The Moderation Effect of Affective Commitment on the Relationship between Job Stress and Presenteeism among Obstetric Healthcare Workers during COVID-19 Pandemic

The Open Nursing Journal 08 Apr 2022 RESEARCH ARTICLE DOI: 10.2174/18744346-v16-e2203090



Presenteeism is a significant factor that affects the quality of care provided by obstetric healthcare workers, including nurses, that needs further investigation of its connection to job stress and affective commitment during COVID-19 pandemic.


The aim of this study is to examine the moderation effect of affective commitment on the relationship between job stress and presenteeism among obstetric healthcare workers during COVID-19 pandemic.


Two hundred and seven Egyptian obstetric healthcare workers participated in a cross-sectional, descriptive study using a web-based questionnaire to collect data on sociodemographic, presenteeism, challenge stress, hindrance stress, and affective commitment.


More than 50% of obstetric healthcare workers had a moderate level of presenteeism, while job stress and affective commitment were at moderate to high levels. Affective commitment had a significant moderating effect on the relationship between job stress and presenteeism (p< .001). Challenges and affective commitment had a positive effect on presenteeism, while hindrances had a negative effect.


Obstetric healthcare workers need to recognize the connection between job stress and presenteeism and the buffering role of affective commitment.

Implications for Nursing Practice:

Nurses need to recognize the effect of pandemic COVID-19 on job stress and presenteeism among obstetrics nurses and healthcare workers. Developing innovative protocols would enable them to improve their functionality and productivity at work.

Keywords: Affective commitment, COVID-19, Healthcare workers, Job stress, Presenteeism, Health problems.
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