While absenteeism involves employees not coming to work, presenteeism is the opposite: it occurs when employees are physically present but not fully engaged or productive. This can happen for many reasons, such as illness, stress, or mental health issues, and can ultimately impact team dynamics, productivity, and overall workplace morale. Read to discover what is presenteeism, how it affects employee mental health, and what to do about it.

What is the Definition of Presenteeism?

Presenteeism occurs when employees come to work despite health issues, stress, or other personal challenges that prevent them from performing at their best. 

Unlike absenteeism, where an employee is physically absent, presenteeism involves an employee being on-site but struggling to focus, complete tasks efficiently, or contribute effectively. 

This behavior impacts workplace productivity and overall team performance, often going unnoticed until it becomes a broader issue.

According to the Integrated Benefits Institute (IBI), presenteeism costs U.S. businesses over $150 billion annually due to reduced productivity. Additionally, the Harvard Business Review reports that the productivity loss from presenteeism is about three times greater than the loss from absenteeism. 

These findings illustrate the importance of understanding the presenteeism meaning and recognizing its effects on both employee well-being and organizational performance. 

presenteeism can costs companies 29 pounds annually

Why Is Understanding Presenteeism Important for HR, Business Owners, and Team Leaders?

Understanding presenteeism and its root is essential for HR professionals, business owners, and team leaders as it directly affects productivity, employee well-being, and overall organizational success. Here’s how it impacts their roles and decision-making processes:

  • Employee Productivity and Performance: Presenteeism leads to reduced productivity as employees are physically present but not fully engaged due to illness, stress, or burnout. Recognizing this can help HR and leaders address underlying issues and make more effective staffing and workload decisions.
  • Employee Well-being: For HR and team leaders, understanding presenteeism highlights the need for wellness initiatives that support both physical and mental health. By addressing presenteeism, they can proactively prevent burnout and create a healthier work culture.
  • Cost Management: Presenteeism has hidden costs, such as errors, decreased quality, and lost opportunities for innovation. Business owners and HR professionals can better manage these costs by identifying presenteeism at work and creating policies to reduce its occurrence.
  • Organizational Culture and Morale: Awareness of presenteeism allows leaders to create a supportive environment that values health over attendance. This understanding can lead to policies that encourage sick days or mental health days, fostering a culture of trust and well-being.
  • Informed Decision-Making: By understanding presenteeism, HR can make data-driven decisions on absenteeism policies, health benefits, and flexible working options, which can reduce presenteeism’s impact and support overall employee satisfaction.

Types of Presenteeism

Presenteeism can manifest in various ways, each with distinct implications for the workplace. Let’s check some of them:

  1. Sickness Presenteeism: Employees come to work despite being physically ill, often out of concern for workload or job security. This can lead to reduced productivity and risk of contagion in the workplace.
  2. Mental Health Presenteeism: Employees are present but struggling with mental health challenges like stress, anxiety, or depression. This can result in low engagement, errors, and diminished creativity.
  3. Stress or Burnout Presenteeism: This occurs when employees show up to work despite feeling emotionally drained or burnt out, often due to high workloads or lack of support. This can lead to long-term health issues and low employee morale.
  4. Job Insecurity-Driven Presenteeism: When employees fear job loss or repercussions, they may come to work despite not feeling well. This presenteeism type creates an environment of fear and can affect the team’s overall morale, too.
  5. Overtime or "Extra Hours" Presenteeism: Employees stay longer hours than necessary, often to appear committed or due to perceived pressure. While they are present, this can lead to exhaustion and lower productivity over time.

How Does Presenteeism Influence Workplace Productivity?

The reason why presenteeism impacts productivity at work so much is simple: Employees who are present but not fully engaged due to health issues or other concerns often exhibit reduced efficiency, leading to lower output and potential errors. 

Think of your own experience. The times you have had to work when sick, or after a hard time, or even during emergency times, surely makes you feel disconnected, exhausted, and prone to make more mistakes.

This diminished performance can disrupt team dynamics, causing delays and increased workloads for colleagues. Moreover, the cumulative effect of multiple employees exhibiting presenteeism can hinder overall organizational performance, affecting profitability and growth. 

A study by the Journal of Occupational and Environmental Medicine found that presenteeism can cost employers up to three times more than absenteeism due to lost productivity. Essentially, giving time and space for employees to rest and recharge can fight presenteeism back, and not only improve your organization’s metrics, but also, employee happiness.

What Are Some Real-World Examples of Presenteeism in the Workplace?

Presenteeism manifests in various scenarios within the workplace here are some examples of presenteeism for you to identify it faster in your organization:

  • An employee attends work despite having the flu, leading to decreased productivity and the risk of infecting colleagues.
  • An individual with chronic back pain continues to work without seeking medical attention, resulting in consistent underperformance.
  • An employee experiencing depression comes to work but is disengaged and less productive.
  • A staff member fears job loss and attends work even when unwell, compromising their health and work quality.
  • In organizations where long hours are the norm, employees may feel compelled to work despite health issues to meet perceived expectations.

Working when you are sick is possible, but constantly doing so and pushing your limits and balance for fear of repercussions, can lead to negative mental and physical health consequences.

If it’s within your role as HR, please consider this to turn your company into a healthier organization that values their teams and puts people first.

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How Can Presenteeism Impact Employee Mental Health?

According to the Job Demands-Resources (JD-R) Model, when job demands (like presenteeism) outweigh resources (like health support or flexible policies), employees are more likely to experience burnout and decreased well-being. If presenteeism is common in the workplace, it can reduce employees’ access to essential resources like EAPs, leading to chronic stress and emotional exhaustion.

On the other hand, the Theory of Conservation of Resources (COR) posits that people strive to protect and acquire resources, such as energy and time. Presenteeism depletes these resources without allowing adequate recovery, putting employees at risk of burnout. That’s why when employees cannot recuperate, their mental health declines, as they are constantly operating at a resource deficit.

FAQs: Presenteeism

How does an EAP help with Presenteeism?

An Employee Assistance Program (EAP) provides resources for mental health, stress management, and counseling, addressing underlying issues of presenteeism and helping employees find healthier ways to cope at work.

How should Presenteeism be managed at work?

Presenteeism should be managed by promoting a supportive culture that values well-being, encouraging sick leave, mental health days, and offering flexible working options. Training HR and managers to recognize signs of presenteeism is also essential.

How can Presenteeism be prevented or addressed?

Prevention involves fostering a culture that prioritizes health over attendance, offering wellness programs, and allowing employees to work remotely when unwell. Open communication with HR can also help address presenteeism early.

How can training address issues related to Presenteeism?

Training equips managers and HR with the skills to identify presenteeism and supports employees in setting boundaries and prioritizing self-care. Training also encourages proactive management of employee mental health.

How can companies create policies around Presenteeism?

Companies can create policies that clearly define expectations for taking sick leave, offer remote work flexibility, and encourage employees to focus on recovery when ill. Policies should promote a health-first workplace culture.

What role does Presenteeism play in workplace morale and mental health?

Presenteeism negatively impacts morale and mental health by promoting a culture of overworking and neglecting health. Addressing presenteeism through supportive policies improves employee well-being and fosters a healthier work environment.