When Showing Up Does More Harm Than Good

Presenteeism

16 Min. Lesezeit I Zur Lexikon-Übersicht

Presenteeism is a term used in occupational health and business administration to describe the phenomenon of employees showing up to work despite being impaired by health problems, illness, or exhaustion. This can include both physical illnesses and mental health issues such as stress, burnout, or mental fatigue.

The Hidden Costs of Presenteeism

Unlike absenteeism, which is easy to measure through sick days, presenteeism is more subtle but just as damaging. Employees who work while sick are less productive, make more mistakes, and often take longer to recover. In team settings, they may even spread illnesses, increasing overall sick leave.

Beyond physical health, presenteeism also affects mental well-being. Employees who ignore stress or burnout signals risk long-term exhaustion, which can eventually lead to burnout or the need for reintegration programs. What seems like dedication in the short term can result in extended absences later.

Knowledge Nugget: Presenteeism vs. Absenteeism

While absenteeism is the act of missing work due to illness or personal reasons, presenteeism refers to employees coming to work despite being unwell. Both impact productivity, but presenteeism is harder to detect because it doesn’t show up in attendance records—yet it can lead to higher long-term costs due to decreased efficiency, mistakes, and prolonged recovery times. Addressing both requires a balanced approach to health, leadership, and workplace culture.

Why Do Employees Work While Sick?

A strong workplace culture can encourage productivity, but in some cases, it also discourages employees from taking time off when they need it. Many fear being seen as unreliable or worry about work piling up in their absence. In companies without structured backup solutions, employees may feel they have no choice but to keep going.

Misjudging one’s own health also plays a role. Some believe they can “push through” a cold or that mental exhaustion will pass on its own. But reduced concentration, lower engagement, and decreased efficiency make presenteeism a false economy.

Healthy employees, productive teams!

Presenteeism can be just as damaging as absenteeism. When employees are physically present but not at their best, productivity and well-being suffer. But with the right strategies in place, you can create a healthier, more engaged workforce. It’s time to tackle presenteeism head-on and provide your employees with the support they need to thrive – both mentally and physically. Invest in their health and watch your business flourish!

How Can Companies Address Presenteeism?

To combat presenteeism, organizations must foster a culture where health comes first
Strategies include:

  • Encouraging employees to take sick leave without fear of consequences.
  • Implementing flexible work arrangements to allow recovery without productivity loss.
  • Training managers to recognize signs of burnout and stress.
  • Conducting employee surveys  to assess workplace stress levels and health concerns.
  • Promoting mental health initiatives and access to Employee Assistance Programs (EAPs).

 

By prioritizing employee engagement and well-being, businesses can reduce presenteeism while fostering a healthier, more productive workforce.

Conclusion

Presenteeism is often overlooked, but its effects on productivity, health, and long-term engagement are significant. A culture that supports well-being, encourages rest when needed, and offers flexible work options benefits both employees and businesses. After all, sometimes the best way to stay productive is to simply take a break.

FAQ

What is presenteeism?

Presenteeism occurs when employees come to work despite being physically or mentally unwell. While they are present, their productivity is often reduced, and they may take longer to recover or even spread illness to colleagues.

How is presenteeism different from absenteeism?

Absenteeism refers to employees missing work due to illness, personal issues, or other reasons. Presenteeism, on the other hand, means that employees show up but are not fully able to perform their tasks due to health-related issues. While absenteeism is easily measurable through sick days, presenteeism is harder to track but can have a bigger long-term impact on productivity.

What are the negative effects of presenteeism?
  • Lower productivity and efficiency.
  • Increased mistakes and errors.
  • Longer recovery times, leading to chronic health issues.
  • Higher risk of burnout and mental health problems.
  • Spreading illnesses in the workplace, leading to more sick employees.
Does remote work increase presenteeism?

Yes, in some cases. Employees working remotely may feel pressure to be “always available,” leading them to work even when they are sick. This can result in prolonged stress and lower productivity over time.

Is presenteeism always bad?

 

Not necessarily. In some cases, employees may choose to work despite mild discomfort, and if they can still perform effectively, it may not be harmful. The issue arises when presenteeism becomes a pattern that leads to chronic health issues, burnout, and reduced productivity. A balanced approach that supports employee health while maintaining efficiency is key.

Sources

  • Steidelmüller, C. (2020). Präsentismus als Selbstgefährdung. Gesundheitliche und leistungsbezogene Auswirkungen des Verhaltens, krank zu arbeiten. Wiesbaden: Springer Fachmedien.
  • Ausführliche Darstellungen und Diskussionen dieses Phänomens bieten z. B. G. Johns: Presenteeism in the workplace: A review and research agenda, in: Journal of Organizational Behavior, 31. Jg. (2010), H. 4, S. 519-542; M. Steinke, B. Badura: Präsentismus – Ein Review zum Stand der Forschung, Dortmund, Berlin, Dresden 2011; und D. Lohaus, W. Habermann: Präsentismus, Berlin 2018.

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