The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspective

Abstract The paper investigates the influence of digital transformation on organisational dynamics (organisational commitment, culture, and professional development) and human resource practices (HRP) in the Ghanaian healthcare sector. Based on the social exchange perspective, we suggest that these...

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Main Authors: Ernest Kumi, George Kofi Amoako, Thomas Appiah, Kwasi Dartey-Baah
Format: Article
Language:English
Published: SpringerOpen 2025-04-01
Series:Future Business Journal
Subjects:
Online Access:https://doi.org/10.1186/s43093-025-00449-2
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author Ernest Kumi
George Kofi Amoako
Thomas Appiah
Kwasi Dartey-Baah
author_facet Ernest Kumi
George Kofi Amoako
Thomas Appiah
Kwasi Dartey-Baah
author_sort Ernest Kumi
collection DOAJ
description Abstract The paper investigates the influence of digital transformation on organisational dynamics (organisational commitment, culture, and professional development) and human resource practices (HRP) in the Ghanaian healthcare sector. Based on the social exchange perspective, we suggest that these organisational dynamics can improve how employees perceive and assess HR practices, which in turn affects their wellbeing. In this study, we adopt a quantitative approach, collecting data from 509 healthcare professionals in Ghana through a survey questionnaire. This study uses two analytical methods: partial least squares structural equation modelling (PLS-SEM) and fuzzy-set qualitative comparative analysis (fsQCA). PLS-SEM tests variable relationships and validates hypotheses, while fsQCA explores factor combinations leading to the same outcome. We hypothesise that the indirect effects of these organisational dynamics on HRPs are stronger when digital transformation is high. The hypotheses were validated on a sample of 509 health workers in Ghana, with 5 out of the 12 hypotheses receiving strong support. The findings provide valuable insights for healthcare managers and policymakers in developing countries, emphasising the importance of integrating digital transformation strategies to enhance organisational effectiveness and employee wellbeing. The study concludes with the theoretical and practical ramifications of the findings. This study contributes to the literature by demonstrating the significant impact of digital transformation on organisational dynamics and HRPs in a developing country’s healthcare sector, offering a novel perspective through the lens of social exchange theory. This study is one of the pioneering efforts to employ both PLS-SEM and fsQCA methodologies in examining these intricate relationships.
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spelling doaj-art-8ad0a2ad42f6442aaa8189b313d7771a2025-08-20T02:11:42ZengSpringerOpenFuture Business Journal2314-72102025-04-0111112510.1186/s43093-025-00449-2The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspectiveErnest Kumi0George Kofi Amoako1Thomas Appiah2Kwasi Dartey-Baah3Sunyani Technical UniversityGhana Communication Technology UniversityGhana Communication Technology UniversityUniversity of Ghana Business School LegonAbstract The paper investigates the influence of digital transformation on organisational dynamics (organisational commitment, culture, and professional development) and human resource practices (HRP) in the Ghanaian healthcare sector. Based on the social exchange perspective, we suggest that these organisational dynamics can improve how employees perceive and assess HR practices, which in turn affects their wellbeing. In this study, we adopt a quantitative approach, collecting data from 509 healthcare professionals in Ghana through a survey questionnaire. This study uses two analytical methods: partial least squares structural equation modelling (PLS-SEM) and fuzzy-set qualitative comparative analysis (fsQCA). PLS-SEM tests variable relationships and validates hypotheses, while fsQCA explores factor combinations leading to the same outcome. We hypothesise that the indirect effects of these organisational dynamics on HRPs are stronger when digital transformation is high. The hypotheses were validated on a sample of 509 health workers in Ghana, with 5 out of the 12 hypotheses receiving strong support. The findings provide valuable insights for healthcare managers and policymakers in developing countries, emphasising the importance of integrating digital transformation strategies to enhance organisational effectiveness and employee wellbeing. The study concludes with the theoretical and practical ramifications of the findings. This study contributes to the literature by demonstrating the significant impact of digital transformation on organisational dynamics and HRPs in a developing country’s healthcare sector, offering a novel perspective through the lens of social exchange theory. This study is one of the pioneering efforts to employ both PLS-SEM and fsQCA methodologies in examining these intricate relationships.https://doi.org/10.1186/s43093-025-00449-2Organisational dynamicsOrganisational commitmentOrganisational cultureHR practicesDigital transformationWellbeing
spellingShingle Ernest Kumi
George Kofi Amoako
Thomas Appiah
Kwasi Dartey-Baah
The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspective
Future Business Journal
Organisational dynamics
Organisational commitment
Organisational culture
HR practices
Digital transformation
Wellbeing
title The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspective
title_full The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspective
title_fullStr The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspective
title_full_unstemmed The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspective
title_short The impact of digital transformation on organisational dynamics, HR practices, and wellbeing in Ghana's healthcare sector: a social exchange perspective
title_sort impact of digital transformation on organisational dynamics hr practices and wellbeing in ghana s healthcare sector a social exchange perspective
topic Organisational dynamics
Organisational commitment
Organisational culture
HR practices
Digital transformation
Wellbeing
url https://doi.org/10.1186/s43093-025-00449-2
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