HASTALIKLARINA RAĞMEN İŞE GELEN HEMŞİRELER: HEMŞİRE YÖNETİCİLERİN ETİK LİDERLİĞİNİN ROLÜ

Öz

Hemşireler arasında yaygın bir sorun olan hasta olarak işe gitme durumu (presenteeism), hem hemşire sağlığını hem de hasta bakım kalitesini olumsuz etkileyebilir. Hemşire yöneticilerinin etik liderliği, hemşireler arasında presenteeizmi azaltmada kritik bir rol oynayabilir. Ancak, etik liderliğin presenteeizm üzerindeki etkilerini araştıran çalışmalar sınırlıdır ve mevcut literatürde bu ilişkiye dair net bir anlayış eksiktir. Bu çalışmada hemşirelerin, yöneticilerine ilişkin etik liderlik algılarının hemşireler arasındaki hastalık presenteeizmi davranışı üzerinde ne kadar etkili olduğunu belirlemek amaçlanmıştır. Aynı zamanda bu iki kavramın sosyo-demografik özelliklerden nasıl etkilendiği araştırılmıştır. Bu çalışmada kesitsel bir araştırma tasarımı kullanılmış ve çalışmaya bir kamu hastanesinden 307 hemşire katılmıştır. Veriler tanımlayıcı bir form, Etik Liderlik Ölçeği ve Hastalık Presenteeizm Ölçeği kullanılarak toplanmıştır. Etik liderliğin presenteeizm üzerindeki etkisini belirlemek amacıyla hiyerarşik regresyon analizi yapılmıştır. Bulgular, etik liderliğin presenteeizmi azaltmada tek anlamlı belirleyici olduğunu ve daha yüksek etik liderlik seviyelerinin daha düşük presenteeizm seviyeleri ile ilişkili olduğunu göstermiştir. Çalışmada ayrıca, diğer sosyo-demografik değişkenlerin (cinsiyet, yaş, medeni durum, eğitim seviyesi, hizmet yılı, çalışma birimi) presenteeizm üzerinde anlamlı bir etkisinin olmadığı saptanmıştır. Bu çalışma, etik liderliğin hemşireler arasında presenteeizmi önemli ölçüde azalttığını ortaya koymuştur. Bu bulgu, literatürde eksik olan etik liderliğin presenteeizm üzerindeki etkisinin daha iyi anlaşılmasına yardımcı olmaktadır. Sonuç olarak, sağlık kuruluşlarının hemşire sağlığını ve performansını desteklemek için etik liderlik uygulamalarını dikkate alması gerektiği önerilmektedir. Gelecekteki araştırmaların etik liderliğin etkilerini daha farklı sağlık ortamlarında ve farklı meslek gruplarında inceleyerek bu bulguları doğrulamalarının faydalı olacağı düşünülmektedir.

Anahtar Kelimeler

• Etik Liderlik
• Hasta Bakım Kalitesi
• Hemşire Sağlığı
• Hemşirelik
• Presenteeizm

Destekleyen Kurum

TÜBİTAK–2209-A University Students Research Projects Support Program

Etik Beyan

No potential conflicts of interest were declared by the authors. This study was supported by the TÜBİTAK–2209-A University Students Research Projects Support Program during the 2023/2 funding period. Approval for the study was obtained from the Research Ethics Committee of Erzurum Technical University (approved on April 4, 2024, during the 4th meeting, with decision number 19). Institutional permissions were also sought to conduct the study (approved on April 24, 2024, with reference number E-76614443-604.01-242877067). After completing the institutional permission processes, written and/or verbal informed consent was obtained from the participants before data collection.

NURSES COMING TO WORK DESPITE ILLNESS: THE ROLE OF ETHICAL LEADERSHIP BY NURSE MANAGERS

Öz

Presenteeism, the act of coming to work while ill, is a prevalent issue among nurses, potentially affecting both nurse health and the quality of patient care. Ethical leadership by nurse managers may play a critical role in reducing presenteeism among nurses. However, studies investigating the impact of ethical leadership on presenteeism are limited, and there is a lack of clear understanding of this relationship in the existing literature. This study aimed to determine the extent to which nurses' perceptions of their managers' ethical leadership influence presenteeism behavior among nurses. Additionally, the study explored how these two concepts are affected by socio-demographic characteristics. A cross-sectional research design was employed, and 307 nurses from a public hospital participated in the study. Data were collected using a descriptive form, the Ethical Leadership Scale, and the Sickness Presenteeism Scale. Hierarchical regression analysis was conducted to determine the impact of ethical leadership on presenteeism. The findings indicated that ethical leadership was the only significant predictor of presenteeism, with higher levels of ethical leadership associated with lower levels of presenteeism. The study also found that other socio-demographic variables (gender, age, marital status, education level, years of service, working unit) did not have a significant impact on presenteeism. This study demonstrated that ethical leadership significantly reduces presenteeism among nurses. This finding contributes to a better understanding of the impact of ethical leadership on presenteeism, which has been underexplored in the literature. It is recommended that healthcare organizations consider ethical leadership practices to support nurse health and performance. Future research should examine the effects of ethical leadership in different healthcare settings and among various professional groups to validate these findings.

Anahtar Kelimeler

• Ethical Leadership
• Nurse Health
• Nursing
• Patient Care Quality
• Presenteeism

Kaynakça

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