Nurse Health, Work Environment, Presenteeism and Patient Safety

Jessica G. Rainbow, Diane Ash Drake, Linsey M. Steege

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Presenteeism is linked to negative outcomes for patients, nurses, and health care organizations; however, we lack understanding of the relationships between nurse fatigue, burnout, psychological well-being, team vitality, presenteeism, and patient safety in nursing. Therefore, the two aims of this study were: (a) to examine the fit of a literature-derived model of the relationships between presenteeism, psychological health and well-being, fatigue, burnout, team vitality, and patient safety; and (b) to examine the role of presenteeism as a mediator between patient safety and the other model variables. Survey data were analyzed using Composite Indicator Structural Equation (CISE) modeling, a type of structural equation modeling. Model fit was acceptable with multiple significant relationships. Presenteeism due to job-stress mediated multiple relationships to patient safety. Our findings indicate that focusing on job-stress presenteeism may be relevant for this population and may offer additional insight into factors contributing to decreased nurse performance and the resulting risks to patient safety.

Original languageEnglish (US)
Pages (from-to)332-339
Number of pages8
JournalWestern journal of nursing research
Issue number5
StatePublished - May 1 2020


  • fatigue
  • nurses
  • nursing practice
  • systems/management/leadership

ASJC Scopus subject areas

  • Nursing(all)


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