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| Source: hrizon.co.uk |
Just recently was invited to give a SHEA 2019 lecture on presenteeism and the need for a culture change in the hospital. Could interest in reducing presenteeism be on the rise?
A major risk of presenteeism is the transmission of viral respiratory infections to hospitalized patients, particularly those with compromised immune systems. Reasons for working while sick include not wanting to let colleagues and patients down, logistical reasons (no cross coverage) and a strong cultural norm to work through sickness. In addition, HR policies commonly do not uncouple sick leave from paid time off. This is shortsighted and discourages healthcare worker to call out sick.
Some have advocated universal mask use in high risk units as a means of reducing the transmission of viral pathogens from healthcare workers to patients. This may not be practical.
As with nearly all complicated healthcare matters, addressing presenteeism will require a multi-modal approach. We should raise awareness of the risks of presenteeism. This should be coupled with definitions and guidance on symptoms that preclude care in the patient environment. A 'jeopardy' on call system should be in place for cross coverage of ill physicians and nurses. HR policies should uncouple sick leave from paid time off. Last, mechanisms should exist to minimize abuse of sick leave.
So, if any of you have achieved the above changes to minimize presenteeism, please forward me your practices and processes.
We could learn from you.
