Quality of leadership and presenteeism in health professions education and research: a test of a recovery-based process model with cognitive irritation and impaired sleep as mediators.

Galliker, Sibylle; Nicoletti, Corinne; Feer, Sonja; Etzer-Hofer, Irene; Brunner, Beatrice; grosse Holtforth, Martin; Melloh, Markus; Dratva, Julia; Elfering, Achim (2020). Quality of leadership and presenteeism in health professions education and research: a test of a recovery-based process model with cognitive irritation and impaired sleep as mediators. Psychology, health & medicine, 25(2), pp. 239-251. Routledge, Taylor & Francis Group 10.1080/13548506.2019.1634823

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Presenteeism (PRES) includes working while feeling ill and constrained in performance. Compared with absence from work, PRES generates significantly higher cost estimates. Health problems and PRES are related to leadership quality. Hence, research on corporate health management needs to explore why leadership problems (LP) correspond to more frequent PRES. This study tests recovery after work as an underlying process with cognitive irritation (COGIRR) and sleep problems (SP) as simultaneous mediators and explores three mediation pathways (path one: LP→COGIRR→PRES; path two: LP→SP→PRES; and path three: LP→COGIRR→SP→PRES). Out of 293 employees of a university's school of health professions in German-speaking Switzerland, 211 completed a questionnaire. LP and PRES were found to be positively related (r(211) = .22, p < .01). The tests of mediation yielded no significant results for path one and two, but the third mediation path LP→COGIRR→SP→PRES was positive and differed significantly from zero (B = 0.83, CI95 = 0.33 to 1.69). According to our results, a recovery-based mediation model fits the empirical self-report data best. These results suggest that occupational health interventions should improve leadership quality to promote recovery after work in order to increase health and productivity by reduced PRES.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine 07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy 07 Faculty of Human Sciences > Institute of Psychology > Work and Organisational Psychology
UniBE Contributor:	Grosse Holtforth, Martin, Elfering, Achim
Subjects:	600 Technology > 610 Medicine & health 100 Philosophy > 150 Psychology 300 Social sciences, sociology & anthropology
ISSN:	1354-8506
Publisher:	Routledge, Taylor & Francis Group
Language:	English
Submitter:	Chantal Kottler
Date Deposited:	14 Jan 2020 11:31
Last Modified:	02 Mar 2023 23:32
Publisher DOI:	10.1080/13548506.2019.1634823
PubMed ID:	31244323
Uncontrolled Keywords:	Leadership quality academic performance detachment presenteeism recovery from work sleep stress
URI:	https://boris.unibe.ch/id/eprint/137341