Improving health professionals’ involvement whilst sustaining work–life balance: evidence from an empirical analysis

Most sustainability studies applied to healthcare primarily focus on external viability. In particular, they look at the ability of healthcare institutions to establish an economic, environmental, social, and political consonance with their context. Conversely, limited attention has been paid to issues related to internal sustainability. The article discusses health professionals' involvement as a human resource management practice which contributes to the viability of healthcare organizations. A sequential mediation analysis was designed to shed light on the effects of employees' involvement on work-life balance, which is an essential ingredient of the recipe for internal sustainability. The study findings suggest that health professionals' involvement may determine an intensification and an extensification of work efforts, which undermine their work-life balance. Nevertheless, the implications of employees' involvement on work-life balance are positively and significantly mediated by supportive relationships at work and positive organizational climate. From this standpoint, health professionals' involvement may act as an effective strategy to enhance the internal sustainability of health care organizations if matched with better relationships with supervisors and improved organizational climate. Whilst calling for further research to enlighten issues and challenges related to internal sustainability, the article stresses that health professionals' involvement should be paired with an improvement of the organizational climate to contribute to an increased viability of health care institutions.