title: The association between presenteeism and engagement of National Health Service staff.
abstract: 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
  There was a low-to-moderate negative correlation between presenteeism and 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.
authors: Institute for Health Services Effectiveness, Work and Organisational Psychology Group, Aston Business School, Aston University, Birmingham, UK. l.admasachew@aston.ac.uk
authors: Lul
authors: L
authors: Admasachew
authors: Jeremy
authors: J
authors: Dawson
mesh_terms: D000041:Absenteeism; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004739:England; D005260:Female; D006282:Health Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009042:Motivation; D055361:Multilevel Analysis; D013222:State Medicine / Q000458:organization & administration*; D055815:Young Adult