The impact of diversity, equity, inclusivity, and belongingness on employee retention in private hospitals in Chennai: An empirical study
-
DOIhttp://dx.doi.org/10.21511/ppm.23(3).2025.45
-
Article InfoVolume 23 2025, Issue #3, pp. 631-644
- 10 Views
-
1 Downloads
This work is licensed under a
Creative Commons Attribution 4.0 International License
Type of the article: Research Article
Abstract
Increasing demographic diversity and shortages in labor necessitate healthcare organizations to establish inclusive workspaces that promote retention. In a dynamic and diverse labor market, this study evaluates how diversity, equity, inclusivity, and belongingness influence employee retention in multispecialty hospitals in Chennai, a major healthcare center in South India. A standardized questionnaire was administered to collect data from 247 physicians, who represent a critical group within the hospital between January and March 2025. The data were analyzed using structural equation modeling to examine direct and indirect relationships. The findings indicate that diversity, equity, inclusivity, and belongingness practices have a substantial and positive impact on employee retention (β = 0.700, 0.784, 0.410; p = 0.000), thereby improving the overall well-being of employees. It is worth noting that the inclusion-specific strategies implemented within this framework did not have any statistically significant effects (β = 0.095; p = 0.459) on retention. Also, well-being played a significant role in mediating the relationship between diversity, equity, inclusivity, and belongingness practices and retention (β = 0.411; p = 0.000). Furthermore, the individual mediation paths revealed statistically significant results (β = 0.228, 0.371, 0.189, 0.167; p = 0.010, 0.001, 0.003, 0.002). Higher organizational commitment has a positive impact since it has been shown to moderate the relationship between retention and well-being (β = 0.076; p < 0.01). In addition to contributing to the expanding corpus of literature on urban healthcare settings, findings may help policymakers enhance workforce stability through more equitable and inclusive organizational practices.
- Keywords
-
JEL Classification (Paper profile tab)M14, J71, M12, J53
-
References58
-
Tables11
-
Figures1
-
- Figure 1. Conceptual research framework
-
- Table 1. Measurement scales
- Table 2. Demographic characteristics
- Table 3. Factor loadings, AVE, CR, and Cronbach’s alpha
- Table 4. Reliability
- Table 5. Discriminant validity (Fornell-Larcker)
- Table 6. Sampling adequacy
- Table 7. Model estimation
- Table 8. Statistical analysis (Direct effects)
- Table 9. Statistical analysis (Indirect effects)
- Table 10. Moderator testing
- Table A1. Questionnaire
-
- Afota, M.-C., Ollier-Malaterre, A., & Vandenberghe, C. (2024). The development of blended friendship in high leader-member exchange relationships: Mechanisms and consequences of a relational shift. Organizational Psychology Review, 14(4), 519-541.
- Allen, N. J., & Meyer, J. P. (1990). The measurement and antecedents of affective, continuance and normative commitment to the organization. Journal of Occupational Psychology, 63(1), 1-18.
- Amin, Z., & Akbar, K. P. (2013). Analysis of psychological well-being and turnover intentions of hotel employees: An empirical study. International Journal of Innovation and Applied Studies, 3(3), 662-671.
- Andreasson, I., Ohlsson, L., & Assarson, I. (2015). Operationalizing equity: The complexities of equity in practice. Education, Citizenship and Social Justice, 10(3), 266-277.
- Arora, L., Bhujang, P. M., & Sivakami, M. (2022). Understanding discrimination against LGBTQIA+ patients in Indian hospitals using a human rights perspective: an exploratory qualitative study. Sexual and Reproductive Health Matters, 29(2), 2104678.
- Ashikali, T., & Groeneveld, S. (2015). Diversity management in public organizations and its effect on employees’ affective commitment: The role of transformational leadership and the inclusiveness of the organizational culture. Review of Public Personnel Administration, 35(2), 146-168.
- Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497-529.
- Brimhall, K. C., Lizano, E. L., & Mor Barak, M. E. (2014). The mediating role of inclusion: A longitudinal study of the effects of leader–member exchange and diversity climate on job satisfaction and intention to leave among child welfare workers. Children and Youth Services Review, 40, 79-88.
- Bulut, C., & Culha, O. (2010). The effects of organizational training on organizational commitment: Organizational training and organizational commitment. International Journal of Training and Development, 14(4), 309-322.
- Carmeli, A., & Weisberg, J. (2006). Exploring turnover intentions among three professional groups of employees. Human Resource Development International, 9(2), 191-206.
- Colquitt, J. A. (2001). On the dimensionality of organizational justice: A construct validation of a measure. The Journal of Applied Psychology, 86(3), 386-400.
- Cox, T. H., & Blake, S. (1991). Managing cultural diversity: Implications for organizational competitiveness. The Academy of Management Perspectives, 5(3), 45-56.
- Crawford, J., Allen, K.-A., Sanders, T., Baumeister, R., Parker, P., Saunders, C., & Tice, D. (2024). Sense of belonging in higher education students: An Australian longitudinal study from 2013 to 2019. Studies in Higher Education, 49(3), 395-409.
- Cropanzano, R., Bowen, D. E., & Gilliland, S. W. (2007). The management of organizational justice. The Academy of Management Perspectives, 21(4), 34-48.
- Diener, E., & Ryan, K. (2009). Subjective well-being: A general overview. Suid-Afrikaanse Tydskrif Vir Sielkunde [South African Journal of Psychology], 39(4), 391-406.
- Dobbin, F., & Kalev, A. (2018). Why doesn’t diversity training work? The challenge for industry and academia. Anthropology Now, 10(2), 48-55.
- Dover, T. L., Kaiser, C. R., & Major, B. (2020). Mixed signals: The unintended effects of diversity initiatives. Social Issues and Policy Review, 14(1), 152-181.
- Downey, S. N., van der Werff, L., Thomas, K. M., & Plaut, V. C. (2015). The role of diversity practices and inclusion in promoting trust and employee engagement: Diversity practices and engagement. Journal of Applied Social Psychology, 45(1), 35-44.
- Eisenberger, R., Huntington, R., Hutchison, S., & Sowa, D. (1986). Perceived organizational support. The Journal of Applied Psychology, 71(3), 500-507.
- Ely, R. J., & Thomas, D. A. (2001). Cultural diversity at work: The effects of diversity perspectives on work group processes and outcomes. Administrative Science Quarterly, 46(2), 229-273.
- Ferdman, B. M. (2013). The practice of inclusion in diverse organizations. In Diversity at work: The practice of inclusion (pp. 3-54). San Francisco: John Wiley & Sons, Inc.
- Firth, L., Mellor, D. J., Moore, K. A., & Loquet, C. (2004). How can managers reduce employee intention to quit? Journal of Managerial Psychology, 19(2), 170-187.
- Gotsis, G., & Grimani, K. (2016). The role of servant leadership in fostering inclusive organizations. Journal of Management Development, 35(8), 985-1010.
- Govaerts, N., Kyndt, E., Dochy, F., & Baert, H. (2011). Influence of learning and working climate on the retention of talented employees. The Journal of Workplace Learning, 23(1), 35-55.
- Greenberg, J. (1990). Organizational justice: Yesterday, today, and tomorrow. Journal of Management, 16(2), 399-432.
- Hagerty, B. M., Lynch-Sauer, J., Patusky, K. L., Bouwsema, M., & Collier, P. (1992). Sense of belonging: Vital mental health concept. Archives of Psychiatric Nursing, 6(3), 172-177.
- Harden, G., Boakye, K. G., & Ryan, S. (2018). Turnover intention of technology professionals: A social exchange theory perspective. Journal of Computer Information Systems, 58(4), 291-300.
- Hlanganipai, N., & Mazanai, M. (2014). Career management practices: Impact of work design on employee retention. Mediterranean Journal of Social Sciences, 5(4).
- Hogan, T. H., O’Rourke, B. P., Weeks, E., Silvera, G. A., & Choi, S. (2023). Top-level leaders and implementation strategies to support organizational diversity, equity, inclusion, and belonging (DEIB) interventions: A qualitative study of top-level DEIB leaders in healthcare organizations. Implementation Science, 18(1), Article 59.
- Jafino, B. A., Kwakkel, J. H., & Taebi, B. (2021). Enabling assessment of distributive justice through models for climate change planning: A review of recent advances and a research agenda. Wiley Interdisciplinary Reviews. Climate Change, 12(4), Article e721.
- Joseph, T. M., Kar Mahapatra, D., Esmaeili, A., Piszczyk, Ł., Hasanin, M. S., Kattali, M., Haponiuk, J., & Thomas, S. (2023). Nanoparticles: Taking a unique position in medicine. Nanomaterials, 13(3), Article 574.
- Kennedy, E., & Daim, T. U. (2010). A strategy to assist management in workforce engagement and employee retention in the high tech engineering environment. Evaluation and Program Planning, 33(4), 468-476.
- Khan, M., Khan, H., Khan, S., & Nawaz, M. (2020). Epidemiological and clinical characteristics of coronavirus disease (COVID-19) cases at a screening clinic during the early outbreak period: A single-centre study. Journal of Medical Microbiology, 69(8), 1114-1123.
- Kundu, S. C., & Lata, K. (2017). Effects of supportive work environment on employee retention: Mediating role of organizational engagement. International Journal of Organizational Analysis, 25(4), 703-722.
- Kundu, S.C., & Mor, A. (2017). Workforce diversity and organizational performance: A study of IT industry in India. Employee Relations, 39(2), 160-183.
- Kuvaas, B. (2006). Performance appraisal satisfaction and employee outcomes: Mediating and moderating roles of work motivation. The International Journal of Human Resource Management, 17(3), 504-522.
- Malone, C. M., & Harper, E. A. (2022). Liberatory mentoring as an inclusion strategy for racial and ethnic minoritized students. School Psychology Training and Pedagogy, 39(2), 1-13.
- Malone, G. P., Pillow, D. R., & Osman, A. (2012). The General Belongingness Scale (GBS): Assessing achieved belongingness. Personality and Individual Differences, 52(3), 311-316.
- Meyer, J. P., & Allen, N. J. (1991). A three-component conceptualization of organizational commitment. Human Resource Management Review, 1(1), 61-89.
- Mor Barak, M. E., Lizano, E. L., Kim, A., Duan, L., Rhee, M. K., Hsiao, H. Y., & Brimhall, K. C. (2016). The promise of diversity management for climate of inclusion: A state-of-the-art review and meta-analysis. Human Service Organizations: Management, Leadership & Governance, 40(4), 305-333.
- Mowday, R. T., Steers, R. M., & Porter, L. W. (1979). The measurement of organizational commitment. Journal of Vocational Behavior, 14(2), 224-247.
- Neininger, A., Lehmann-Willenbrock, N., Kauffeld, S., & Henschel, A. (2010). Effects of team and organizational commitment – A longitudinal study. Journal of Vocational Behavior, 76(3), 567-579.
- Nishii, L. H. (2013). The benefits of climate for inclusion for gender-diverse groups. Academy of Management Journal, 56(6), 1754-1774.
- Page, S. E. (2007). Making the difference: Applying a logic of diversity. The Academy of Management Perspectives, 21(4), 6-20.
- Patrick, H. A., & Kumar, V. R. (2012). Managing workplace diversity: Issues and challenges. SAGE Open, 2(2).
- Person, S. D., Jordan, C. G., Allison, J. J., Fink Ogawa, L. M., Castillo-Page, L., Conrad, S., Nivet, M. A., & Plummer, D. L. (2015). Measuring diversity and inclusion in academic medicine: The Diversity Engagement Survey. Academic Medicine: Journal of the Association of American Medical Colleges, 90(12), 1675-1683.
- Randel, A. E., Galvin, B. M., Shore, L. M., Ehrhart, K. H., Chung, B. G., Dean, M. A., & Kedharnath, U. (2018). Inclusive leadership: Realizing positive outcomes through belongingness and being valued for uniqueness. Human Resource Management Review, 28(2), 190-203.
- Raza, S. A., Qazi, W., Khan, K. A., & Salam, J. (2021). Social isolation and acceptance of the Learning Management System (LMS) in the time of COVID-19 Pandemic: An expansion of the UTAUT model. Journal of Educational Computing Research, 59(2), 183-208.
- Richman, A. L., Civian, J. T., Shannon, L. L., Jeffrey Hill, E., & Brennan, R. T. (2008). The relationship of perceived flexibility, supportive work–life policies, and use of formal flexible arrangements and occasional flexibility to employee engagement and expected retention. Community, Work & Family, 11(2), 183-197.
- Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52(1), 141-166.
- Sabharwal, M. (2014). Is diversity management sufficient? Organizational inclusion to further performance. Public Personnel Management, 43(2), 197-217.
- Sakka, G., & Ahammad, M. F. (2020). Unpacking the relationship between employee brand ambassadorship and employee social media usage through employee wellbeing in workplace: A theoretical contribution. Journal of Business Research, 119, 354-363.
- Saraih, U. N., Aris, A. Z. Z., Karim, K. M., Samah, I. H. A., Sa’aban, S., & Mutalib, S. A. (2017). Relationships between organizational commitment, OCB, organizational justice and turnover intention: Evidence from educational institution in Malaysia. Review of Integrative Business and Economics Research, 6(2), 64-77.
- Sawang, S., & Kivits, R. A. (2014). Greener workplace: understanding senior management’s adoption decisions through the Theory of Planned Behaviour. Australasian Journal of Environmental Management, 21(1), 22-36.
- Scanlan, J. N., Meredith, P., & Poulsen, A. A. (2013). Enhancing retention of occupational therapists working in mental health: Relationships between wellbeing at work and turnover intention. Australian Occupational Therapy Journal, 60(6), 395-403.
- Shore, L. M., Cleveland, J. N., & Sanchez, D. (2018). Inclusive workplaces: A review and model. Human Resource Management Review, 28(2), 176-189.
- Shore, L. M., Randel, A. E., Chung, B. G., Dean, M. A., Holcombe Ehrhart, K., & Singh, G. (2011). Inclusion and diversity in work groups: A review and model for future research. Journal of Management, 37(4), 1262-1289.
- Zheng, X., Zhu, W., Zhao, H., & Zhang, C. (2015). Employee well-being in organizations: Theoretical model, scale development, and cross-cultural validation: Employee well-being in organizations. Journal of Organizational Behavior, 36(5), 621-644.