Presenteeism in Nursing: A reflection on the implications for health and the contribution of clinical governance

Introduction: the phenomenon of going to work sick is common in professions with high social and interpersonal demands. The prevalence of presenteeism has increased in nursing, leading to a deterioration in nurses' health, a decrease in the quality of care provided, and an increased risk for patients. The objective was to analyze the increase in presenteeism among nurses, its impact on the quality of care and the role of clinical governance. Method: database research and critical analysis of selected articles. Results: the prevalence of presenteeism in nursing varies between 30% and 94%, making it the most affected professional category among healthcare professionals. The consequences include compromising the physical and mental health of professionals, decreased productivity, decreased quality of care, and increased adverse events. Factors such as a sense of responsibility, scarce human resources, and unhealthy work environments contribute to this phenomenon. Clinical governance, by promoting a culture of safety and well-being, can minimize presenteeism. Conclusion: clinical governance can reduce the impact of presenteeism by implementing strategies such as promoting self-care, psychological support, professional development, participatory management and resource optimization, thereby ensuring the sustainability of care and the safety of users.