Effect of presenteeism behavior and organizational climate on the relationship between occupational stress and job burnout: A cross-sectional study

Aim This study aims to examine the mediating role of presenteeism and the moderating role of organizational climate in the relationship between occupational stress and job burnout among nurses. Background High levels of occupational stress significantly contribute to job burnout among nurses. Presenteeism and organizational climate are critical factors in this process; however, their specific roles in the relationship between stress and burnout remain unclear. Methods This cross-sectional study surveyed 634 nurses from a public hospital in China. Descriptive statistics, Pearson correlation, and the PROCESS macro (Models 4 and 8) were used for data analysis. Results: Occupational stress was positively associated with both presenteeism and job burnout. Presenteeism behavior partially mediated the relationship between occupational stress and job burnout. Furthermore, organizational climate moderated both the direct effect of occupational stress on burnout and the indirect effect through presenteeism. Conclusion Reducing presenteeism and enhancing the organizational climate may help mitigate job burnout among nurses. A supportive workplace environment may buffer the association between occupational stress and burnout. Trial registration Not applicable.