Family Responsibilities Research Articles

Shedding light on the ‘invisible load’: an analysis of sight metaphors in parenthood podcasts

ABSTRACT This paper intends to establish which sight metaphors are preferably utilised in parenthood podcast discourse when the division of family responsibilities within heterosexual dual-income couples is discussed. The study examines a sample of podcast episodes about this topic aired during the COVID-19 pandemic and produced in a number of English-speaking countries. Starting from the assumption that work performed within the home is conventionally conceptualised as something heavy (DOMESTIC WORK IS A LOAD), the research relies on Conceptual Metaphor Theory and Critical Metaphor Analysis to explore the ways in which the ‘load’ source domains combines with that of ‘vision’. Results indicate the widespread presence of invisibility metaphors in relation to women's work within their households. The adoption of such rhetorical figures has noteworthy ideological repercussions: labelling mothers’ contributions to their families as ‘invisible’ produces the paradoxical effect of making them very noticeable, thus validating women's efforts and highlighting their crucial importance. The use of metaphorical patterns involving the sense of sight thus represents an instance of counter discourse that spreads awareness about the devaluation of housework and childcare and might ultimately contribute to family and societal transformation.

The Impact of Family and Society on Women’s Career in Bangladesh

This paper aims at understanding factors that may lead woman to work professionally and balance their family responsibilities in Bangladesh. The study reveals that factors related to self-interest, economic gain, parental and spouse support, peer status, and lenient schedules are crucial enough to create an appetite for promotion. However global studies on workforce participation and women are economic initiatives lack understanding of the particular socio-cultural factors of Bangladeshi women. This research therefore seeks to fill this gap by exploring how professional dreaming is shaped by family responsibilities, culture and organizational practices. This research forms part of a qualitative study and employed semi-structured questionnaires to capture data from 30 professional women in Dhaka. According to education, profession, marital status criteria, participants were selected and open coded to find themes. The work also finds out that wives and mothers are among the most critical sources of support to empower females for dual responsibilities. Nonetheless, flexibility, which includes offering fewer working hours and more telecommuting opportunities, was another major factor hubs relied on to serve the same purpose of improving the women’s quality of life at the cost of their work-life balance. Nonetheless, supportive cultural factors such as motivators also have their limitations in promoting work life balance due to societal pressures and absence of polices such as child care in organizations. A range of participants described financial security and job satisfaction as the key motivation that determines career success that contributes to personal and social self-actualization. In this regard, the study emphasize on the need to adopt family agenda related policies and encourage cultural change that may enhance women’s career paths. To adequately satisfy women’s career motivation it is crucial to have a strong family support and adequate flexibility at workplace.

Development and Validation of Determinants of Marriage Delay Scale for women

Abstract The study was designed to develop and validate the Determinants of Marriage Delay Scale for Women in Pakistan. In light of the Exploratory and Confirmatory Factor Analysis, four determinants identified were Family Responsibilities and Financial Dependency, Socioeconomic and Physical Conditions, Cultural Expectations, and Personal and Psychological Concerns. The instrument revealed a highly reliable and content valid scale with high factor loadings, showing appropriate representation on each component. The scale thus integrates qualitative and quantitative approaches to provide a comprehensive and culturally sensitive tool for understanding complex influences on delays in the timing of marriage among women. This study explored not only how family-related factors, but also economic, cultural, and personal factors interactively shape the timing of marriage and offered a base for further research and policy interventions. The scale addresses such determinants and supports the formulation of specific strategies that can help women make appropriate decisions about marriage, which would meet both self and societal expectations. Keywords: Determinants, Marriage Delay, Women, Scale Development, EFA, CFA

Financial Anxiety and Job Performance in Educational Settings: Analyzing the Effects of Financial Stress on Teachers and Staff

This study examines the impact of financial anxiety on job performance among teachers and staff in educational settings, where challenges like low wages, high debt, and limited financial growth are prevalent. Financial anxiety, defined as persistent worry over income stability and financial obligations, can decrease focus, well-being, and productivity. Using a quantitative approach, data were collected from 500 educators across various institutions, and statistical analysis, including correlation and regression, revealed significant findings. Results showed a negative correlation (r=?0.45) between financial anxiety and job performance. Regression analysis further indicated that job satisfaction (?=0.35) and a supportive work environment (?=0.22) help reduce financial anxiety’s negative impact on performance. Debt burden and income level were strong predictors of financial anxiety, with job satisfaction partially mediating its effects. These findings underscore the importance of institutional support measures, such as financial counseling and mental health resources, to alleviate financial anxiety and enhance job performance. Future research is encouraged to explore additional moderating factors, such as family responsibilities and health conditions, to deepen insights.

Regional government institutions and the capacity for women to reconcile career and motherhood

Abstract Declining fertility and the persistent underrepresentation of women in the labour market are key concerns of our time. The fact that they overlap is not fortuitous. Traditionally, women everywhere have faced a conflict in balancing their career ambitions with family responsibilities. Yet, the pressures arising from this conflict vary enormously from one place to another. Existing research has tended to overlook the geographical features of this dilemma, which could result in an inadequate understanding of the issue and lead to ineffective policy responses. This article examines how variations in the quality of regional institutions affect women’s capacity to reconcile career and motherhood and, consequently, gender equality within Europe. Using panel data from 216 regions across 18 European countries, we uncover a positive effect of regional institutional quality on fertility rates, taking into account variations in female employment. Moreover, we show that European regions with better government quality provide a more reliable environment for managing the career/motherhood dilemma often faced by women. In contrast, women living in regions with weaker government institutions are more constrained in both their career and childbearing options.

The barriers and enablers to completing the RPS core advanced pharmacist credentialing programme via the CPPE/RPS pilot programme

Abstract Introduction The RPS and CPPE launched a pilot programme in March 2023 to support 300 pharmacists to evidence their advanced practice via an e-portfolio aligned to the RPS Core Advanced curriculum1 in a 12-week period. Successful pharmacists are credentialed as Advanced Pharmacists. The pilot involved CPPE education supervisors (ESs) support, an online learning platform and small group learning and support. Aim To ascertain barriers and enablers to completing an advanced e-portfolio and to identify how to improve the on-going programme. Methods The invitation to complete the anonymous survey in May 2024 was administered via www.onlinesurveys.ac.uk and developed linking to key performance indicators around education supervision support, to understand why candidates were deferring cohorts and to ascertain additional support accessed by candidates. Ethical approval was not required as study is service evaluation. Candidates who responded included those who successfully submitted their e-portfolio ‘submitted candidates’ n=10, candidates who are resubmitting their portfolio after not passing ‘resubmission candidates’ n=8, pharmacists currently completing their portfolio ‘current candidates’ n=44 and those who started but left without submitting ‘attrition candidates’ n=13. Results All submitted candidates scored ES support as very good/excellent; 60% agreed strongly they would not have submitted their portfolio without this support. Each cohort had two small-group tutorials where candidates accessed peer support and joined WhatsApp groups. Only 38% of resubmission candidates, compared to 80% of portfolio submitted candidates attended both group tutorials. Resubmission candidates were less likely to access additional peer support (38% for resubmission candidates vs 60% for submitted candidates) or to join the cohort WhatsApp group (75% for resubmission candidates vs 90% for submitted candidates). Resubmission candidates rated the remedial SMART action planning support highly. Submitted candidates would have found it easier to complete their portfolio with more comprehensive (60%) and timely responses (70%) from their collaborators. This compares to 55% and 59% of current candidates recognising the same issues. Submitted candidates wanted more allocated time during working hours to support completion of the portfolio (60% rising to 80% for current candidates). There is a notable increase for current candidates wanting a longer period to complete their portfolio (75% compared to 40% of submitted candidates). Half of submitted candidates (50%) reported spending more than 5 hours (average) each week on their portfolio compared to 18% of current candidates. Top reasons for attrition include too busy with work, family responsibilities, personal health challenges and no support from the workplace. Candidates across all groups suggested programme improvement ideas including more evidence examples, making the RPS platform less difficult to navigate and use, and more education supervisor support. Motivating factors for completion include recognition of advanced level working and preparation for the consultant portfolio. Conclusion Enablers include education supervision, CPPE resources/facilitated support events, peer support, WhatsApp groups, recognition and career progression. Key barriers include needing more time and lack of dedicated time at work to complete e-portfolio, lack of timely and comprehensive support from collaborators and finding the RPS e-portfolio platform difficult to navigate. Limitations – low numbers and response rate. Data collection is on-going. Reference 1. Royal Pharmaceutical Society, Core Advanced Pharmacist Curriculum, 2022 https://www.rpharms.com/Portals/0/Credentialing/RPS%20-%20Core%20Advanced%20curriculumFINAL.pdf?ver=8gc3s2aE9t1nZN37CSU7Lw%3d%3d (Accessed 28 May 2024)

Support for pharmacy professionals returning to (clinical) practice after a break: a cross-sectional survey

Abstract Introduction The continuing expansion of clinical roles for pharmacists, combined with National Health Service workforce shortages and the COVID-19 pandemic, have significantly increased pressure on pharmacy professionals.1 These pressures have heightened stress levels, causing many to consider leaving the field.2 Addressing workforce shortages and retension is crucial, with a particular focus on the reintegration of professionals returning to practice after a break. However, those returning after extended breaks often face challenges such as decreased skills and confidence. Nevertheless, research on the effectiveness of reintegration programmes to help pharmacy professionals return remains limited. Aim To explore participants’ reasons for leaving and returning and to assess the effectiveness of the Centre for Pharmacy Postgraduate Education (CPPE)’s Return to practice (RTP) and Return to the register (RTTR) programmes in helping individuals return to pharmacy practice in England. Methods CPPE emailed an anonymous link to an online survey, with two reminders, in December 2023 and January 2024, to individuals who participated in the RTP and/or RTTR programme(s) before March 2023 (n=701) and had given consent to be contacted for evaluation purposes. The survey employed closed, Likert-type and free-text questions. Quantitative data were analysed using the Statistical Package for Social Sciences (SPSS), with inferential statistics for subgroup comparisons and thematic analysis for qualitative comments (statistical significance p≤0.05).3 Using the university’s ethical approval tool, this study did not require approval due to not collecting personal, confidentical or sensitive information, with no vulnerable groups included, or risk of disclosure. Results The valid response rate was 15% (n=106). Most respondents were female (n=67, 79.8%), aged 35 and older (n=82, 97.6%), and pharmacists (n=77, 85.6%) or pharmacy technicians (n=8, 8.9%). The primary reasons for leaving included family responsibilities, career transition, and relocation, while the main motivations for returning were career reconnection, relocation, and other personal reasons. Participants reported a high degree of satisfaction with both programmes; those who perceived high content relevance reported significantly higher satisfaction (8.90±1.47 for RTP and 8.75±1.58 for RTTR on a 10-point scale). Overall, 70.8% (n=75) successfully returned to pharmacy practice and/or the GPhC register after completing the programme(s). Of those who returned, 68.1% (n=47) took less than 6 months. It was found that those who were more satisfied and more likely to recommend the programme(s), had been off the register for less than 10 years (n=41, 78.8%), and completed the programme(s) before 2020, prior to the shift to online delivery due to COVID-19 (n=41, 83.7% for RTP and n=16, 88.90% for RTTR), were more likely to have returned. Discussion/Conclusion The CPPE RTP and RTTR programmes supported participants effectively in returning to pharmacy practice. Increasing the number of pharmacy professionals returning to practice using reintegration course(s) positively impacts workforce shortages and addresses skill gaps after a break. One study limitation is the lack of information about those who did not use or are unaware of these support programmes. Further research could explore the support needs of all those wishing to return to practice or the GPhC register.

Integration of flexible corporate demographic policy tools into the personnel management system

Amid staff shortages and rising labour costs, many Russian enterprises are looking for non-material methods to man age personnel. Organizational, labour and socio-psychological aspects of employee incentives are closely linked to the corporate demographic policy tools. The article aims to analyse the demand for flexible working arrangements for employees with family responsibilities, as well as to determine the opportunities for integrating flexible organizational and labour tools of corporate de mographic policy into the personnel management system. Flexibilization theory in the context of corporate demographic policy constitutes the methodological basis of the study. The standard methods of structured personal interviews, frequency analysis with equality of proportions hypothesis test using a chi-square statistic, and comparison of mean values based on the Kruskal Wallis test were applied. The empirical evidence includes collective agreements and local regulations of the largest employers in the Russian Federation, as well as results of a sociological survey conducted in June–September, 2023 (the analyzed sample cov ered 2,804 respondents). The study statistically proves that employees working flexible hours are more satisfied with their job and life compared to those with rigid schedules. It also shows that flexible working arrangements are in demand among employees with parental commitments. The paper presents a model and an algorithm for integrating flexible organizational and labour tools of corporate demographic policy into the personnel management system. We develop a list of HR metrics and identify potential positive implications of this integration through strengthening the HR brand, increasing employee loyalty and engagement, and reducing staff turnover.

Psychosocial factors of work-life balance and resilience among Malaysian working women: A qualitative approach

Regardless of cultural or geographical contexts, women worldwide often bear the primary responsibility for childcare and household management. For women pursuing careers, these responsibilities are amplified, creating a challenging dynamic as they strive to balance professional duties with domestic obligations. The onset of COVID-19 profoundly disrupted lives, with working women being particularly impacted. The pandemic necessitated a rapid transition to a "new normal," where remote work became the standard. This shift required women to juggle childcare, household chores, and professional tasks within the confines of the same physical space. Work-life balance refers to the equilibrium between personal, family, and professional responsibilities, while resilience is defined as an individual's capacity to cope with and recover from adversity. This paper examines the psychosocial factors contributing to work-life balance and resilience, which are vital for achieving a balanced and fulfilling life among working women in Malaysia. Data was collected through a qualitative approach using focus group discussions with eleven working women from diverse professional backgrounds, and the data was analyzed using thematic analysis. The findings reveal that the psychosocial factors affecting work-life balance and resilience are deeply interconnected. Three major themes emerged from the analysis: social support, individual factors, and spirituality. These factors enable working women to adapt, persevere, and thrive despite challenges, especially with the support of their families, including spouses and parents. This study underscores the critical role of psychosocial factors in enhancing work-life balance and resilience among working women, highlighting their importance in navigating the complexities of modern life.

Mothers' and fathers' experiences of breastfeeding and returning to paid work after birth: A mixed-method study.

This mixed-method study explored the experiences of mothers and fathers combining breastfeeding with returning to paid employment after childbirth. Tasmanian State Service employees participated in an online survey and phone interviews. A total of 130 parents completed the survey, and 42 participated in 60-min phone interviews. The survey had more female respondents (109) than male (21), and only 4 of the 42 interviews were with fathers. The sample consisted mainly of professional women (84%) and men (16%), predominantly Australian-born (88%). Two-thirds of participants worked part-time (62%), taking either unpaid (52%) or paid leave (61%) within the first 12 months after birth. The majority (88%) preferred to breastfeed, with the mean age of the first formula feed being 4.1 months. A narrative analysis of the qualitative data, informed by work-family conflict theory, reveals that transitioning back to paid work while breastfeeding is challenging for both mothers and fathers. Parents face multiple conflicts between paid work, family responsibilities and maintaining breastfeeding. The emotional and physical demands of feeding, expressing, storing and transporting breast milk, combined with often inadequate workplace facilities, policies and gender discrimination, add to parental pressure. Mothers bear the greatest burden, while fathers' roles and needs are often overlooked in the workplace. The major finding of this study is that breastfeeding is insufficiently recognised as an integral part of the return-to-work process for both parents, generating a form of work-family breastfeeding conflict, where work (part-time or full-time) interferes with family responsibilities and breastfeeding. Family-friendly breastfeeding policies based on equity principles are needed to address workplace gender inequality and discrimination and better support parents in combining work and breastfeeding.

Heritage Transmission From Past to Future: A Practice‐Based Exploration of Value Education Through Oral History

ABSTRACTStudies connecting oral history and value education as a method of learning and teaching are a few, and most are based on theoretical knowledge. There are limited studies that practically apply value education, using oral history as an example for researchers and readers. We designed this research to fill the gap between theory and practice. The current study aims to integrate oral history practices into value education and provide a practice‐based example. Our problem statement: “Can the oral history method contribute to students' learning of the values?” To answer this question, we conducted collaborative action research with 20 students studying in a public secondary school over nine weeks to teach them the values of attaching importance to family unity, solidarity, respect, and responsibility, which we determined to be within the scope of the social studies course. At all stages, we collaborated with the social studies teacher, students, and family members of the students. We used various data collection tools, including knowledge assessment forms (pre and post), implementation assessment forms, and semi‐structured interview forms with the students. After the data collection, we used the content analysis method. The study results showed that implementing value education through oral history effectively taught the objectives' values. In addition, thanks to the practice, students could perceive the change and continuity of values and develop their skills. Based on the research results, we can say that oral history should be used more as an innovative method in value education.

METHODOLOGICAL SUPPORT FOR PEDAGOGICAL DESIGN OF CYBERSOCIALIZATION OF STUDENTS BASED ON BLENDED EDUCATION

In the 21st century, with the rapid development of science and technology, approaches to pedagogy have changed significantly. New teaching methods such as distance learning (DL), online learning (OL) and blended learning (BL) have come into focus. In recent years, blended learning (BM) has become increasingly popular as a new pedagogical approach, including in Uzbekistan, where its application is gradually increasing in universities. This study analyzes students' perceptions of blended learning, its benefits and challenges in the context of higher education in Uzbekistan. The results, based on questionnaires and semi-structured interviews, showed that students have a positive attitude towards BM, especially those who combine studies with family and work responsibilities. The main challenge remains access to the Internet, however, students were able to successfully utilize the benefits of both face-to-face (F2F) and online learning. The study also highlights the need for further study on the application of blended learning in the higher education system of Uzbekistan for its successful implementation and understanding.

Socio-Economic Characteristics of Women Entrepreneurs in Botswana

The present study offers a comprehensive examination of the socio-economic attributes of female entrepreneurs in Botswana, specifically emphasizing the convergence of demographic profiles, educational backgrounds, and entrepreneurial performance. Employing a mixed-methods approach that combines quantitative and qualitative research, the study rigorously analyses the elements influencing entrepreneurial outcomes for women in the region. The findings emphasize a robust positive association between increased levels of education and the achievement of business success. Specifically, women with higher education qualifications exhibit better business results in revenue growth, market expansion, and operational profitability. Nevertheless, the research also reveals enduring obstacles female entrepreneurs encounter, namely in obtaining financial access, managing socio-cultural limitations, and harmonizing family responsibilities with business requirements. The results emphasize the necessity of implementing focused policy measures, educational changes, and support structures that specifically tackle the distinct obstacles that women encounter in entrepreneurship.

Health behaviours and affective states of partners of fly‐in fly‐out workers: A daily diary study

AbstractPartners of fly‐in fly‐out (FIFO) workers face increases in demands, for instance in care and family responsibilities, particularly in the absence of workers; however, little is known about how their daily life experiences influence their health across the FIFO work cycle. This study examined the within‐person effects of workload, job control and social support on affective states and health behaviours of partners of FIFO workers. Forty‐four (N = 44) partners of FIFO workers completed online diary surveys on affective states and health behaviours once a day for 28 consecutive days during on‐and off‐shift periods of the FIFO worker. Multilevel models were used to analyse day‐level data. The results of the study demonstrated significant differences in partners' depressed affect and alcohol consumption during both on‐ and off‐shift periods of FIFO workers. Daily increases in workload were associated with anxious affect, whereas daily increases in job control and social support were associated with low depressed affect and positive affect in partners of FIFO workers. Daily increase in social support was also found to be associated with an increase in daily alcohol intake. Interventions could support partners in managing the daily workload and encouraging the creation of social support networks in partners of FIFO workers.

Relationship of workload with fatigue and sleep quality in female exercisers

Fatigue is a critical issue for female exercisers that may lead to medical errors, degradation in performance, decreased mental acuity, and social problems. Poor sleep quality is also a contributing factor to the fatigue experienced by female exercisers. Overwork is a factor causing poor sleep quality in female exercisers. The present study aimed to investigate the relationship between workload, fatigue, and sleep quality among female exercisers in the Sleman Regency District. A cross-sectional study was conducted from December 2023 to March 2024 using a self-reported questionnaire. The questionnaire included the Workload questionnaire adapted from the National Aeronautics and Space Administration Task Load Index, the Leeds Sleep Evaluation Questionnaire (LSEQ), and the Subjective Self Rating of Fatigue Assessment Scale (FAS) from the WHO Quality of Life Assessment Instrument (WHOQOL-EF) with 200 respondents in Sleman Regency. The PLS equation model was used to analyze the relationship between workload, sleep quality, fatigue, and the indicators of each instrument. The results showed that female exercisers who were over 40 years old, had children at home, had informal work, did daily exercise in the evening, and had a work schedule in the night had a higher risk of fatigue and poorer sleep quality than those below 40 years old who didn’t have children at home, had formal work, did daily exercise in the morning, and had a work schedule in the morning. A subjective self-rating test was used to measure fatigue, sleep quality, and workload. The training load and intensity of exercise programs influenced fatigue levels, which affected sleep quality. Female exercisers may face challenges balancing exercise with other commitments, such as family responsibilities, leading to overtraining and fatigue. The PLS model test showed a significant relationship between sleep quality and the level of perceived fatigue (p-value = 0.000). Workload significantly impacts sleep quality and fatigue risk in female exercisers. Therefore, managing workload is crucial to improving sleep quality and reducing fatigue risk.

Pengaruh Konflik Pekerjaan-Keluarga, Kelelahan Emosional dan Stres Kerja terhadap Kinerja di PT Penerbit Erlangga Karawang

Dynamic company dynamics make human resources continue to innovate and be efficient in order to provide the best performance. The conflict between work demands and family responsibilities is increasingly gaining attention in the context of modern life. When work forces you to sacrifice time and attention that should be given to your family, conflict arises, causing a significant impact on an individual's emotional and physical well-being. Emotional exhaustion, which reflects a state of physical and mental exhaustion due to ongoing pressure, and job stress, which occurs due to a mismatch between job demands and the individual's ability to meet them, are the two main consequences of this conflict. This research method is quantitative using multiple linear regression analysis. The research results showed that work-family conflict, emotional exhaustion and work stress had an influence on performance.

Inter-Role Conflict and Mental Health in Early Adulthood Females

Inter-role conflict is one of the most common and challenging realities. It occurs when an individual faces dual demands from different roles, and the situation is likely to cause a lot of psychological strains. This kind of conflict was most prevalent among females in the early adulthood age of development, a period that involves a turning point to other important developmental tasks in life such as procurement of employment, further educational pursuits, and formation of settlement or marriage. Work and family responsibilities become intertwined during this phase, as the drive for career advancement merges with other obligations, potentially impacting one's health. The effects of inter-role conflict on mental health can be significant, impacting such outcomes as anxiety, depression, and stress. Anxiety might manifest itself through constant apprehension or a low probability of performing well in one or more positions. At the same time, depression can cause a lack of self-worth and a negative outlook on life. Such mental health issues can lead to maladjustment in behavior, which means that one can become less productive at work as well as seclusion in their relationships. Inter-role conflict, if persistent, causes chronic stress, which worsens these concerns and may lead to irreversible mental health problems. This review also explores the impact of inter-role conflict on mental health outcomes and explores potential strategies to mitigate these effects. Some realistic approaches to reducing the psychological load include time management, role prioritization, and seeking social support. This literature review emphasizes the importance of psychological strategies from existing literature to help young women manage their roles more effectively. Therefore, by integrating literature from the existing research, this study illuminates how inter-role conflict affects early adulthood females’ mental health with a focus on coping strategies.

Analysis of the Main Contradictions and Solutions in Achieving Educational Equity under China's "Double Reduction" Policy

This article aims to analyze the obstacles encountered by Chinese society in implementing the "double reduction" policy and the main contradictions in achieving educational equity, explore the new contradictions and problems brought by the "double reduction" policy to the education sector, and provide corresponding countermeasures for Chinese society, communities, families, and schools. It is hoped that this can improve the "double reduction" policy while eradicating the remaining irrationality in the Chinese education sector, enhance the level and quality of Chinese education, and develop an educational powerhouse. A comprehensive review was conducted through literature review, combined with knowledge in the fields of educational equity, educational policies, and comparative education. This article explores the four major contradictions behind the "double reduction policy" and proposes four guiding suggestions: balancing educational resources, optimizing the rationality of education and training, clarifying the responsibilities of families and schools, establishing a communication mechanism between families and schools, implementing a comprehensive evaluation system, strengthening the enrollment form of higher education, enhancing community resources, and improving community after-school services.

Dr. Meena and mission maternal health: building allies in the government hospital

Research methodology The case study is based on field data, including in-depth semi-structured interviews with the main protagonist and related stakeholders of a large government hospital in Western India. After informed consent, the interviews with the stakeholders were conducted, transcribed and analyzed verbatim. In addition, secondary data from policy reports, newspaper articles and government websites was used to create the case. Since the protagonist works in the government system, her identity and other identifying information are disguised to maintain confidentiality. Case overview/synopsis The case study investigates the leadership challenges in a healthcare facility/hospital in public health. It traces the evolution of Dr Meena Sharma (Dr Meena), a leader in the government hospital ecosystem facing challenges such as infrastructural deficiencies, manpower deficit, healthcare bureaucracy and heavy patient load. This first-generation medical practitioner who transitioned from a private practice to a governmental one juggles balancing her demanding clinical practice, administrative responsibilities and teaching in the government hospital with her family responsibilities setup. However, in the wake of the upcoming LaQshya – Labour Room Quality Improvement Initiative by the Ministry of Health & Family Welfare, she strives to put together and motivate her team to work toward improving the quality of care during delivery and the immediate postpartum period at her hospital. Various issues arise in the organizational leadership for a woman leader such as adopting appropriate leadership style and using appropriate motivation and communication strategies for optimal performance. Complexity academic level The case study is aimed at teaching/training a) departmental heads of public and private hospitals, b) health program managers at higher and middle-level leadership roles, c) health policymakers at various levels in the government and other organizations and d) graduate and postgraduate students of public health, hospital management/administration. In addition to this, it can also be used for general management programs to teach organizational behavior, communication and leadership courses.

The impact of work-family conflict on occupational fatigue among endoscopy nurses in China: a moderated mediation model.

Endoscopy nurses in China face significant work-family conflicts, where the clash between high work demands and family responsibilities markedly increases the risk of occupational fatigue. This not only affects the nurses' physical and mental health and overall well-being, but also poses a threat to the quality of care and patient safety. This study, grounded in the Conservation of Resources theory, constructs a moderated mediation model to examine the mediating role of positive coping style in the relationship between work-family conflict and occupational fatigue among endoscopy nurses in China, as well as the moderating effect of perceived social support. A convenience sampling method was employed to select 315 endoscopy nurses from 25 tertiary hospitals across 14 provinces in China. A questionnaire survey was conducted using the Fatigue Assessment Instrument, the Work-Family Conflict Scale, the Simplified Coping Style Questionnaire, and the Perceived Social Support Scale. The moderated mediation model was validated using Stata16.0. Our findings reveal that work-family conflict is a significant predictor of occupational fatigue, with a negative impact on positive coping style. Positive coping style, in turn, is negatively associated with occupational fatigue. Furthermore, positive coping style partially mediates the relationship between work-family conflict and occupational fatigue, accounting for 35.52% of the total effect. Additionally, perceived social support mitigates the negative effects of work-family conflict on positive coping style and occupational fatigue. There exists a moderated mediation effect between work-family conflict and occupational fatigue among endoscopy nurses in China, wherein positive coping style serve as a mediating variable. Perceived social support mitigates the negative impact of work-family conflict on positive coping style, while enhancing the alleviating effect of positive coping style on occupational fatigue. Therefore, improving endoscopy nurses' levels of perceived social support and coping strategies may help to prevent and alleviate the occurrence of occupational fatigue.