Abstract
BackgroundJob stress is a strong indicator of presenteeism, but few studies have examined its diverse effects and mediators on presenteeism. This study explored the relationships between job stress, public service motivation (PSM) and presenteeism and how job stress and PSM influence presenteeism in a large national sample of Chinese healthcare workers.MethodsA cross-sectional survey including 1392 healthcare workers from 11 Class A tertiary hospitals in eastern, central and western China was used in the analysis. Descriptive statistical analysis, correlation analysis and structural equation modeling were used to test the research hypothesis.ResultsHindrance stress was inversely associated with PSM (β = − 0.27; P < 0.001) but significantly positively associated with presenteeism (β = 0.35; P < 0.001). PSM was directly inversely associated with presenteeism (β = − 0.35; P < 0.001). PSM partially mediated the relation of hindrance stress with presenteeism.ConclusionsThe findings suggest that efforts to prevent presenteeism among healthcare workers in China should emphasize PSM improvement and reduction of hindrance stress.
Highlights
Job stress is a strong indicator of presenteeism, but few studies have examined its diverse effects and mediators on presenteeism
Presenteeism has been a focus of organizational and human resource management research, because scholars are beginning to realize that presenteeism is a hidden but significant drain on productivity [2] and that it has a greater effect than actual absence on the overall productivity of an organization
This study focuses on the relationship between job stress, public service motivation (PSM) and presenteeism
Summary
Job stress is a strong indicator of presenteeism, but few studies have examined its diverse effects and mediators on presenteeism. Challenge stress was viewed by managers as obstacles to be overcome in order to learn and achieve, including high workload, time pressure, job scope and high responsibility. Hindrance stress included stressful demands viewed by managers as unnecessary impediments to personal growth and goal attainment, such as organizational politics, red tape, role ambiguity and concerns about job security [7]. Different types of job stress are usually considered to have diverse effects on productivity-related outcomes [1]. Existing studies usually analyzed job stress as an aggregate variable and few have assessed how different types of stress affect presenteeism. Deng et al BMC Health Services Research (2019) 19:625 we explored how challenge stress and hindrance stress differentially affect presenteeism
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