. Journal of Occupational Rehabilitation, 17, 547-579. doi: 10.1007/s10926-007-9096-x
Sheridan, A. (2004). Chronic Presenteeism: The multiple dimensions to men’s absence from part-time work. Gender, Work and Organization, 11, 207-225. doi: 10.1111/j.1468-0432.2004.00229.x
Skela-Savič, B., Pesjak, K., & Hvalič-Touzery, S. (2017). Low back pain among nurses in Slovenian hospitals: cross-sectional study. International Nursing Review, 64, 544-551. doi: 10.1111/inr.12376
Simpson, R. (1998). Presenteeism, power and organizational change: Long hours as a career barrier and the impact on the working lives of women managers. British Journal of Management, 9, 37-50. doi: 10.1111/1467-8551.9.s1.5
Stewart, W.F., Ricci, J.A., Chee, E., & Morganstein, D. (2003). Lost productive work time cost from health condition in the United States: Results from the American Productivity Audit. Journal of Occupational and Environmental Medicine, 45, 1234-1246. doi: 10.1097/01.jom.0000099999.27348.78
Stewart, W.F., Ricci, J.A., Leotta, C., & Chee, E. (2001). Self-report of health-related lost productive time at work: bias and the optimal recall period. Value in Health, 4, 421.
Umann, J., Guido Lde, A., & Grazziano Eda, S. (2012). Presenteeism in hospital nurses. Revista Latino-Americana de Enfermagem, 20, 159-166.
Wang, P.S., Beck, A., Berglund, P., Leutzinger, J.A., Pronk, N., Schenk, T.W., Simon, G., Stang, P., Ustun, T.B., & Kessler, R.C. (2003). Chronic medical conditions and work performance in health and work performance questionnaire calibration surveys. Journal of Occupational and Environmental Medicine, 45, 1303-1311. doi: 10.1097/01.jom.0000100200 .90573.df
Warren, C.L., White-Means, S.I., Wicks, M.N., Chang, C.F., Gourley, D., & Rice, M. (2011). Cost burden of the presenteeism health outcome: diverse workforce of nurses and pharmacists. Journal of Occupational and Environmental Medicine, 53, 90-99. doi: 10.1097/JOM.0b013e3182028d38