{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T14:51:02Z","timestamp":1781880662683,"version":"3.54.5"},"reference-count":22,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Union\u2014NextGenerationEU","award":["GRINS PE00000018\u2014CUP E63C22002120006"],"award-info":[{"award-number":["GRINS PE00000018\u2014CUP E63C22002120006"]}]},{"name":"Department of Clinical and Experimental Medicine, University of Catania"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Systems"],"abstract":"<jats:p>Artificial intelligence (AI) is increasingly reshaping organizational dynamics, not only through efficiency gains but by influencing how work is structured, interpreted, and experienced. In healthcare, where professional team stability is crucial, this transformation intersects with structural issues such as persistent nurse turnover. This study presents an exploratory case study of a private accredited hospital in Italy that introduced an AI-enabled shift scheduling system (\u201cDream-Shift\u201d) in response to perceived inequities and workforce instability. The system was embedded in a participatory architecture that included a Nursing Practice Council and HR dashboards to visualize staffing patterns. Drawing on theories of Sustainable Human Resource Management (SHRM), algorithmic management, and people sustainability, the study examines how AI-mediated transparency and participation affect fairness perceptions, predictability, and organizational climate. Using administrative data, ethnographic observations, internal documents, and informal feedback, the study finds that the algorithm did not eliminate all inequities but made decision constraints visible and debatable. It redistributed the emotional burden of scheduling and enabled more structured conversations about work. Managers transitioned from unilateral decision-makers to facilitators of collective interpretation. The results suggest that when integrated into participatory infrastructures, AI can foster organizational transparency, support relational stability, and act as a socio-technical enabler of people sustainability rather than as a tool of control.<\/jats:p>","DOI":"10.3390\/systems14020168","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T09:02:01Z","timestamp":1770195721000},"page":"168","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["AI-Mediated Participation and People Sustainability: A Socio-Technical Case Study in Healthcare Shift Scheduling"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5547-0765","authenticated-orcid":false,"given":"Daniele","family":"Virgillito","sequence":"first","affiliation":[{"name":"Department of Economics and Business, University of Catania, 95129 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0739-8798","authenticated-orcid":false,"given":"Caterina","family":"Ledda","sequence":"additional","affiliation":[{"name":"Occupational Medicine Unit, Department of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"100277","DOI":"10.1016\/j.hybadv.2024.100277","article-title":"AI Revolutionizing Industries Worldwide: A Comprehensive Overview of Its Diverse Applications","volume":"7","author":"Rashid","year":"2024","journal-title":"Hybrid Adv."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"5063998","DOI":"10.1155\/2024\/5063998","article-title":"Global Prevalence of Nurse Turnover Rates: A Meta-Analysis of 21 Studies from 14 Countries","volume":"2024","author":"Ren","year":"2024","journal-title":"J. Nurs. Manag."},{"key":"ref_3","first-page":"10","article-title":"Patients, Families, and Communities COVID-19 Impact Assessment: Lessons Learned and Compelling Needs","volume":"2021","author":"Isasi","year":"2021","journal-title":"NAM Perspect."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Al-Moteri, M., Althobaiti, E., Aljuaid, G.M., Alotaibe, M.F., Alharthi, R.A., Aljuaid, M.A., Alboqami, S.F., Aljuaid, J., Berdida, D.J.E., and Grande, R.A.N. (2025). The Workplace Expectations and Preferences of Gen Z Nurses: Exploratory Factor Analysis. BMC Nurs., 24.","DOI":"10.1186\/s12912-025-03761-y"},{"key":"ref_5","unstructured":"Dubosson, M., and Fragni\u00e8re, E. (2025). The Digital Shift in Organizations: Challenges, Risks, and Opportunities, Emerald Publishing Limited. [1st ed.]. Emerald Points."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2374","DOI":"10.1111\/jocn.17114","article-title":"The Impact of Electronic and Self-rostering Systems on Healthcare Organisations and Healthcare Workers: A Mixed-method Systematic Review","volume":"33","author":"Barry","year":"2024","journal-title":"J. Clin. Nurs."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.2147\/JMDH.S363390","article-title":"A Case Study of Critical Reasons Behind Hospital Nurses Turnover Due to Challenges Across System Levels","volume":"15","author":"Eriksson","year":"2022","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e2097","DOI":"10.1002\/nop2.2097","article-title":"Worldwide Prevalence and Associated Factors of Nursing Staff Turnover: A Systematic Review and Meta-Analysis","volume":"11","author":"Wu","year":"2024","journal-title":"Nurs. Open"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e67747","DOI":"10.2196\/67747","article-title":"Integrating Nurse Preferences Into AI-Based Scheduling Systems: Qualitative Study","volume":"9","author":"Renggli","year":"2025","journal-title":"JMIR Form. Res."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Virgillito, D., Catalfo, P., and Ledda, C. (2025). Wearables in Healthcare Organizations: Implications for Occupational Health, Organizational Performance, and Economic Outcomes. Healthcare, 13.","DOI":"10.3390\/healthcare13182289"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Virgillito, D., and Ledda, C. (2025). The Impact of Organizational Dysfunction on Employees\u2019 Fertility and Economic Outcomes: A Scoping Review. Adm. Sci., 15.","DOI":"10.20944\/preprints202510.1411.v1"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Ehnert, I. (2009). Sustainable Human Resource Management, Physica-Verlag HD. Contributions to Management Science.","DOI":"10.1007\/978-3-7908-2188-8"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Savanevi\u010dien\u0117, A., Girdauskien\u0117, L., and Stankevi\u010di\u016bt\u0117, \u017d. (2025). The Role of HRM Practices in Shaping a Positive Psychosocial Experience of Employees: Insights from the SCARF Model. Sustainability, 17.","DOI":"10.3390\/su17104528"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"106","DOI":"10.36401\/JQSH-22-12","article-title":"The Magnet Recognition Program and Quality Improvement in Nursing","volume":"5","author":"Abuzied","year":"2022","journal-title":"Glob. J. Qual. Saf. Healthc."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/01.NNR.0000280657.04008.2a","article-title":"Essentials of a Productive Nurse Work Environment","volume":"57","author":"Schmalenberg","year":"2008","journal-title":"Nurs. Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/01.NAJ.0000681648.48249.16","article-title":"Original Research: How Magnet Hospital Status Affects Nurses, Patients, and Organizations: A Systematic Review","volume":"120","year":"2020","journal-title":"AJN Am. J. Nurs."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/00126450-200304000-00002","article-title":"The Interrelationship of Organizational Characteristics of Magnet Hospitals, Nursing Leadership, and Nursing Job Satisfaction","volume":"22","author":"Upenieks","year":"2003","journal-title":"Health Care Manag."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"366","DOI":"10.5465\/annals.2018.0174","article-title":"Algorithms at Work: The New Contested Terrain of Control","volume":"14","author":"Kellogg","year":"2020","journal-title":"Acad. Manag. Ann."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"20539517221089305","DOI":"10.1177\/20539517221089305","article-title":"Social Impacts of Algorithmic Decision-Making: A Research Agenda for the Social Sciences","volume":"9","author":"Gerdon","year":"2022","journal-title":"Big Data Soc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"100324","DOI":"10.1016\/j.clrc.2025.100324","article-title":"Governing Circular Intelligence: How AI-Driven Policy Tools Can Accelerate the Circular Economy Transition","volume":"19","author":"Munonye","year":"2025","journal-title":"Clean. Responsible Consum."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Virgillito, D., and Ledda, C. (2026). Personalized AI for Workplace Health Promotion: Performance Management and Healthcare Worker Engagement through Digital Analytics. Front. Public Health, 13.","DOI":"10.3389\/fpubh.2025.1718474"},{"key":"ref_22","first-page":"100705","article-title":"Common Good HRM: A Paradigm Shift in Sustainable HRM?","volume":"30","author":"Aust","year":"2020","journal-title":"Hum. Resour. Manag. Rev."}],"container-title":["Systems"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2079-8954\/14\/2\/168\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T09:20:24Z","timestamp":1770196824000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2079-8954\/14\/2\/168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,4]]},"references-count":22,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["systems14020168"],"URL":"https:\/\/doi.org\/10.3390\/systems14020168","relation":{},"ISSN":["2079-8954"],"issn-type":[{"value":"2079-8954","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,4]]}}}