Mohammed Iddrisu Sisala, Wuni Abubakari, Nyarko Brenda Abena, Ibrahim Mudasir Mohammed, Chanayireh Letitia
Department of Nursing, Nurses' and Midwives' Training College, Tamale, Ghana.
College of Nursing, University of Kentucky, Lexington, USA.
BMC Health Serv Res. 2025 Jul 1;25(1):840. doi: 10.1186/s12913-025-13062-4.
Midwives play a pivotal role in maternal and child health systems, yet their performance is profoundly shaped by organizational commitment and work engagement.
This study examined the mediating effect of work engagement on the relationship between organizational commitment and work performance among midwives in Ghana.
An analytical cross-sectional design was employed in this study. Data were collected from 254 midwives using validated scales to assess organizational commitment, work engagement, and work performance. Analyses were conducted using SPSS Statistics and AMOS for structural equation modeling (SEM).
Most participants were female (96.9%) and aged 30-39 years (54.3%). Organizational commitment was positively correlated with work engagement (r = 0.125, p < 0.05) and work performance (r = 0.166, p < 0.05). Work engagement also showed a strong positive correlation with work performance (r = 0.662, p < 0.05). Mediation analysis confirmed that work engagement fully mediated the relationship between organizational commitment and work performance (β = 0.078, SE = 0.061, p < 0.001).
The results of the study highlight the vital role of work engagement as a positive and significant mediator between organizational commitment and work performance among midwives. Investing in strategies that boost midwives' commitment and engagement is essential for strengthening maternal healthcare quality and workforce sustainability.
助产士在母婴健康系统中发挥着关键作用,然而她们的表现深受组织承诺和工作投入的影响。
本研究考察了工作投入在加纳助产士组织承诺与工作绩效关系中的中介作用。
本研究采用分析性横断面设计。使用经过验证的量表从254名助产士中收集数据,以评估组织承诺、工作投入和工作绩效。使用SPSS Statistics和AMOS进行结构方程建模(SEM)分析。
大多数参与者为女性(96.9%),年龄在30 - 39岁之间(54.3%)。组织承诺与工作投入呈正相关(r = 0.125,p < 0.05),与工作绩效呈正相关(r = 0.166,p < 0.05)。工作投入与工作绩效也呈现出很强的正相关(r = 0.662,p < 0.05)。中介分析证实,工作投入完全中介了组织承诺与工作绩效之间的关系(β = 0.078,SE = 0.061,p < 0.001)。
研究结果凸显了工作投入作为助产士组织承诺与工作绩效之间积极且显著的中介的重要作用。投资于提升助产士承诺和投入的策略对于加强孕产妇医疗保健质量和劳动力可持续性至关重要。