The association between presenteeism and engagement of National Health Service staff

Admasachew, Lul and Dawson, Jeremy (2011). The association between presenteeism and engagement of National Health Service staff. Journal of Health Services Research and Policy, 16 (Suppl.), pp. 29-33.


Objective: Although several studies have demonstrated a relationship between staff engagement and health and wellbeing, none has analysed the association with presenteeism in the National Health Service (NHS) context. Our aim is to determine whether there is a relationship between presenteeism and staff engagement. Methods: A hierarchical logistic multilevel modelling of cross-sectional data from the NHS staff survey (2009) was conducted. We controlled for a range of demographic and socioeconomic background variables, including ethnic group, gender, age and occupational group. The sample was 156,951 respondents across all 390 English NHS trusts, each providing a random sample of employees. Engagement was measured using three facets: motivation, advocacy and involvement, which were also used in a composite score. Results: Therewas a low-to-moderate negative correlation between presenteeismand staff engagement: odds ratio 0.42 (95% confidence interval [CI] 0.42-0.43) for overall staff engagement and 0.53 (95% CI 0.52-0.54) for staff advocacy of the trust; 0.53 (95% CI 0.52-0.54) for motivation and 0.50 (95% CI 0.49-0.51) for involvement. Conclusions: Putting pressure on health-care staff to come to work when unwell is associated with poorer staff engagement with their jobs. © The Royal Society of Medicine Press Ltd 2011.

Publication DOI:
Divisions: Aston Business School > Work & organisational psychology
Aston Business School > Work & organisational psychology research group
Uncontrolled Keywords: Public Health, Environmental and Occupational Health,Health Policy
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Published Date: 2011-04
Authors: Admasachew, Lul
Dawson, Jeremy


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