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In this viewpoint article, the authors recognize the increased focus in health systems on co-design for innovation and change. This article explores the role of leaders and mangers in developing and enhancing a culture of trust in their organizations to enable co-design, with the potential to drive innovation and change in healthcare.

Using social science analyses, the authors argue that current co-design literature has limited focus on interactions between senior leaders and managers, and healthcare staff and service users in supporting co-designed innovation and change. The authors draw on social and health science studies of trust to highlight how the value-based co-design process needs to be supported and enhanced. We outline what co-design innovation and change involve in a health system, conceptualize trust and reflect on its importance within the health system, and finally note the role of senior leaders and managers in supporting trust and responsiveness for co-designed innovation and change.

Healthcare needs leaders and managers to embrace co-design that drives innovation now and in the future through people – leading to better healthcare for society at large. As authors we argue that it is now the time to shift our focus on the role of senior managers and leaders to embed co-design into health and social care structures, through creating and nurturing a culture of trust.

Building public trust in the health system and interpersonal trust within the health system is an ongoing process that relies upon personal behavior of managers and senior leaders, organizational practices within the system, as well as political processes that underpin these practices. By implementing managerial, leadership and individual practices on all levels, senior managers and leaders provide a mechanism to increase both trust and responsiveness for co-design that supports innovation and change in the health system.

The purpose of this study is to analyze the potential mediating role of employee engagement in the relationship between gratitude and subjective well-being (SWB) of employees working in the information technology (IT) sector in India. The study investigated a moderated mediation model for gratitude and SWB, treating employee engagement as a mediator and gender as a moderator.

Data was collected from 162 professionals working IT sector in India. Process Macro, AMOS and IBM SPSS 22 were used to analyze the mediation and moderation effects.

The results depicted that employee engagement fully mediates the positive association between gratitude practice and the SWB of employees as well as the demographic variable; gender also demonstrated a full moderation effect between them.

This research may be one of the few studies from the Indian context that explore whether gratitude practiced by employees working in the IT sector can play a significant role in impacting their SWB. Past research models had not introduced employee engagement’s indirect impact on the examined variables.