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ContextConflict is a driver of change and unions representing professional groups across the National Health Service (NHS) are currently engaged in direct conflict with the government. For the first time in the history of the NHS, healthcare professionals have taken industrial strike action. Junior doctors and consultant physicians are currently engaged in their respective union ballots and indicative poll surveys regarding potential strike action in the future. In the wake of such widespread industrial action, we have taken time to think deeply about the confronting challenges and issues and offer this reflection as an opportunity to redefine and re-frame an unsustainable healthcare system into one that is the best it can be in terms of fit for purpose.Insights and resource signpostingWe present the current context with a reflective framework table focused on ‘What do we do well? What is not done so well? What could some possible ideas and solutions be? and How could this change be supported?’We outline how a culture of well-being could be strategically and operationally introduced into the NHS workplace using research-based evidence and practical tools supported by expert guidance.

Purpose This study aims to explore how coping strategies (CS) mediate the relationship between job insecurity (JI) and subjective well-being (SWB) leading to presenteeism among millennials. This study has been tested based on the conservation of resources theory (Hobfoll, 2001) and the transactional theory of stress and coping (Lazarus and Folkman, 1984). In India, employees in the information technology (IT) and business process management sectors have been facing increased job insecurity over the last couple of years. The advent of technology has increased job insecurity among millennials, specifically in the IT sector. The Indian IT and information technology–enabled service (ITES) sector witnessed mass retrenchments by companies in 2016–2017. Instead of reskilling, the companies decided to lay off their employees. During the pandemic, the IT and ITES industries witnessed a massive culture shift in terms of technology and work engagement. Postpandemic, the recession is looming large on these industries. In 2022, tech layoffs have witnessed 135,000 employees impacted globally and many may lose their job in the coming year. This study chose Indian millennials because they form a large part of the Indian workforce, especially in the IT and ITES sector. Design/methodology/approach In this study, cross-sectional design is used where different individuals are part of the study at the same point in time. A sequential mixed method of research is adopted for this study, owing to the kind of research questions and the requirement to include critical realism. A qualitative study was carried out post the quantitative study, to corroborate the results from the quantitative study. Quantitative methodologies address questions about causality, generalizability or magnitude of outcome, whereas qualitative research methodologies explore why or how a phenomenon occurs, describe the nature of an individual’s experience during the study relevant to the context and/or develop a theory (Fetters et al., 2013). Because the study is about the millennial workforce in IT and the ITES sectors, the sample population comprised employees in Delhi and the national capital region (NCR) of Delhi in northern India. Out of a total of 374 ITES companies listed in the national association of software and service companies (2018), 103 are based out of Delhi/NCR; hence, companies from Delhi/NCR were chosen for the study. The other reason for opting for companies based in Delhi/NCR was that many millennials from second- and third-tier cities also are employed in these companies bringing in varied cultural perspectives. This study included 588 employees working in ITES organizations based in the National Capital Region of India. Mediation analysis for statistical verification was carried out with regression-based analysis in SPSS macro process (version 4). Findings The impact of job insecurity on the positive and negative affects of the subjective well-being of millennials was found to be substantial. Coping strategies moderated the relationship and it was seen that both engaged and disengaged strategies of coping had an impact on the positive affect of subjective well-being but did not have any impact on the negative affect of subjective well-being. The positive affect of subjective well-being was negatively related to presenteeism, and the negative affect of subjective well-being was positively related to presenteeism. Research limitations/implications This study is carried out only in the ITES industry and on millennials. With the advent of technology, other industries are going through challenges concerning layoffs even though the severity of the same might be less. In times to come, for strategizing employee engagement, it is necessary to understand how the workforce copes with various work-related stress factors. The positive affects and negative affects of well-being and responses have been studied from an employee perspective only. Further research should be conducted to explore responses from both employers and employees to establish presenteeism and the antecedents of presenteeism in conjunction with positive and negative affects of well-being. There is further scope to study the impact of job insecurity on adaptive presenteeism in older generations and various industries given the current job scenario and talent-reskilling issues. Practical implications This study brings forth original insights into the impact of constant job threats on millennials employed in the IT and/or IT service sectors. The key findings contribute to literature knowledge and help managers recognize the unfavorable consequences of continuous job threats on the well-being of employees. There is an immediate need for managers to recognize the problem and devise various policies and communication strategies to enable millennial employees to cope with the constant changes in the organization, owing to various technological, political and environmental factors. Organizations should be mindful of this impact, which can subsequently have serious consequences on the productivity of the employees, resulting in decreased overall performance and health of the organization. Originality/value This study of job insecurity as a job stressor, triggering coping strategies in Indian millennials working in the ITES and IT industry, presents original insights. This study explores and presents how the impact of job insecurity may increase presenteeism as a result of coping. This study brings value to practitioners and this study may help organizations improve the overall well-being of their employees, thus improving productivity. On the contrary, it also opens opportunities for exploring the impact of job insecurity as a challenge stressor.

Although the performance implications of inter- and intra-firm collaborations have been discussed by prior studies, how such collaborations can drive the accelerated internationalization of small and medium-sized enterprises (SMEs) originating from emerging markets remains unclear. This study was, thus, aimed at shedding light on this relationship by drawing insights from the resource-based view (RBV). We argued that the interaction between inter- and intra-firm collaborations can drive accelerated internationalization through environmental management practices. We, thus, developed and tested a conceptual framework by performing structural equation modeling on a sample of 208 SMEs based in the United Arab Emirates (UAE). Our findings reveal that the interaction between inter- and intra-firm collaborations is indeed conducive to accelerated internationalization. More importantly, we found that environmental management practices mediate the relationship between such interaction and accelerated internationalization. Our findings have important implications for international entrepreneurship research and practice in relation to how environmental management practices can enhance such a relationship.

The purpose of this study is to test the factors that impact the effects that compulsory citizenship behaviour (CCB) has on work-family conflict based on the theory of Conservation of Resources. Data were collected from 505 employees in 13 high-tech enterprises in China. It revealed that (1) employees’ compulsory citizenship behaviour is positively related to levels of work-family conflict, (2) work stress mediates the relationship between CCB and work-family conflict, and (3) proactive personality moderates the effects of CCB on employees’ work stress and work-family conflict, with the relationship more positive when proactive personality is high. The study contributes to the CCB literature through its identification of work stress as an important psychological mediation mechanism that amplifies the mechanism through which CCB has an effect on employees. The results provide a deeper understanding of important boundary conditions (in this case proactive personality) that impact the CCB to employee’s work-family conflict relationship. The findings also enrich the proactive personality literature. Paradoxically, if organizations attempt to foster citizenship behaviors by selecting people with the sort of proactive personality that might assist citizenship, they end up exacerbating the impact on work stress and work-family conflict. Theoretical and practical implications, limitations and promising avenues for future study are discussed.

This study examines the relationship between abusive supervision and fear based silence and turnover intentions and how emotional intelligence (EI) dimensions mediate this relationship. Using “relationship theory” in high power distance work context of India, the authors predicted that abusive supervision is positively related to EI and also positively related to fear based silence and turnover intention. Data were collected from 347 employees from Indian manufacturing and retail industry in two stages. Results have supported the mediating impact of others’ emotional appraisal on the relationship of abusive supervision and fear based silence. However other EI dimensions (self emotional appraisal, regulation of emotions and use of emotions) did not produce a significant mediating effect. Furthermore, abusive supervision had a negative relationship with self emotional appraisal and a positive relationship with others’ emotional appraisal. The implications are discussed for understanding the relevance of others’ emotional appraisal in diminishing the fear based silence among the employees. The study advances the use of relationship theory and its practices in Indian work context.

PurposeThis paper aims to specifically focus on the challenges that human resource management (HRM) leaders and departments in contemporary organisations face due to close interaction between artificial intelligence (AI) (primarily robots) and human workers especially at the team level. It further discusses important potential strategies, which can be useful to overcome these challenges based on a conceptual review of extant research.Design/methodology/approachThe current paper undertakes a conceptual work where multiple streams of literature are integrated to present a rather holistic yet critical overview of the relationship between AI (particularly robots) and HRM in contemporary organisations.FindingsWe highlight that interaction and collaboration between human workers and robots is visible in a range of industries and organisational functions, where both are working as team members. This gives rise to unique challenges for HRM function in contemporary organisations where they need to address workers' fear of working with AI, especially in relation to future job loss and difficult dynamics associated with building trust between human workers and AI-enabled robots as team members. Along with these, human workers' task fulfilment expectations with their AI-enabled robot colleagues need to be carefully communicated and managed by HRM staff to maintain the collaborative spirit, as well as future performance evaluations of employees. The authors found that organisational support mechanisms such as facilitating environment, training opportunities and ensuring a viable technological competence level before organising human workers in teams with robots are important. Finally, we found that one of the toughest challenges for HRM relates to performance evaluation in teams where both humans and AI (including robots) work side by side. We referred to the lack of existing frameworks to guide HRM managers in this concern and stressed the possibility of taking insights from the computer gaming literature, where performance evaluation models have been developed to analyse humans and AI interactions while keeping the context and limitations of both in view.Originality/valueOur paper is one of the few studies that go beyond a rather general or functional analysis of AI in the HRM context. It specifically focusses on the teamwork dimension, where human workers and AI-powered machines (robots) work together and offer insights and suggestions for such teams' smooth functioning.

The present study examines the relationship between patient safety culture and health workers’ well-being. Applying the Conservation of Resources mechanism, we tested theory-based hypotheses in a large cross-disciplinary sample (N=3,232) from a Taiwanese metropolitan healthcare system. Using the structural equation modeling technique, we found that patient safety culture was negatively related to staff burnout (β=-.74) and could explain 55% of the total variance. We also found that patient safety culture was positively related to staff work-life balance (β=.44) and could explain 19% of the total variance. Furthermore, the above relationships were invariant across groups of diverse staff demography (gender, age, managerial position, and incident reporting) and job characteristics (job role, tenure, and patient contact). Our findings suggest that investing in patient safety culture can be viewed as building an organizational resource, which is beneficial for both improving the care quality and protecting staff well-being. More importantly, the benefits are the same for everyone in the healthcare services.Keywords: patient safety culture, staff burnout, work-life balance, conservation of resources

The aim of this study was to test the flow from long working hours to sickness presenteeism behavior and its outcomes for employees, while integrating intrinsic and extrinsic work value orientations as moderators in the process. We employed a two-wave design with a five-month interval. Data were obtained from 275 employees in Taiwan. The results of latent moderated structural equations (LMS) revealed that long working hours were positively associated with presenteeism, which in turn was negatively related to employees’ well-being and job performance. Furthermore, the negative indirect effect of working long hours on job performance via presenteeism was weaker for those with a higher intrinsic work value orientation. The negative indirect effect of working long hours on well-being via presenteeism was weaker for those with a higher extrinsic work value orientation. We demonstrated that the long-term impact of presenteeism behavior could be understood by viewing work value orientations as resource gains to compensate resource depletion in a demanding work context. This resource dynamism is pivotal to realizing the functional or dysfunctional outcomes of presenteeism behavior. Theoretical and managerial implications of the findings for employees’ well-being and organizational effectiveness are discussed.