Abstract
OBJECTIVE: To explore the mediating effect of work stress and the moderating effect of mindfulness between team presenteeism atmosphere and presenteeism among ICU nurses. METHODS: A cross-sectional survey was conducted among 224 ICU nurses from 8 hospitals in Chongqing, China. The Stanford presenteeism scale-6, team presenteeism atmosphere questionnaire, nurse work stressor scale, mindfulness attention awareness scale, and general information questionnaire were used to investigate. RESULTS: The score of ICU nurses presenteeism was 13.964 ± 5.695, the score of team presenteeism atmosphere was 16.857 ± 3.553, the score of work stress was 82.219 ± 20.734, and the score of mindfulness was 63.446 ± 11.884. Team presenteeism atmosphere and work stress were positively correlated with ICU nurses' presenteeism (r = 0.361, r = 0.367, Ps < 0.001). Mindfulness was significantly negatively correlated with team presenteeism atmosphere, work stress, and presenteeism (r = -0.324, r = -0.383, r = -0.340, Ps < 0.001). Bootstrap analysis showed that team presenteeism atmosphere significantly positively predicted work stress and ICU nurses' presenteeism (standardized β = 0.485, standardized β = 0.228, Ps < 0.001), and work stress significantly positively predicted presenteeism (standardized β = 0.245, P < 0.001). Work stress partially mediated between team presenteeism atmosphere and ICU nurses' presenteeism, and the mediating effect accounted for 34.237% of the total effect size. Mindfulness significantly negatively moderated the relationship between work stress and presenteeism (ΔR(2) = 0.019, P = 0.023). CONCLUSION: Teamwork atmosphere, work stress, and mindfulness affect ICU nurses' presenteeism. These findings suggest that ICU nurses' presenteeism can be reduced by improving the teamwork atmosphere and nurses' mindfulness level. TRIAL REGISTRATION: Not applicable.