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Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N)

BACKGROUND: Presenteeism is the employee behaviour of physically attending work with reduced performance due to illness or for other reasons. Nurses are four times more likely to exhibit presenteeism compared to other occupations, threatening patient safety through increased patient falls, medicatio...

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Autores principales: Lui, Juliana Nga Man, Johnston, Janice Mary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679450/
https://www.ncbi.nlm.nih.gov/pubmed/31375114
http://dx.doi.org/10.1186/s12913-019-4373-x
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author Lui, Juliana Nga Man
Johnston, Janice Mary
author_facet Lui, Juliana Nga Man
Johnston, Janice Mary
author_sort Lui, Juliana Nga Man
collection PubMed
description BACKGROUND: Presenteeism is the employee behaviour of physically attending work with reduced performance due to illness or for other reasons. Nurses are four times more likely to exhibit presenteeism compared to other occupations, threatening patient safety through increased patient falls, medication errors and staff-to-patient disease transmission. There is a paucity of standardized instruments that quantify the association between presenteeism with its exposures and related productivity. This study aims to validate an instrument that comprehensively measures presenteeism workplace and personal exposures specifically for Asian nurses. METHODS: Questionnaire domain items were selected based on the JD-R framework and a previously conducted systematic review of pre-existing validated scales measuring work attendance exposures used in previous healthcare studies. The preliminary questionnaire consisted of two outcomes (presenteeism frequency, productivity) and five exposure domains: work resources, work demands, work stress, work engagement, personal traits and health. Content validation and back translation (English-Cantonese Chinese-English) were carried out. Responses from full-time nurses working in two acute care hospitals (Preliminary questionnaire at Hospital 1: N = 295 and main round questionnaire at Hospital 2: N = 1146) were included in the validation study to ensure an adequate sample size of ten cases per indicator variable for CFA analysis. A random sample of 80 nurses from Hospital 1 were selected for test-retest reliability 4 weeks post the initial survey. Internal consistency, convergent and discriminant validity tests were also tested. RESULTS: Satisfactory internal consistency (Cronbach’s alpha > 0.7), test-retest reliability (ICC > 0.4); and construct validity - convergent and discriminant validity was achieved. Confirmatory factor analysis yielded satisfactory fitness indices (CFI and TLI > 0.95, RMSEA < 0.08). Presenteeism and productivity significantly associated with all work resources, work engagement and work stress constructs in Hospital 2. CONCLUSION: A reliable Multidimensional Presenteeism Exposures and Productivity Survey (MPEPS-N) has been validated in two distinct hospital environments. The instrument helps to identify and quantify organizational or individual exposures that significantly associate with presenteeism and its related productivity, thus allowing hospital managers to set evidence-based intervention targets for wellness programs and formulate human resource policies in reducing presenteeism-related productivity loss. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4373-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-66794502019-08-06 Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N) Lui, Juliana Nga Man Johnston, Janice Mary BMC Health Serv Res Research Article BACKGROUND: Presenteeism is the employee behaviour of physically attending work with reduced performance due to illness or for other reasons. Nurses are four times more likely to exhibit presenteeism compared to other occupations, threatening patient safety through increased patient falls, medication errors and staff-to-patient disease transmission. There is a paucity of standardized instruments that quantify the association between presenteeism with its exposures and related productivity. This study aims to validate an instrument that comprehensively measures presenteeism workplace and personal exposures specifically for Asian nurses. METHODS: Questionnaire domain items were selected based on the JD-R framework and a previously conducted systematic review of pre-existing validated scales measuring work attendance exposures used in previous healthcare studies. The preliminary questionnaire consisted of two outcomes (presenteeism frequency, productivity) and five exposure domains: work resources, work demands, work stress, work engagement, personal traits and health. Content validation and back translation (English-Cantonese Chinese-English) were carried out. Responses from full-time nurses working in two acute care hospitals (Preliminary questionnaire at Hospital 1: N = 295 and main round questionnaire at Hospital 2: N = 1146) were included in the validation study to ensure an adequate sample size of ten cases per indicator variable for CFA analysis. A random sample of 80 nurses from Hospital 1 were selected for test-retest reliability 4 weeks post the initial survey. Internal consistency, convergent and discriminant validity tests were also tested. RESULTS: Satisfactory internal consistency (Cronbach’s alpha > 0.7), test-retest reliability (ICC > 0.4); and construct validity - convergent and discriminant validity was achieved. Confirmatory factor analysis yielded satisfactory fitness indices (CFI and TLI > 0.95, RMSEA < 0.08). Presenteeism and productivity significantly associated with all work resources, work engagement and work stress constructs in Hospital 2. CONCLUSION: A reliable Multidimensional Presenteeism Exposures and Productivity Survey (MPEPS-N) has been validated in two distinct hospital environments. The instrument helps to identify and quantify organizational or individual exposures that significantly associate with presenteeism and its related productivity, thus allowing hospital managers to set evidence-based intervention targets for wellness programs and formulate human resource policies in reducing presenteeism-related productivity loss. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4373-x) contains supplementary material, which is available to authorized users. BioMed Central 2019-08-02 /pmc/articles/PMC6679450/ /pubmed/31375114 http://dx.doi.org/10.1186/s12913-019-4373-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lui, Juliana Nga Man
Johnston, Janice Mary
Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N)
title Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N)
title_full Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N)
title_fullStr Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N)
title_full_unstemmed Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N)
title_short Working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (MPEPS-N)
title_sort working while sick: validation of the multidimensional presenteeism exposures and productivity survey for nurses (mpeps-n)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679450/
https://www.ncbi.nlm.nih.gov/pubmed/31375114
http://dx.doi.org/10.1186/s12913-019-4373-x
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