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International Journal of Mechanical Engineering and Technology (IJMET)
Volume 9, Issue 2, February 2018, pp. 161–172 Article ID: IJMET_09_02_016
Available online at http://www.iaeme.com/IJMET/issues.asp?JType=IJMET&VType=9&IType=2
ISSN Print: 0976-6340 and ISSN Online: 0976-6359
© IAEME Publication Scopus Indexed
ROLE OF LEADERSHIP ON EMPLOYEE
RETENTION –A STUDY ON CORPORATE
HOSPITALS
Dr. K.S.Sekhara Rao
Associate Professor, KLU Business School, Koneru Lakshmaiah Education Foundation,
Vaddeswaram, Guntur, Andhra Pradesh, India
Ch. Sahyaja
Research Scholar, KLU Business School, Koneru Lakshmaiah Education Foundation,
Vaddeswaram, Guntur, Andhra Pradesh, India
P.Akhil
MBA student, KLU Business School, Koneru Lakshmaiah Education Foundation,
Vaddeswaram, Guntur, Andhra Pradesh, India
N.Lakshmi Narasimha
MBA student, KLU Business School, Koneru Lakshmaiah Education Foundation,
Vaddeswaram, Guntur, Andhra Pradesh, India
ABSTRACT
The study aims to link the concepts of rewards and recognition, career
enhancement, performance appraisal and it empirically demonstrated the factors
affecting employee retention. The study is conducted in the context of factors affecting
employee retention with reference to Ramesh Hospitals in Vijayawada. Based on
theoretical aspects, 200 employees were surveyed and took their opinion pertaining to
retention of employees. Further Chi-Square test is used to establish the relationship
between various factors and employee retention. The study shows that, rewards and
recognition, career enhancement, performance appraisal is directly influence
retention of employees which is proved by the results of the hypotheses testing
presented in the study. Finally, the study suggested that, effective rewarded system,
proper career advancement plan required for the organisation to retain the
employees.
Keywords: Rewards and Recognition, Career Enhancement, Performance Appraisal,
Employee Retention, Hospital.
Dr. K.S.Sekhara Rao, Ch. Sahyaja, P.Akhil and N.Lakshmi Narasimha
http://www.iaeme.com/IJMET/index.asp 162 [email protected]
Cite this Article: Dr. K.S.Sekhara Rao, Ch. Sahyaja, P.Akhil and N.Lakshmi
Narasimha, Role of Leadership on Employee Retention –A study on Corporate
Hospitals, International Journal of Mechanical Engineering and Technology 9(2),
2018. pp. 161–172.
http://www.iaeme.com/IJMET/issues.asp?JType=IJMET&VType=9&IType=2
1. INTRODUCTION
Employee retention is one of the most critical issues that every organisation and its managers
are struggling with and looking for a solution. Every year large amount of money is spend by
IT firms for hiring, training and developing their employees to keep pace with demand of new
skills in the market. National Association of Software and Services Companies says that,
training cost is increasing at a rate of 3-4% every year. Thus it is vital for organisations to
engage employee‟s right from the point they step into their organisation. Also crucial for
managers to develop strategies by means of which retention of the talented employees in the
service of their organisations is possible. Some underlining facts for retention are:
Employee turnover is costly. Replacement of an average employee costs 20% more
than the annual salary of the employee, whereas, replacement of a crucial position can
fetch organisation up to 213% of the employee's annual salary, which is a huge cost.
Increased hiring and on-boarding cost of the new employee as management has to re-
invest time and money in the process.
Loss of productivity as the new person would take time to get adjusted in the new
culture, learn the new job and perform proficiently.
Cultural impact. Direct leaders and their leadership styles, play a vital role in
employee retention. They are the one who drives organisations through various
challenges and hardships and help business to succeed in the competitive environment.
The skills and styles they use are inimitable and therefore, it's time that organisations
understand the role of direct leaders and their characteristics in retention of employees.
According to Jim Collins, Employee retention is “The organizations want to hold the
valued employees. Many approaches are used in this regard. The one approach sees
success in rewards the second in making jobs more valuable (training and
advancement)”. The cultural effects were stronger than the combined influences of the
labour market and the new employees‟ demographic characteristics”. Anderson
(2015), the findings revealed that, retention is positively correlated with leadership
(transformational and transactional). Nair & Malewar (2013) revelled that, the
association between leadership and its impact on employee work-life and employee
retention
2. REVIEW OF LITERATURE
According to Hedberg, Lisa (2007), Leaders and their skill in creating a culture of retention,
has becoming a key in why people stay and what usually drives them away from a company.
The leader has become the main factor in what motivates people‟s decision to stay or leave.
For organizations to keep its key employees their number one priority should be to look at
their management, because people leave managers and not companies. Characteristics in a
leader that are of importance, as the leader plays a key role in retention management is: trust
builder, esteem builder, communicator, talent developer and coach, and talent finder. The
leader‟s relation to the employees plays a central role in retaining employees, because
employees need to feel involvement, and that their presence count. When retention is a core
value, good things happen for customers, employees, and the company. The reasons why
employees voluntary leave organizations are many, in accordance with Mitchell et al (2001:
Role of Leadership on Employee Retention –A study on Corporate Hospitals
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96), people often leave for reasons unrelated to their jobs: Personal risk, Desire to learn a new
skill, Trade, An unsolicited job offer, Unexpected events or shocks: - unfair treatment of a co-
worker being passed over for promotion being asked to do something against one‟s beliefs.
On both the individual level and the organizational level, turnover imposes extensive costs
according to Mitchell et al (2001). According to researchers in Taylor‟s (2002) article, there is
one particular factor that motivates people‟s decision to stay or leave. Leaders and their skill
in creating a culture of retention are emerging as the key in why people stay and what usually
drives them away.
Knowledge retention is an issue that is challenging organizations all over the world
according to Young (2006). Knowledge retention takes time, skill, and resources. To ensure
effective knowledge retention in an organization is crucial, so that valuable knowledge assets
do not disappear. Seven hidden reasons why employees leave are according to Branham
(2005): lack of recognition (including low pay), unfulfilling jobs, limited career advancement,
poor management practices, untrustworthy leadership, and dysfunctional work cultures. The
job or workplace was not as expected, the mismatch between job and person, too little
coaching and feed-back, too few growth and advancement, Feeling devaluated and
unrecognized, Stress from overwork and work-life, Loss of trust and confidence in senior.
The work market and work tasks changes fast nowadays (Capotondi, 2002). Therefore it is
important to think in the long-term when it comes to recruitment, find the right employees,
recruit them, and motivate them to stay in the company. Boëthius & Ehdin (1993) discuss the
internal and external motivation. The external motivation gives the possibility to push from
behind, and at the same time entice from the front with rewards. This motivation will increase
the expectations of bigger rewards. The internal motivation is firmly rooted in the person and
what he/she find meaningful. According to Dr. Puja Sareen(2016), Research highly
recommends to explore other factors of human resource management practices such as
compensation scheme, general policy, training and development opportunities. These factors
will affect the level of satisfaction of employees that may trigger employees‟ turnover. Thus,
it concludes that leadership styles have no significant effect on turnover intention.
Adedamola Adekanbi Favour(2016),the study revealed that leadership style has a moderate
significance on employee retention and that the transactional leadership style best encourages
employee retention. Leadership style is said to be an important factor of employee retention
amongst other factors such as career growth, interpersonal relationships with co-workers and
pay (Bhatnagar, 2007) and previous research has found that a relationship exists between
leadership style and employee retention (Kleinman, 2004; Masibigiri and Nienaber, 2011).
Kyndt, Dochy & Baert (2010), takes into account both organisational and employee
factors that influence employee retention and aims at investigating these factors. Oladapo
(2014) said that, a thorough research on talent management programs and the reasons behind
their success had been done. The study revealed various other variables that affect the
retention of talent and why some of the companies feel investing in talent management
programs is worthless. A well planned career path and opportunities for advancement at work
when given to an employee, helps retaining him. Thus it is important for organisations to
understand the basic need of each and every individual which acts as a motivating force and
through fulfilment of this need they can engage employees in a better way. Management
support plays a crucial role in all this. Caldwell & Dixon (2010), study is based on three
variables which are ownership, commitment and initiative. The front-line leaders play a major
role in inspiring and motivating their immediate subordinates. These leaders provide an
extended help to employees so that they grow and develop themselves to be the best in the
organisation.
Dr. K.S.Sekhara Rao, Ch. Sahyaja, P.Akhil and N.Lakshmi Narasimha
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According to Chully & Sandhya (2012) found that, transformational leadership style
significantly influences many individual and organizational variables like job satisfaction,
organizational commitment, psychological well-being etc., towards positive organizational
outcomes irrespective of the location of the study. It implies that, leaders in today‟s
organizations have to consider imbibing transformational leadership behaviours in order to
become more effective in their trade. Negussie & Demissie (2013), identified notable
relationship between contingent reward and job satisfaction. This was the only dimension in
transactional leadership which turned up to have a relation with satisfaction. However, all five
attributes of transformational leadership depicted a healthy relation with satisfaction on job.
The study identifies some of the leadership styles prevalent in organization. It includes
transformational, transactional and passive leadership styles.
A high Pearson Correlation Coefficient of 0.794 determined in this study suggests that
transformational leadership style is the best leadership style that should be adopted by the
leaders of the companies in IT industry to curb with the prevailing high attrition rates.
Favourable leadership practices should be embraced in every organisation to enhance
retention of employees since leaders have an influence on plethora of organizational factors
which affect retention (Horton, 2015; James and Mathew, 2012), High employee turnover will
have a negative effect on the sustained growth and development of any organisation and
especially, in the IT industry which is a key driver of any nation‟s economy. IT industry has
Increase in the loss of talent, loss of job commitment, low employee morale and high
employee turnover. The two concepts leadership and management are closely related as one
must be able to manage in order to lead (Gwavuya, 2011). While management is concerned
with the planning, controlling and development of an organisation‟s resources, leadership is
about the alignment of people to the vision of an organisation (Wakabi, 2016). The concept of
leadership has evolved over the years from the 1940s to the 21st Century. According to Bass
and Bass (2008), in the 1940s, leadership was seen as the ability to persuade and direct as a
result of the influence of power and position and in the 21st century, leadership is seen as one
in which a leader is said to be the most responsible and accountable for the actions of an
organisation.
According to Bass and Bass (2008) the effectiveness of a leader is measured objectively in
terms of absenteeism, complaints, and request for transfers, slowdown of work and of course
turnover. According to Armstrong (2012), a leadership style is the approach used by managers
to exercise their leadership function. The transactional and transformational leadership styles
are the current leadership organisational styles. According to Rees and French (2013), the two
leadership styles are associated with a society that no longer accepts the use of authority as a
form of command. Transformational leadership has an effect on the level of employee
commitment to an organisation (Bycio, Hackett and Allen, 1995; Rehman and Waheed,
2012). This is to say that transformational leadership impacts employee commitment.
According to Applebaum et al. (2003) employees who are committed to their work will be
more likely to remain in an organisation. This suggests that the transformational leadership
style aids employee commitment which in turn encourages retention. According to Bycio et
al., (1995) transformational leadership has an important influence in helping to reduce the
intention to leave an organisation. Management by exception is referred to as “a corrective
transaction” (Bass and Bass 2008, p.624). It could be either passive or active. If active, the
leader monitors the mistakes, errors and then employs some corrective measures; if passive,
the leader takes no corrective action. Corrective actions could come in the form of negative
feedback, reproof, disapproval, or disciplinary action.
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2.1. Research Problem
As there is a rapid growth in the hospital and health care sector in the recent years that shows
that, there are many opportunities to leave the job and join in other organization. Moreover
healthcare is one which generates and contributes to GDP and research says that 60% of
overall opportunities are from hospital and health care sector.
As the number of hospitals from other nations are merging and acquiring with locally
available hospitals so, there is chance of high attrition thereby this study find the problem of
declined productivity and profit margins due to high employee attrition. There is a need to
implement best practices for retention, which helps to retain employees with the organization.
2.2. Importance of the Study
Employee Retention refers to the techniques employed by the management to help the
employees stay with the organization for a longer period of time. Employee retention
strategies go a long way in motivating the employees so that, they stick to the organization for
the maximum time and contribute more effectively. Sincere efforts must be taken to ensure
growth and learning for the employees in their current assignments and for them to enjoy their
work.
2.3. Objectives of the Study
1. To study the factors influencing the employee retention.
2. To study the role of a leader on employee retention
3. To study the strategies that a leader can implement to retain employees
4. To identify either transactional leadership or transformational leadership style best
encourages employee retention.
2.4. Research Methodology
The study is undertaken to access the factors affecting Employee Retention. The structured
questionnaire was designed for the study to collect the data. It consists of relevant
questionnaire on likert scale. Information required for the project is mainly primary data. The
information was collected by survey method from employees of all levels. Secondary data is
collected from the company journals, magazines, brochures & websites. The survey was done
in Vijayawada & Guntur. Sample frame/unit is from employees at all the levels. Population is
2100 Employees the total sample size is 200. The random sampling method was used. The
data was presented through percentage analysis, Chi-square test.
3. HYPOTHESIS TESTING
H1: There is a significant relationship between Performance Appraisal and Employee
Retention.
H2: There is a significant relationship between Career Growth and Employee Retention.
H3: There is a significant relationship between Reward & Recognition and Employee
Retention
Dr. K.S.Sekhara Rao, Ch. Sahyaja, P.Akhil and N.Lakshmi Narasimha
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4. DATA ANALYSIS & INTERPRETATION
The study data analysis is presented below by using the frequency tables and graphs.
Table 1 Table showing the level of job satisfaction
Frequency Percent
Valid
Percent
Cumulative
Percent
Very Low 8 4 4 4
Low 22 11 11 15
Neutral 74 37 37 52
High 64 32 32 84
Very High 32 16 16 100
Total 200 100 100
Figure 1 Diagram showing the level of job satisfaction
The above figure shows that, the percentages of the level of job satisfaction opined by the
respondents. according to their opinions majority of the respondents are neutral (37 percent)
32 percent respondents opined level of satisfaction is high.
Table 2 Table showing the satisfaction with the working hours
Frequ
ency Percent
Valid
percent
Cumulative
percent
Very low 23 11.5 11.5 11.5
Low 22 11 11 22.5
Neutral 75 37.5 37.5 60
High 56 28 28 88
Very High 24 12 12 100
Total 200 100 100
Very Low 4% Low
11%
Neutral 37%
High 32%
Very High 16%
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Figure 2 Diagram shows the Frequency of working hours in hospital
Testing of Hypothesis
To measure the relationship between variables the statistical tool of chi square is used. It
measures the mean variance between two variables. The test results are given below.
Hypothesis H1: There is a significant relationship between Performance Appraisal and
Employee Retention
Measuring the relationship between the level of employees retention and paid enough for
the work.
Table 3 Table showing the Cross tabulation between the level of employees retention and paid enough
for the work.
What is your
opinion
regarding the
level of
employee
retention at
ramesh
hospitals?
Do you think that you are paid enough for the work that you are doing?
Scale Very low Low Neutral High Very high Total
very low 0 2 4 0 0 6
low 0 9 3 0 1 13
neutral 5 26 46 4 0 81
high 3 14 42 16 4 79
very high 1 2 11 5 2 21
Total 9 53 106 25 7 200
Table 4 Table showing the Chi square test results
Value df Asymp. Sig (2 sided)
Pearson Chi-square 37.135a 16 0.002
Likelihood ratio 41.258 16 0.001
Linear-by-Linear 15.386 1 0.00
Association
No.of.Valid cases 200
a. 16 cells (64.0%) have expected count less than 5. The minimum expected count is .21.
From the above table, Chi square test for independence outlined that the payment for the
work of an individual have a significant impact on employee retention. Hence, there is a
relationship between payment for work and employee retention. (i.e); χ² (16, N=200)=37.13,
0 100 200 300 400
Very low
Low
Neutral
Valid
High
Very
High
Total
Frequency
Percent
Valid percent
Cumulative percent
Dr. K.S.Sekhara Rao, Ch. Sahyaja, P.Akhil and N.Lakshmi Narasimha
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p<0.05 as p is .002. That means the association is at 95 percent confidence interval (α=0.01),
Again, the study can be concluded that, as smaller sample, the Likelihood Ratio is 41.258 that
confirm the main chi-square result, which is preferred to smaller samples. Again, the study is
confident about the ordinal (linear) chi-square =15.386 than can be of the Pearson chi-square
of 37.135. And also, it measures about 15.386, which is the same as the chi-square that
calculated using (N - 1) r2. Hence the significant value is .002(which is less than .05), so,
there is significant relationship between Performance Appraisal & Employee Retention.
H1.1: The level of skills of the employees influences the level of employee retention.
Measuring the relationship between employee retention and employee skill levels
Table 5 Table showing Cross tabulation between employee retention and employee skill levels
What is your
opinion regarding
the level of
employee retention
at ramesh
hospitals?
Is performance appraisal helps to know the skill level of the
employees?
scale very low low neutral high very high Total
very low 0 0 3 1 2 6
low 2 2 6 2 1 13
neutral 3 11 48 17 2 81
high 0 16 29 29 5 79
very high 0 0 6 10 5 21
Total 5 29 92 59 15 200
Table 6 Table showing the Chi-Square Tests results
Value df Asymp.Sig(2 sided)
Pearson Chi-square 46.107a 16 0.00
Likelihood ratio 43.533 16 0.00
Linear-by-Linear Association 7.99 1 0.05
No.of.Valid cases 200
a. 14 cells (56.0%) have expected count less than 5. The minimum expected count is .15.
Hence, there is a relationship between knowing skill level of employees through
performance appraisal and employee retention. i.e; χ² (16, N=200)=46.10, p<0.05 as p is .00.
That means the association is at 95 percent confidence interval (α=0.01),. Again, the study
can be concluded that as smaller sample, the Likelihood Ratio is 43.53 that confirm the main
chi-square result, which is preferred to smaller samples. Again, the study is confident about
the ordinal (linear) chi-square =7.99 than can be of the Pearson chi-square of 46.10 and also,
it measures about 7.99, which is the same as the chi-square that calculated using (N - 1) r2.
Hence the significant value is .000(which is less than .05), so, there is significant relationship
between Performance Appraisal & Employee Retention
Hypothesis-2:- There is a significant relationship between Career Growth and Employee
Retention
Measuring the relationship between level of employee retention and Career Enhancement
opportunities for Growth and Development
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Table 7 The table showing the Cross tabulation Count between level of employee retention and Career
Enhancement opportunities for Growth and Development
What is your
opinion regarding
the level of
employee retention
at ramesh
hospitals?
Do you feel the company provides career enhancement opportunities
for your growth and development?
scale very low low neutral high very high Total
very low 3 1 0 1 1 6
low 1 2 8 2 0 13
neutral 0 10 46 24 1 81
high 0 0 28 43 8 79
very high 0 0 5 13 3 21
Total 4 13 87 83 13 200
Table 8 Chi-Square Test
Value df Asymp. Sig (2 sided)
Pearson Chi-square 117.938a 16 0.00
Likelihood ratio 74.884 16 0.00
Linear-by-Linear
Association 43.28 1 0.00
No.of.Valid cases 200
13 cells (52.0%) have expected count less than 5. The minimum expected count is .12.
From the above table, Chi square test for independence outlined that the career
enhancement of an individual have a significant impact on employee retention. Hence there is
a relationship between career enhancement and employee retention.i.e; χ² (16,
N=200)=117.93, p<0.05 as p is .000. That means the association is at 95 percent confidence
interval (α=0.01),. Again, the study can be concluded that as smaller sample, the Likelihood
Ratio is 74.88 that confirm the main chi-square result, which is preferred to smaller samples.
Again, the study is confident about the ordinal (linear) chi-square =43.28 than can be of the
Pearson chi-square of 117.93 And also, it measures about 43.28, which is the same as the chi-
square that calculated using (N - 1) r2.Hence the significant value is .000(which is less than
.05), we can say that there is significant relationship between Career Enhancement &
Employee Retention
Hypothesis-3:- There is a significant relationship between Reward & Recognition and
Employee Retention
Measuring the relationship between employee retention and Rewards and Recognition
system
Table 9 Table showing the Cross tabulation between employee retention and Rewards and
Recognition system
What is your
opinion regarding
the level of
employee
retention at
ramesh hospitals?
Are rewards and recognition system followed in our hospital?
Scale Very low Low Neutral High Very high Total
very low 1 1 3 0 1 6
low 2 5 5 1 0 13
neutral 1 15 44 17 4 81
high 1 9 30 32 7 79
very high 0 2 7 7 5 21
Total 5 32 89 57 17 200
Dr. K.S.Sekhara Rao, Ch. Sahyaja, P.Akhil and N.Lakshmi Narasimha
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Table 10 Table showing the Chi-Square Test results
Value df Asymp.Sig(2 sided)
Pearson Chi-square 42.287a 16 0.00
Likelihood ratio 36.125 16 0.003
Linear-by-Linear
Association 20.767 1 0.00
No.of.Valid cases 200
14 cells (56.0%) have expected count less than 5. The minimum expected count is .15
From the above table, Chi square test for independence outlined that the reward and
recognition system have a significant impact on employee retention. Hence there is a
relationship between reward and recognition and employee retention. i.e; χ² (16, N=200) =
42.28, p<0.05 as p is .000. That means the association is at 95 percent confidence interval
(α=0.01),. Again, the study can be concluded that as smaller sample, the Likelihood Ratio is
36.12 that confirm the main chi-square result, which is preferred to smaller samples. Again,
the study is confident about the ordinal (linear) chi-square =20.76 than can be of the Pearson
chi-square of 42.28 and also, it measures about 20.76, which is the same as the chi-square that
calculated using (N - 1) r2.Hence the significant value is .000(which is less than .05), so, there
is significant relationship between Rewards & Recognition and Employee Retention.
5. FINDINGS & SUGGESTIONS
Findings
16% of employees have very high job satisfaction
12% of employees say that the opinion on satisfaction of working hours is very high
5.5% of employees say that they were very highly satisfied on recognizing their
contributions
43.5% of employees say that their skills, knowledge and abilities are highly utilized by
superior
Suggestions
It is suggested that performance appraisal needs to be done in an objective manner and
that has to be communicated effectively to employees
The contributions of individuals needs to be captured and recognized thereby
rewarded
Employees need to have opportunities to share their ideas at work place
Necessary measures have to be taken to improve job satisfaction of an employee
Work has to be scheduled effectively in achieving their objectives
6. CONCLUSION
Every organization has to maximize the output by providing what employee exactly needs and
desires. Lack of training and development of employees influence the staff to leave the
organization. If the employer provides proper training and motivate the staff by increasing
their pay and rewarding them, then the organization can retain their employees. Providing
Work-life balance is also important for reducing employee turnover. The employer should
make sure that the employees are satisfied with their work. This will help the employees to
balance their personal life with professional life. To drop the high turnover rate of the
Role of Leadership on Employee Retention –A study on Corporate Hospitals
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organizations have to attempt to provide training and development programs, reward and
recognition. If the organizations start working on these factors then high employee turnover
rate will be controlled and can also retain the talent in the organisation.
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