Impact of Job Demands, Resources, Shift Patterns, and Regulatory Focus on Nurses' Presenteeism and Work Engagement: A Cross-Sectional Study

Abstract

This cross-sectional study explored how job demands, resources, shift patterns, and regulatory focus influence nurses' presenteeism and work engagement. A sample of 176 nurses across various hospital wards participated. Emotional demands, job resources, regulatory focus, presenteeism, and work engagement were measured through surveys, while physical demands were measured using smart bands during shifts. Hierarchical regression revealed that presenteeism was positively associated with physical demands and a prevention-dominant focus. Work engagement showed a positive correlation with relationships with supervisors and a negative correlation with prevention-dominant focus. Including shift patterns and dominant regulatory focus significantly increased the explanatory power of the models for both outcomes. The findings highlight the importance of reassessing shift patterns, implementing effective staffing strategies, and fostering managerial support to mitigate presenteeism and enhance work engagement. Addressing organizational culture and improving job resources could contribute to nurses' well-being and job performance.