Do Work Stress, Psychological Resilience and Workplace Friendships Predict Presenteeism in Healthcare Workers?

Year 2024, Volume: 6 Issue: 1, 110 - 124, 25.04.2024

Kübra Küçükşen , Ali Özgül Saltalı

Abstract

The main objective of this study was to investigate the predictive power of job stress, psychological resilience, and workplace friendship for presenteeism in healthcare professionals, with consideration for gender differences. The study included 416 healthcare workers (229 female, 187 male; 216 nurses, 200 physicians) employed in Ministry of Health-affiliated institutions. Data were collected using the Stanford Presenteeism Scale, Job Stress Scale, Brief Resilience Scale, and Workplace Friendship Scale. Multiple regression analysis was employed for data analysis. Female health professionals had mean scores of 19.26±4.43 for presenteeism, 25.17±4.95 for job stress, 17.92±4.35 for resilience, and 34.44±5.74 for workplace friendship. Male healthcare professionals had mean scores of 17.71±4.61 for presenteeism, 26.39±5.21 for job stress, 18.84±4.13 for resilience, and 33.58±6.22 for workplace friendship. Job stress, resilience, and positive workplace friendships were significant predictors of presenteeism in female healthcare professionals (F Reg =19.621, p<0.01). Conversely, in male healthcare professionals, only resilience emerged as a significant predictor of presenteeism, with job stress and workplace friendships not showing significance (p<0.01). Job stress and workplace friendships were found to be significant predictors of presenteeism exclusively in female healthcare professionals, whereas resilience emerged as a significant predictor across all healthcare professionals. It is recommended that supportive interventions aimed at reducing work stress and fostering workplace friendships and psychological resilience be tailored to consider gender-specific characteristics.

Keywords

Workplace friendships, Health Professionals, Work Stress, Presenteeism, Psychological Resilience

Sağlık Çalışanlarında İş Stresi, Psikolojik Dayanıklılık ve İşyeri Arkadaşlıkları Presenteeism'i Yordar mı?

Abstract

Bu araştırmanın temel amacı, sağlık profesyonellerinde iş stresi, psikolojik sağlamlık ve iş yeri arkadaşlık ilişkilerinin presenteeizmi yordama durumlarının cinsiyet bağlamında incelenmesidir. Araştırma, Sağlık Bakanlığına bağlı kurumlarda görev yapmakta olan 416 sağlık çalışanı (229 kadın, 187 erkek; 216 hemşire, 200 doktor) ile yürütülmüştür. Araştırma verileri, Stanford Presenteeism Scale, İş Stresi Ölçeği, Kısa Psikolojik Sağlamlık Ölçeği ve İş Yeri Arkadaşlık İlişkileri Ölçeği kullanılarak toplanmıştır. Verilerin analizinde çoklu regresyon analizi kullanılmıştır. Kadın sağlık profesyonellerinin presenteeism, iş stresi, psikolojik sağlamlık ve iş yeri arkadaşlık ilişkileri puan ortalamaları sırasıyla 19.26±4.43, 25.17±4.95, 17.92±4.35 ve 34.44±5.74 olarak hesaplanmıştır. Erkek sağlık profesyonellerinin presenteeism, iş stresi, psikolojik sağlamlık ve iş yeri arkadaşlık ilişkileri puan ortalamaları sırasıyla 17.71±4.61, 26.39±5.21, 18.84±4.13 ve 33.58±6.22 olarak hesaplanmıştır. İş stresi, psikolojik sağlamlık ve olumlu iş yeri arkadaşlık ilişkileri, kadın sağlık profesyonellerinde presenteeismin anlamlı birer yordayıcısıdır (FReg=19.621, p<0.01). Erkek sağlık profesyonellerinde ise sadece psikolojik sağlamlık presenteeismin anlamlı bir yordayıcısı iken, iş stresi ve iş yeri arkadaşlık ilişkileri presenteeismin anlamlı birer yordayıcısı değildir (FReg=20.825, p<0.01). İş stresi ve iş yeri arkadaşlık ilişkileri yalnızca kadın sağlık profesyonellerinde, psikolojik sağlamlık tüm sağlık çalışanlarında presenteeismin anlamlı birer yordayıcısıdır. İş stresini azaltan, iş yeri arkadaşlık ilişkileri ve psikolojik sağlamlığı artıran destekleyici çalışmaların cinsiyet özellikleri dikkate alınarak yapılması önerilmektedir.

Keywords

Sağlık Çalışanları, İş stresi, Presenteizm, Psikolojik Dayanıklılık, İşyeri Arkadaşlıkları

References

• Anik Baysal, İ. (2012). The relation between presenteeism (the problem of not attending work) and organizational commitment: a study on the academic staff of Adnan Menderes University, (Master thesis), Adnan Menderes University.
• Anik Baysal, İ., Baysal, G., Aksu, G., & Aksu, N. (2014). The relation between presenteeism (the problem of not attending work) and organizational commitment: a study on the academic staff of Adnan Menderes University. Electronic Journal of Vocational Colleges, 4(3), 134-152. https://dergipark.org.tr/tr/download/article-file/62495
• Aslan, M., & Ulupınar, F. (2020). A danger for care quality and patient safety in nursing: presenteeism. Koç University Journal of Education and Research in Nursing, 17(3), 267-72. https://jer-nursing.org/jvi.aspx?pdir=jern&plng=eng&un=JERN-56873&look4=
• Baker-McClearn, D., Greasley, K., Dale, J., & Griffith, F. (2010). Absence management and presenteeism: the pressures on employees to attend work and the impact of attendance on performance. Human Resource Management Journal, 20(3), 311- 328. https://doi.org/10.1111/j.1748-8583.2009.00118.x
• Baykal, D. & Koc Tutuncu, S. (2021). The perceived stress of paramedics and paramedic students on their stress coping behaviors during COVID. Journal of General Health Sciences, 3(2), 90- 101. https://doi.org/10.51123/jgehes.2021.20
• Biron, C., Brun, J., Ivers, H., & Cooper, C. L. (2006). At work but ill: Psychosocial work environment and well-being determinants of presenteeism propensity. Journal of Public Mental Health, 5(4), 26-37. https://doi.org/10.1108/17465729200600029
• Blegen, M. A., Vaughn, T. E., & Goode, C. J. (2001). Nurse experience and education: effect on quality of care. JONA: The Journal of Nursing Administration, 31(1), 33-9. https://doi.org/10.1097/00005110-200101000-00007
• Brborovi, H., Daka, Q., Dakaj, K., & Brborovi, O. (2017). Antecedents and associations of sickness presenteeism and sickness absenteeism in nurses: A systematic review. International Journal of Nursing Practice, 23(6), e12598. https://doi.org/10.1111/ijn.12598
• Cetin, A., & Hasdemir, E. (2021). Psychological resilience in health institutions. Education Publishing.
• Ciftci, D., Meric, E., & Meric, A. (2018). Examining the relationship between presenteeism (not being at work) and organizational identification. Sosyal Bilimler Dergisi, 5(24), 303-320. https://doi.org/10.16990/SOBIDER.4227
• Coban, Ö., & Harman, S. (2012). Presenteeism: reasons, created organizational problems and solution suggestions a literature review. The Journal of Social Economic Research, 12(23), 157-178.
• Coutu, D. L. (2004). Components of resilience, organizational and personal resilience. (Trans. A. Kardam). Turkish Metal Industrialists' Union.
• Cullen, J., & McLaughlin, A. (2006). What drives the persistence of presenteeism as a managerial value in hotels? observations noted during an Irish work-life balance research project. International Journal of Hospitality Management, 25(3), 510-516. https://doi.org/10.1016/j.ijhm.2004.09.006
• 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(1), 50-68. https://doi.org/10.1108/13620430910933574
• Dhaini, S., Zúñiga, F., Ausserhofer, D., Simon, M., Kunz, R., De Geest, S., Schwendiman, R. (2016). Absenteeism and presenteeism among care workers in Swiss nursing homes and their association with psychosocial work environment: A multi-site cross-sectional study. Gerontology, 62(4), 386-95. https://doi.org/10.1159/000442088
• Dogan, T. (2015). Turkish version of the short resilience scale: Validity and reliability study. The Journal of Happiness & Well-Being, 3(1), 93-102. Retrieved from: https://toad.halileksi.net/wp-content/uploads/2022/07/kisa-psikolojik-saglamlik-olcegi-toad.pdf
• Efeoglu, I. E. (2006). The effects of work-family conflict on job stress, job satisfaction and organizational commitment: A study in the pharmaceutical industry. (PhD thesis), Çukurova University.
• El-Kurdy, R., El-Nemer, A., Yousef, A., Elsaidy, W., & Hamdan-Mansour, A. (2022). The moderation effect of affective commitment on the relationship between job stress and presenteeism among obstetric healthcare workers during COVID-19 pandemic. The Open Nursing Journal, 16(1): https://doi.org/10.2174/18744346-v16-e2203090
• Eroglu, M. (2022). Çalışan kadınların kişilik özelliklerinin ve yaş, eğitim durumu, gelir düzeyi gibi etkenlerin psikolojik dayanıklılık düzeylerine etkisi. Uluslararası Temel Eğitim Çalışmaları Dergisi, 3(1), 34-42. Retrieved from: https://dergipark.org.tr/tr/download/article-file/2159644
• Fiorini, L. A., Griffiths, A., & Houdmont, J. (2018). Reasons for presenteeism in nurses working in geriatric settings: A qualitative study. Journal of Hospital Administration, 7(4), 9-16. https://doi.org/10.5430/jha.v7n4p9 Friborg, O., Hjemdal, O., Rosenvinge, J. H., & Martinussen, M. (2003). A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Psychiatric Research, 12(2), 65-76. https://doi.org/10.1002/mpr.143
• George, D., & Mallery, M. (2010). SPSS for Windows step by step: a simple guide and reference, 17.0 update (10. ed.), Pearson.
• Gunay Molu, N., Sert, S., & Durmusoglu Saltali, N. (2023). Being a mother as a healthcare professional in the COVID-19 pandemic: A qualitative study. Marmara Medical Journal, 36(1), 124-132. https://doi.org/10.5472/marumj.1244379
• House, R. J., & Rizzo, J. R., (1972). Role conflict and ambiguity as critical variables in model of organizational behavior. Organizational Behavior and Human Performance, 7(3), 467-505. https://doi.org/10.1016/0030-5073(72)90030-X
• Hulley, S.B., Cummings, S.R., Browner, W.S., Grady, D.G., & Newman, T.B. (2013). Designing Clinical Research (Fourth Edition). Lippincott Williams & Wilkins: a Wolters Kluwer Business.
• Kalayci, Ş. (2006). SPSS applied multivariate statistical techniques. (2nd Edition). Asil Publication. Karasar, N. (2008). Scientific research method. Nobel Publishing.
• Kılıc, B. (2018). Loneliness and exclusion in the workplace in the context of presenteeism: A research in the banking sector. (Master's thesis) Selçuk University.
• Kim, J., Suh, E. E., Ju, S., Choo, H., Bae, H., & Choi, H. (2016). Sickness experiences of Korean registered nurses at work: A qualitative study on presenteeism. Asian Nursing Research,10(1), 32-38. https://doi.org/10.1016/j.anr.2015.10.009
• Kiral, E., (2018). Investigation of psychometric properties of workplace friendship scale on teachers in Turkey sample. Oral Presentation, International Educational Supervision Congress, (6-8 December) Antalya, 11-13.
• Kocak, M., & Tasdemir, D. Ş. (2022). Gender inequality in women's football in the historical process. Journal of History School, 15(LVIII), 1868-1882. https://doi.org/10.29228/Joh.55058
• Kocoglu, M. (2007). The problem of presenteeism in businesses and methods of struggle within the framework of human resources management (Master Thesis), Yildiz Technical University.
• Koopman, C., Pelletier, K. R., Murray, J. F., Sharda, C. E., Berger, M. L., Turpın, R. S., Hackleman, P., Gibson, P., Holmes, D.M.,Bendel, T. (2002). Stanford presenteeism scale: Health status and employee productivity. Journal of Occupational Environmental Medicine, 44(1), 14-20. https://www.jstor.org/stable/44995848
• Kucuksen, K., & Kaya, D. Ş. (2016). Balance between family-occupation-private life in academician women in executive positions. The Journal of Academic Social Science, 37(37), 662-674. https://doi.org/10.16992/ASOS.11807
• Lee, J. H., Nam, S. K., Kim, A.-R., Kim, B., Lee, M. Y. ve Lee, S. M. (2013). Resilience: A meta-analytic approach. Journal of Counseling & Development, 91(3), 269-279. https://doi.org/10.1002/j.1556-6676.2013.00095.xLee Lie, I., Stafseth, S., Skogstad, L., Hovland, I. S., Hovde, H., Ekeberg, Ø., Raeder, J. (2021). Healthcare professionals in COVID-19-intensive care units in Norway: preparedness and working conditions: a cohort study. BMJ Open. 1(10), e049135. https://doi.org/10.1136/bmjopen-2021-049135
• Lui, J. N. M., Andres, E. B., & Johnston, J. M. (2024). How do organizational culture and leadership style affect nurse presenteeism and productivity? A cross sectional study of Hong Kong acute public hospitals. International Journal of Nursing Studies, 152, 104675. https://doi.org/10.1016/j.ijnurstu.2023.104675
• Naldan, M. E., Karayagmurlu, A., Yayik, M., & Ari, M. A. (2019). Burnout, job satisfaction, depression on the healthcare professionals working in the operation room. Selcuk University Medical Journal, 35(3).152-158. https://doi.org/10.30733/std.2019.01117
• Nielsen, I. K., Jex, S. M., & Adams, G. A. (2000). Development and validation of scores on a two-dimensional workplace friendship scale. Edu & Psychol Measure. 60(4), 28-643. https://doi.org/10.1177/00131640021970655
• Odden, C. M., & Sias, P. M. (1997). Peer communication relationships, psychological climate, and gender. Commun Quar. 45, 153-166. https://doi.org/10.1080/01463379709370058
• Ofili, A. N., Obehi, E. J., Chibuike, E. S., Ose, E. E. (2018). Prevalence of presenteeism and its associated factors among nurses in a teaching hospital in Nigeria. Occupational and Environmental Medicine, 75, http://dx.doi.org/10.1136/oemed-2018-ICOHabstracts.919
• Rainbow, J. G., & Steege, L. M. (2017). Presenteeism in nursing: An evolutionary concept analysis. Nursing Outlook, 65(5), 615-23. https://doi.org/10.1016/j.outlook.2017.03.005
• Rainbow, J. G., Gilbreath, B., & Steege, L. M., (2021). Risky business: a mediated model of antecedents and consequences of presenteeism in nursing. Nursing Research, 70(2), 85-94. https://doi.org/10.1097/NNR.0000000000000484
• Sambu, L. J., & Mhongo, S. (2019). Age and gender relation to resilience after the experience of trauma among ınternally displaced persons in Kiambaa Village, Eldoret East Sub-country, Kenya. Journal of Psychology and Behavioral Science, 7(1), 31-40. https://doi.org/10.15640/jpbs.v7n1a4
• Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194-200. https://doi.org/10.1080/10705500802222972
• Sun, J., & Stewart, D. (2007). Age and gender effects on resilience in children and adolescents. International Journal of Mental Health Promotion, 9(4), 16-25. https://doi.org/10.1080/14623730.2007.9721845
• Szymczak, J. E., Smathers, S., Hoegg, C., Klieger, S., Coffin, S. E., & Sammons, J. S. (2015). Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. JAMA Pediatr. 169(9), 815-21. https://doi.org/10.1001/jamapediatrics.2015.0684
• Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Pearson, Allyn & Bacon.
• Taylor, S. E., Klein, L. C., Lewis, B. P., Gruenewald, T. L., Gurung, R. A. R., & Updegraff, J. A. (2000). Biobehavioral responses to stress in females: Tendand-be friend, not fight-or-flight. Psychological Review, 107(3), 411-429. https://doi.org/10.1037/0033-295X.107.3.411
• Tharenou, P., & Conroy, D. (1994). Men and women managers’ advancement: Personal or situational determinants? Applied Psychology: An International Review 43(1), 5-31. https://doi.org/10.1111/j.1464-0597.1994.tb00807.x
• Ugurlu, M. & Karahan, N. (2022). Anxiety and stress levels of midwifery students before and after the first clinical practice. Journal of General Health Sciences, 4(3), 297-306. https://dergipark.org.tr/en/pub/jgehes/issue/74149/1103224
• Urhan, B., & Etiler, N. (2011). Analysis of women's labor in the health sector in terms of gender. Çalışma ve Toplum, 2(29), 191-215. https://dergipark.org.tr/tr/pub/ct/issue/71800/1155280
• Yang, T., Guo, Y., Ma, M., Li, Y., Tian, H., & Deng, J. (2017). Job stress and Presenteeism among Chinese healthcare workers: The mediating effects of affective commitment. International Journal of Environmental Research and Public Health, 14(9), 978. https://doi.org/10.3390/ijerph14090978
• Yavuzkurt, T. (2017). The relationship between secondary school teachers' perception of workplace friendship and job satisfaction (Aydın province example). (Master's thesis), Adnan Menderes University.
• Yilmaz, G., & Gunay, G. Y. (2020). The effect of presenteeism and job stress on employee performance: an application in the textile industry. Social Sciences Research Journal, 9(1), 91-106. https://www.acarindex.com/pdfs/1116029
• Yuncu, V., & Yilan, Y. (2020). Examining the effects of the COVID-19 pandemic on healthcare workers: A situational analysis. Iğdır University Journal of Social Science Supplement. 373-402. https://dergipark.org.tr/tr/download/article-file/2154583 Zhang, J., Wang, S., Wang, W., Shan, G., Guo, S., & Li, Y. (2020). Nurses’ job insecurity and emotional exhaustion: the mediating effect of presenteeism and the moderating effect of supervisor support. Frontiers in Psychology, 11, 2239. https://doi.org/10.3389/fpsyg.2020.02239