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" ... One approach that MSF is piloting to address this problem is by shifting from a hierarchy to a holarchy, where there are no designated line managers, instead "support managers" are nominated by their peers to provide HR support to 3 - 6 of their peers. They are also trying to encourage staff to switch off after work and detach from their job, but a proper separation between work and home life will only be achieved if MSF can find ways to mitigate stress, which is heavily linked to its organizational culture. ... "