{
  "abstract": "Background: The interrelationships between presenteeism, health-related productivity loss, burnout, quality of nursing care, and retention intention remain insufficiently understood in nursing populations.\n\nObjective: This study examined the associations between presenteeism, health-related productivity loss, burnout, quality of nursing care, and retention intention.\n\nMethods: A cross-sectional survey was conducted involving 511 nurses. Composite scores from the Work Productivity and Activity Impairment (WPAI) questionnaire, the Maslach Burnout Inventory - Human Services Survey (MBI-HSS), the Quality of Nursing Care Tool, and the Nurse Retention Intention Scale were analyzed using an observed-composite path structural equation modeling (SEM) approach. Indirect effects were estimated using 5,000 bootstrap resamples with percentile-based 95% confidence intervals.\n\nResults: Presenteeism was positively associated with burnout (β = 0.262, p < 0.001) and negatively associated with the quality of nursing care (β = −0.250, p < 0.001) and retention intention (β = −0.334, p < 0.001). Burnout was negatively associated with the quality of nursing care (β = −0.177, p < 0.001) and retention intention (β = −0.179, p < 0.001). Bootstrap analyses indicated indirect associations between presenteeism and productivity loss and both outcomes through burnout. The model showed an acceptable but imperfect fit: χ ² (4) = 13.151, CFI = 0.959, TLI = 0.877, RMSEA = 0.067, and SRMR = 0.043.\n\nConclusion: Higher presenteeism was statistically associated with lower retention intention and poorer nursing care quality, both directly and indirectly, through burnout. Health-related productivity loss showed indirect associations with both outcomes through burnout.",
  "abstract_shown": true,
  "affiliations": [
    "School of Nursing, Suzhou Medical College, Soochow University , ,",
    "Department of Nursing, First Affiliated Hospital of Dali University , ,"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mengyun Peng"
    },
    {
      "affs": [
        1
      ],
      "name": "Jiqin Ma"
    },
    {
      "affs": [
        0
      ],
      "name": "Wenyu Shi"
    },
    {
      "affs": [
        0
      ],
      "name": "Suyan Chen"
    },
    {
      "affs": [
        0
      ],
      "name": "Zixuan Zhang"
    },
    {
      "affs": [
        1
      ],
      "name": "Xiaoling Zhu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/anb8kccsv3pea.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1962028",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663174/?tool=EBI",
  "id": "anb8kccsv3pea",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13663174",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3609|Occupational Health and Burnout"
    ]
  ],
  "openalex": "W7221781790",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663174/pdf/?tool=EBI",
  "pmcid": "PMC13663174",
  "pmid": null,
  "published": "2026-10-14",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/anb8kccsv3pea.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:20Z",
      "native_id": "PMC:PMC13663174",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13663174"
    },
    {
      "first_seen": "2026-10-30T12:20:22Z",
      "native_id": "10.3389/fpubh.2026.1962028",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1962028/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Presenteeism, health-related productivity loss, burnout, quality of nursing care, and retention intention among nurses: a structural equation modeling study",
  "title_text": "Presenteeism, health-related productivity loss, burnout, quality of nursing care, and retention intention among nurses: a structural equation modeling study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:22Z",
  "url": "https://research.draconitic.com/paper/anb8kccsv3pea",
  "venue": "Frontiers in public health",
  "versions": []
}