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The case data are from a mix of secondary sources, which included company documents, webpages and blogposts, autobiographies co-written by Schultz, newspaper stories, news media and other publicly available videos, magazine articles, photographs of signed unionization statements, and webinar interview.

In late autumn 2021, the global retail coffee and foodservice company Starbucks dealt with employees at a few USA stores who initiated unionization efforts in an attempt to change their workplace. Their actions triggered a wave of similar attempts at Starbucks stores across the USA over the next few years. Employees amplified their voices on social media, stating both their love for the company and their disenfranchisement. They claimed to have little input about policies and workplace decisions that affected them and that leadership had not heard or adequately responded to concerns with staffing, safety, equipment, and abusive customers. Walkouts were staged and employees at numerous stores pursued unionization. In 2023, Laxman Narasimhan replaced Howard Schultz as CEO. His tenure started with the challenge of reengaging employees who claimed their collective voice was unheard by leadership Readers will consider what employee voice means in the context of baristas working for a large corporation, and how their emotions, commitment to and respect for the organization, and their desire to be heard, related to efforts to unionize and maintain employment.

This case can be used as a unit review to cover several organizational behavior topics or can be used with specific concepts for graduate or undergraduate students. The placement within the semester plan depends on which unit/concepts the instructor will pair with it, such as emotions in the workplace, a module on loyalty, voice and exit, or the introduction of employee voice and engagement. It can also be used in conjunction with cross-level concepts such as trust and leadership. For courses focused on talent management, employee relations, or human resource development, the case could be used to introduce multiple concepts or as a concluding assessment. It would best pair with topics such as employee satisfaction, exit, voice and loyalty, inclusive decision-making or emotions in the workplace. For a course in labor relations, the case could introduce the idea that employees’ experiences, emotions, and perceptions may be related to efforts to unionize.

This case was based on both primary and secondary data. In-depth semidirected interviews were conducted in 2021–2022 after receiving the institutional research board approval. The interviews took an approximate time ranging from 90 to 120 min. They were recorded and transcribed. A thematic analysis was undertaken to identify the most relevant themes for the case. The secondary sources used included various websites, scholarly and trade journals, as well as specific databases, such as Statista.

The case exposes students in multiple disciplines to the challenges created by the COVID-19 crisis at Yale School of Medicine (YSM). It describes its remarkable effects on organizational and community members as they struggled to reimagine more inclusive and supportive spaces. As one of the most severe crises humanity has ever witnessed, COVID-19 exacerbated the existing struggles of the underrepresented communities, creating a double pandemic. It has also amplified inequities among marginalized groups including black, indigenous and people of color; women; immigrants; lesbian, gay, bisexual, transgender, queer/questioning; people with different abilities; working parents; single parents; religious minorities; and people with low income. When COVID-19 hit in 2020, Yale University School of Medicine (YSM), like other pioneering schools in the field of health care, doubled their efforts to face both the public health crisis and the substantial social turmoil (racial tensions after the death of George Floyd, food insecurity, vaccine resistance, social inequalities, etc.). Professor Marietta Vazquez, MD, who was the first Latina to be named Associate Dean for Medical Students Diversity at YSM, launched with Dr Latimore (Chief Diversity Officer) and her other colleagues many strategic initiatives aiming at improving the diversity, equity and inclusion of organizational and community members.

The case is an invitation to graduate students and students in executive education programs to reflect on the grand challenges leaders faced at YSM as well as in other institutions across the nation and the globe. It is also a call to reimagine ways leaders can accelerate the pace of change in their organizational ecosystems.

This case was written for use in graduate-level courses, including executive education dealing with Diversity, Equity, Inclusion and Belonging, Leadership and Change, Health-Care Equity/Policy, Health Sciences, Human Resource Management, Organizational Behavior, Crisis Management, Sustainability, Business and Society, Social Issues in Management, Strategy, etc. Faculty members can easily adapt the case to fit the content of the course they teach, the students’ context as well as the specific learning outcomes to be achieved.