Promoting employees’ retention and functional presenteeism through well-being oriented human resource management practices: the mediating role of work meaningfulness

Purpose Drawing upon the theoretical frameworks of conservation of resources and social exchange theories, this study investigates how perceived well-being-oriented human resource management (WBHRM) practices can boost job embeddedness, encourage functional presenteeism, and diminish intention to leave by cultivating a sense of purpose in the workplace. Design/methodology/approach Adopting a time-lagged design, data were collected from healthcare organizations in Canada at two distinct time points. Structural equation modeling and Bootstrap analysis were used to validate the research hypotheses. Findings The results revealed that perceived WBHRM practices directly enhanced work meaningfulness. Perceived WBHRM practices indirectly fostered sustainable presenteeism and job embeddedness and decreased intention to leave through work meaningfulness. Practical implications This study provides valuable insights for healthcare organizations aiming to boost nurse retention and attraction through sustainable HRM practices. By prioritizing employee well-being, growth and a positive workplace culture, organizations can create a fulfilling work environment that enhances job satisfaction and loyalty. Additionally, fostering functional presenteeism and a strong sense of work meaningfulness can improve both individual and organizational performance. This approach not only positions the organization as a top employer but also ensures long-term success. Social implications These findings support the United Nations Sustainable Development Goals of decent work (8 SDG) and good health and well-being (3 SDG). Originality/value This study makes a significant contribution to HRM literature by introducing the concept of work meaningfulness and highlighting its critical role in improving both individual and organizational outcomes. It uniquely examines the positive aspects of presenteeism, a relatively underexplored area. Furthermore, the study showcases how WBHRM practices can create a supportive environment for nurses, enabling them to balance health and performance while enhancing their sense of purpose, thus offering a novel perspective on sustainable HRM practices in healthcare.