{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T23:15:42Z","timestamp":1776467742999,"version":"3.51.2"},"reference-count":79,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"national funds through FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P.","award":["UIDB\/05704\/2020"],"award-info":[{"award-number":["UIDB\/05704\/2020"]}]},{"name":"national funds through FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P.","award":["UIDP\/05704\/2020"],"award-info":[{"award-number":["UIDP\/05704\/2020"]}]},{"name":"national funds through FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P.","award":["[CEECINST\/00051\/2018]"],"award-info":[{"award-number":["[CEECINST\/00051\/2018]"]}]},{"name":"CCISP-HES.SO Collaborative Research, and under the Scientific Employment Stimulus-Institutional Call\u2014","award":["UIDB\/05704\/2020"],"award-info":[{"award-number":["UIDB\/05704\/2020"]}]},{"name":"CCISP-HES.SO Collaborative Research, and under the Scientific Employment Stimulus-Institutional Call\u2014","award":["UIDP\/05704\/2020"],"award-info":[{"award-number":["UIDP\/05704\/2020"]}]},{"name":"CCISP-HES.SO Collaborative Research, and under the Scientific Employment Stimulus-Institutional Call\u2014","award":["[CEECINST\/00051\/2018]"],"award-info":[{"award-number":["[CEECINST\/00051\/2018]"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Evidence of nurse presenteeism has mainly focused on quantifying its prevalence and consequences on productivity, quality of care, and patient safety. Few data exist on nurses\u2019 perceptions of their presenteeism and its related causes. We explored concepts of presenteeism and its contributing factors with frontline nurses and nurse managers in different healthcare settings in Portugal and Switzerland. Our qualitative study design involved 8 online focus groups involving 55 participants. The transcribed data was explored using thematic analysis. Three main reasons for presenteeism were identified: unfamiliar terminology; the paradoxical effect of `being present\u2019 but absent; and presenteeism as a survival strategy. Six contributing factors were also recognized: (a) institutional disinterest toward employees; (b) paradigm shift: the tension between person-centered and task-centered care; (c) sudden changes in care practices due to the COVID-19 pandemic; (d) a lack of shared work perspectives with hierarchical superiors; (e) the financial burden of being absent from work; and (f) misfit of human responses. This study generates valuable, in-depth knowledge about the concepts and causes of presenteeism, and significant suggestions for the broader audience of nurse managers and leaders seeking to improve the quality of care.<\/jats:p>","DOI":"10.3390\/ijerph19148844","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T10:36:56Z","timestamp":1658399816000},"page":"8844","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Contributing Factors of Presenteeism among Portuguese and Swiss Nurses: A Qualitative Study Using Focus Groups"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","sequence":"first","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Campus 5, Rua de Santo Andr\u00e9\u201466\u201368, 2410-541 Leiria, Portugal"},{"name":"Research in Education and Community Intervention (RECI I&D), Piaget Institute, 3515-776 Viseu, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9207-4856","authenticated-orcid":false,"given":"Filipa","family":"Pereira","sequence":"additional","affiliation":[{"name":"School of Health Sciences, HES-SO Valais\/Wallis, 5 Chemin de l\u2019Agasse, CH-1950 Sion, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-773X","authenticated-orcid":false,"given":"Ana","family":"Querido","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Campus 5, Rua de Santo Andr\u00e9\u201466\u201368, 2410-541 Leiria, Portugal"},{"name":"Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5930-6256","authenticated-orcid":false,"given":"Marion","family":"Bieri","sequence":"additional","affiliation":[{"name":"School of Health Sciences, HES-SO Valais\/Wallis, 5 Chemin de l\u2019Agasse, CH-1950 Sion, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5375-3255","authenticated-orcid":false,"given":"Henk","family":"Verloo","sequence":"additional","affiliation":[{"name":"School of Health Sciences, HES-SO Valais\/Wallis, 5 Chemin de l\u2019Agasse, CH-1950 Sion, Switzerland"},{"name":"Service of Old Age Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Prilly, Switzerland"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"584040","DOI":"10.3389\/fpsyt.2020.584040","article-title":"Presenteeism in Nurses: Prevalence, Consequences, and Causes from the Perspectives of Nurses and Chief Nurses","volume":"11","author":"Shan","year":"2021","journal-title":"Front. 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