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Healthcare systems do not fail because people speak up. They fail because systems are structured to suppress uncomfortable truths. This ISI paper examines gaslighting as a governance failure mode that disrupts safety signals, weakens organisational learning, and increases patient harm.
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Employee Assistance Programmes are widely promoted as workplace care, yet remain underused. This paper argues low uptake is not a workforce failure, but a system signal—revealing misalignment between organisational intent and the conditions that create employee distress.
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Micromanagement is not a leadership flaw. It is a governance failure. When control concentrates decision-making, organisations become fragile. This paper examines how micromanagement signals breakdowns in decision architecture, capability, and system integrity.
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Carewashing occurs when organisations signal care for employee wellbeing while the structural conditions shaping work remain unchanged. When wellbeing messaging replaces real system redesign, trust erodes, and psychosocial hazards persist beneath the language of care.