Psychological Capital as a Mediating Mechanism Between Organizational Citizenship Behavior and Employee Engagement Among Healthcare Sector Employees

Main Article Content

Rishu Roy
Vanita Joshi
Sudhinder Singh Chowhan
Palak Sukhija

Abstract

Purpose: Discretionary employee behavior and psychological resources are increasingly recognized as central to sustaining workforce engagement in high-pressure pharmaceutical and healthcare work settings. This study examines whether Psychological Capital (PsyCap) mediates the relationship between Organizational Citizenship Behavior (OCB) and Employee Engagement (EE) among employees working in the pharmaceutical and healthcare sector.


Methodology: A quantitative, cross-sectional survey design was adopted. Data were collected from 200 employees working in pharmaceutical and healthcare organizations using a structured questionnaire built on validated scales and a five-point Likert format. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to assess the measurement and structural models, and a bootstrapping procedure was applied to test the mediating role of PsyCap.


Findings: OCB exerted a positive and statistically significant direct effect on EE (β = 0.766, t = 14.644, p < 0.001). However, PsyCap did not significantly mediate the OCB–EE relationship (β = 0.014, t = 0.545, p = 0.585); neither the OCB→PsyCap path (β = 0.218, p = 0.260) nor the PsyCap→EE path (β = 0.064, p = 0.494) reached significance. The pattern is best described as direct-only, non-mediating.


Practical Implications: Healthcare and pharmaceutical organizations seeking to strengthen workforce engagement should prioritize cultivating discretionary, citizenship-oriented behavior directly through recognition systems, supportive supervision, and role modeling, while continuing to invest in psychological resource-building initiatives (resilience, hope, optimism, self-efficacy training) as a parallel rather than sequential retention strategy.


Originality/value: The study extends the positive-organizational-behavior literature by testing an integrated OCB - PsyCap - EE model within the pharmaceutical/healthcare context, a sector marked by acute turnover and burnout pressures, and offers empirical evidence that qualifies the assumed universality of PsyCap's mediating role in behavior–engagement pathways

Article Details

How to Cite
Roy, R., Joshi, V., Chowhan, S. S., & Sukhija, P. (2026). Psychological Capital as a Mediating Mechanism Between Organizational Citizenship Behavior and Employee Engagement Among Healthcare Sector Employees. CINEFORUM, 66(S7), 248–358. Retrieved from https://revistadecineforum.com/index.php/cf/article/view/1748
Section
Original Articles

References

Alifuddin, M., & Widodo, W. (2022). How is cultural intelligence related to human behavior? Journal of Intelligence, 10(1), Article 3. https://doi.org/10.3390/jintelligence10010003

Biswal, K., Srivastava, L., & Alli, S. F. (2023). Psychological capital and work engagement: Moderating role of social relationships. Annals of Neurosciences. https://doi.org/10.1177/09727531231198964

Dai, Y., Tang, Y. M., Chen, W., & Hou, J. (2022). How organizational trust impacts organizational citizenship behavior: Organizational identification and employee loyalty as mediators. Frontiers in Psychology, 13, Article 996962. https://doi.org/10.3389/fpsyg.2022.996962

Darvishmotevali, M., & Ali, F. (2020). Job insecurity, subjective well-being, and job performance: The moderating role of psychological capital. International Journal of Hospitality Management, 87, Article 102462. https://doi.org/10.1016/j.ijhm.2020.102462

Das, P., & Borooah, I. P. (2025). The role of psychological capital in work engagement: A study of employees from a public sector bank in India. International Journal of Indian Psychology, 13(2). https://doi.org/10.25215/1302.385

Dhar, S., & Dhar, U. (2018). Psychological test: Manual for the Employee Engagement Scale. National Psychological Corporation. https://www.researchgate.net/publication/323573681

Dhar, S., Dhar, U., & Torani, K. (2023). Psychological test: Manual for the Organizational Citizenship Behavior Scale. National Psychological Corporation. https://www.researchgate.net/publication/367177672

Dialog Health. (2025). Must-know healthcare burnout statistics: Comprehensive list. https://www.dialoghealth.com/post/healthcare-burnout-statistics

Elsayed, S. M., Badran, F. M. M., & Adam, S. S. (2019). Psychological capital and organizational citizenship behavior among staff nurses. Evidence-Based Nursing Research, 1(4), 7. https://doi.org/10.47104/ebnrojs3.v1i4.75

Fernandes, P., Pereira, R., Wiedenhöft, G., & Costa, P. (2021). Individuals' discretionary behaviors at work: An overview and analysis of their growing interest. Heliyon, 7(10), Article e08175. https://doi.org/10.1016/j.heliyon.2021.e08175

Giancaspro, M. L., Callea, A., & Manuti, A. (2022). "I like it like that": A study on the relationship between psychological capital, work engagement, and extra-role behavior. Sustainability, 14(4), Article 2022. https://doi.org/10.3390/su14042022

Harter, J. (2022, August 13). Employee engagement vs. employee satisfaction and organizational culture. Gallup. https://www.gallup.com/workplace/236366/right-culture-not-employee-satisfaction.aspx

Ismail, S., Sabri, A. N., & Nawi, N. R. C. (2024). The effect of organizational climate on organizational citizenship behaviour (OCB): A study on a private company in Malaysia. International Journal of Academic Research in Business and Social Sciences, 14(6), 566–578. https://doi.org/10.6007/IJARBSS/v14-i6/21534

Istiqomah, I., & Nasution, Y. (2025). Leveraging psychological capital as a personal resource to enhance happiness at work and drive extra-role behaviors. Indonesian Interdisciplinary Journal of Sharia Economics, 8(3), 12446–12461. https://doi.org/10.31538/iijse.v8i3.7295

Kim, M. J., & Park, Y. J. (2025). Building sustainable organizational citizenship behavior in hospitality: Structural relationships of rapport, trust, and psychological capital among airline cabin crew. Sustainability, 17(23), Article 10804. https://doi.org/10.3390/su172310804

Leiva-Candia, D., García, I. L., Lopez, I., Serrano-Herrador, J. A., & Dorado, M. P. (2022). Descriptive and inferential statistics as an exhaust emission comparative tool between different engine operating conditions and fuels. Fuel, 324, Article 124453. https://doi.org/10.1016/j.fuel.2022.124453

Lipińska-Grobelny, A., & Zwardoń-Kuchciak, O. (2021). Psychometric properties of the Psychological Capital Questionnaire (KKaPsy). Current Issues in Personality Psychology, 11(2). https://doi.org/10.5114/cipp.2021.112374

NSI Nursing Solutions, Inc. (2025). 2025 NSI national health care retention & RN staffing report. https://www.nsinursingsolutions.com

Sajad Ullah, P., Jamal, W., & Naeem, M. (2018). The relationship of employee engagement, organizational commitment and organizational citizenship behavior. Jinnah Business Review, 6(1), 35–41. https://doi.org/10.53369/zhcf6210

Slåtten, T., Lien, G., Evenstad, S. B. N., & Onshus, T. (2021). Supportive study climate and academic performance among university students: The role of psychological capital, positive emotions and study engagement. International Journal of Quality and Service Sciences, 13(3), 421–438. https://doi.org/10.1108/ijqss-03-2020-0045

Su, W., & Hahn, J. (2023). Psychological capital and organizational citizenship behaviors of construction workers: The mediating effect of prosocial motivation and the moderating effect of corporate social responsibility. Behavioral Sciences, 13(12), Article 981. https://doi.org/10.3390/bs13120981

Suri, H. (2008). Ethical considerations in synthesising research: Whose representations? Qualitative Research Journal, 8(1), 63–73. https://doi.org/10.3316/QRJ0801063

Sutton, A., & Roemer, A. (2024). A-HERO: Integrating authenticity into the psychological capital model. International Journal of Applied Positive Psychology. https://doi.org/10.1007/s41042-024-00171-4

The Resource Company, Inc. (2025). Average turnover rate in healthcare: 2025 data. https://www.theresource.com/2025/11/19/healthcare-turnover-rate/

Thomas, D., & Zubkov, P. (2023). Quantitative research designs. ResearchGate. https://www.researchgate.net/publication/370630979

Turner, P. (2020). What is employee engagement? In P. Turner, Employee engagement in contemporary organizations: Maintaining high productivity and sustained competitiveness (pp. 27–56). Palgrave Macmillan. https://doi.org/10.1007/978-3-030-36387-1_2

Yuwono, H., Kurniawan, M. D., Syamsudin, N., Eliyana, A., Saputra, D. E. E., Emur, A. P., & Jalil, N. I. A. (2023). Do psychological capital and transformational leadership make differences in organizational citizenship behavior? PLOS ONE, 18(12), Article e0294559. https://doi.org/10.1371/journal.pone.0294559