Frontiers in public health · 2026
The mediating role of social support in the association between organizational climate and presenteeism among endoscopy nurses: a multicenter cross-sectional study.
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Zhou Xue, Chen Xingzi, Wang Kangrui, Qu Jiani, Zou Haoyu
Аннотация
OBJECTIVE: This study aimed to investigate the mediating role of social support in the association between organizational climate and presenteeism among endoscopy nurses. This research provides an empirical and theoretical foundation for addressing presenteeism in clinical practice.
METHODS: This multicenter cross-sectional study enrolled 225 endoscopy nurses from 20 hospitals across Hunan Province, China, between April and May 2025. Participants completed a sociodemographic questionnaire, the Organizational Climate Questionnaire, the Social Support Rating Scale, and the Stanford Presenteeism Scale-6 (SPS-6). Hierarchical multiple regression analysis was conducted to identify factors associated with presenteeism, adjusting for self-reported physical health status and the provision of protective equipment. Additionally, a bias-corrected Bootstrapping approach was utilized to evaluate the hypothesized mediating effects.
RESULTS: Endoscopy nurses reported mean scores of 72.89 ± 17.66 for organizational climate, 39.97 ± 9.67 for social support, and 16.83 ± 5.81 for presenteeism. Correlation analyses demonstrated that organizational climate was positively associated with social support and negatively associated with presenteeism (p < 0.01). Hierarchical multiple regression analysis revealed that physical health status, provision of protective equipment, organizational climate, and social support were significantly associated with presenteeism (p < 0.05). Mediation analysis revealed that social support partially mediated the association between organizational climate and presenteeism. The standardized indirect effect was -0.105 (95% CI: -0.197, -0.026, p = 0.005), accounting for 28.85% of the total effect.
CONCLUSIONS: The findings indicate that a positive organizational climate is inversely associated with presenteeism, and this association is partially mediated by social support among endoscopy nurses. Nursing administrators should cultivate a supportive organizational environment and strengthen social support networks, as these strategies may contribute to the better management of presenteeism behaviors in clinical settings.
METHODS: This multicenter cross-sectional study enrolled 225 endoscopy nurses from 20 hospitals across Hunan Province, China, between April and May 2025. Participants completed a sociodemographic questionnaire, the Organizational Climate Questionnaire, the Social Support Rating Scale, and the Stanford Presenteeism Scale-6 (SPS-6). Hierarchical multiple regression analysis was conducted to identify factors associated with presenteeism, adjusting for self-reported physical health status and the provision of protective equipment. Additionally, a bias-corrected Bootstrapping approach was utilized to evaluate the hypothesized mediating effects.
RESULTS: Endoscopy nurses reported mean scores of 72.89 ± 17.66 for organizational climate, 39.97 ± 9.67 for social support, and 16.83 ± 5.81 for presenteeism. Correlation analyses demonstrated that organizational climate was positively associated with social support and negatively associated with presenteeism (p < 0.01). Hierarchical multiple regression analysis revealed that physical health status, provision of protective equipment, organizational climate, and social support were significantly associated with presenteeism (p < 0.05). Mediation analysis revealed that social support partially mediated the association between organizational climate and presenteeism. The standardized indirect effect was -0.105 (95% CI: -0.197, -0.026, p = 0.005), accounting for 28.85% of the total effect.
CONCLUSIONS: The findings indicate that a positive organizational climate is inversely associated with presenteeism, and this association is partially mediated by social support among endoscopy nurses. Nursing administrators should cultivate a supportive organizational environment and strengthen social support networks, as these strategies may contribute to the better management of presenteeism behaviors in clinical settings.