Purpose - This study examines the relationships of self-efficacy and compassionate leadership with employee voice behaviour and investigates the mediating role of employee well-being among female nurses and midwives in East Kalimantan, Indonesia. Drawing on the desire fulfillment perspective, the study integrates personal and social resources in explaining constructive employee voice. Design/methodology/approach - A quantitative cross-sectional survey was conducted among 240 female nurses and midwives selected through purposive sampling. Data were collected using online and offline questionnaires between January and August 2025 and analysed using partial least squares structural equation modelling (PLS-SEM) with SmartPLS. Finding/Results - Self-efficacy and compassionate leadership are positively associated with employee well-being and employee voice behaviour, while employee well-being is positively associated with voice behaviour. Employee well-being shows significant indirect relationships linking both self-efficacy and compassionate leadership with employee voice behaviour. Because the corresponding direct and indirect relationships remain significant and operate in the same positive direction, the observed pattern is consistent with complementary partial mediation in both pathways. Originality/Value - This study integrates self-efficacy as a personal resource and compassionate leadership as a social resource within a single model of employee voice. The observed relationships are consistent with the desire fulfillment perspective, with employee well-being representing an intervening statistical pathway linking these resources with constructive voice behaviour among female nurses and midwives in healthcare settings.
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