Employee Wellbeing Initiatives and Organisational Performance In The Healthcare Sector of Odisha: A Grounded Theory and Thematic Analysis Approach

Abstract

This paper analyses the role of employee wellbeing programmes in determining the performance of the healthcare industry in Odisha, India. It determines how wellbeing programmes can be used to affect clinical outcomes, workforce productivity and institutional efficiency within a resource-constrained public health context. Qualitative, interpretivist design based on a constructivist grounded theory (Charmaz, 2014), reflexive thematic analysis (Braun and Clarke, 2006, 2019), and hierarchical text clustering were used. Forty-seven healthcare professionals, who worked in six state and privately owned hospitals in Odisha, were interviewed in-depth. It was coded with the help of NVivo 14-assisted coding (κ = 0.81), thematic mapping, and TF-IDF-based clustering. It gave six central themes, namely physical wellbeing, psychological wellbeing, social wellbeing, organisational outcomes, Odisha-specific contextual factors, and enablers/barriers. The Wellbeing-Performance Nexus category of a grounded theory works in three ways: resource conservation, symbolic recognition, and competence enhancement. New contextual contributions are defined as the seva-culture paradox and the BSKY-performance paradox. It is one of the first grounded theory and text analytics qualitative studies that investigate employee wellbeing in the healthcare industry of Odisha that will provide original inductive theoretical knowledge to the Indian healthcare management literature.