How to Know if You're Really There: An Evaluation of Measures for Presenteeism in Nursing

Jessica G. Rainbow, Brad Gilbreath, Linsey M. Steege

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Objectives:To report presenteeism prevalence across presenteeism measures from the work-stress and sickness domains. To evaluate the psychometric fit of those measures in a nursing population.Methods:Cross-sectional descriptive survey of 447 US RNs using five reliable and validated measures of presenteeism: Stanford Presenteeism Scale (SPS), Job-Stress-Related Presenteesim Scale (JSRPS), Healthcare Productivity Scale (HPS), Nurses Work Functioning Questionnaire (NWFQ), and Health and Work Questionnaire (HWQ). The survey was evaluated using descriptive, exploratory, and confirmatory factor analysis.Results:Mean rates among nurses (SPS=19.50, JSRPS=2.1, HPS=-15.1, NWFQ=17.0, and HWQ=6.7) were higher than previously published and spanned both job-stress and sickness domains of presenteeism. We identified different factor structures than previously published for three of the five instruments.Conclusion:An inclusive conceptualization of presenteeism that includes work-stress and sickness domains is crucial to developing future measures and interventions for presenteeism.

Original languageEnglish (US)
Pages (from-to)E25-E32
JournalJournal of occupational and environmental medicine
Issue number2
StatePublished - Feb 1 2019


  • job stress presenteeism
  • nurses
  • presenteeism
  • registered nurses
  • sickness presenteeism

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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