ArticleInternational journal of nursing studies advances2026
The potential role of presenteeism in the association between resilience and intention to continue as a nurse among new graduate and mid-career nurses: A mediation analysis.
Article in International journal of nursing studies advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Resilience is positively associated with nurses' intention to continue as a nurse; however, interventions to enhance resilience have shown limited success. Although burnout has been suggested as a mediator in this relationship, presenteeism may constitute an earlier and more modifiable factor. Objective: This study aimed to explore whether presenteeism mediates the relationship between resilience and the intention to continue as a nurse among new graduate and mid-career nurses. Design: A cross-sectional observational study was conducted in four university-affiliated hospitals in Japan. Setting: All new graduate nurses and an approximately equal number of mid-career nurses from the four hospitals were targeted for recruitment (252 new graduate and 254 mid-career nurses). Participants: The final analysis included 121 new graduate and 116 mid-career female nurses. Methods: Data were collected via a self-administered online questionnaire that included the Bidimensional Resilience Scale and the Work Limitations Questionnaire-Japanese version to assess presenteeism and intention to continue as a nurse. Mediation analysis was performed using the PROCESS version 4.3 macro in SPSS. Results: Resilience was positively associated with intention to continue as a nurse in both groups. Mid-career nurses scored significantly lower on the mental-interpersonal demands subscale of the Work Limitations Questionnaire-Japanese version compared with new graduate nurses ( Conclusions: Different aspects of presenteeism may play a role depending on the career stage. In particular, presenteeism related to difficulties with time management may mediate the relationship between resilience and mid-career nurses' intention to continue as a nurse. Amid the global nursing shortage, interventions targeting time management among mid-career nurses could be a potential strategy to support nurse retention.
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