Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach

Abstract Background Midwives play a pivotal role in maternal and child health systems, yet their performance is profoundly shaped by organizational commitment and work engagement. Aim This study examined the mediating effect of work engagement on the relationship between organizational commitment an...

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Main Authors: Iddrisu Sisala Mohammed, Abubakari Wuni, Brenda Abena Nyarko, Mudasir Mohammed Ibrahim, Letitia Chanayireh
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-025-13062-4
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author Iddrisu Sisala Mohammed
Abubakari Wuni
Brenda Abena Nyarko
Mudasir Mohammed Ibrahim
Letitia Chanayireh
author_facet Iddrisu Sisala Mohammed
Abubakari Wuni
Brenda Abena Nyarko
Mudasir Mohammed Ibrahim
Letitia Chanayireh
author_sort Iddrisu Sisala Mohammed
collection DOAJ
description Abstract Background Midwives play a pivotal role in maternal and child health systems, yet their performance is profoundly shaped by organizational commitment and work engagement. Aim This study examined the mediating effect of work engagement on the relationship between organizational commitment and work performance among midwives in Ghana. Method 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). Results 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). Conclusion 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.
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publishDate 2025-07-01
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spelling doaj-art-9b6d7bd380bc4ee98a7dbfc2c0c09f2a2025-08-20T03:37:20ZengBMCBMC Health Services Research1472-69632025-07-0125111310.1186/s12913-025-13062-4Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approachIddrisu Sisala Mohammed0Abubakari Wuni1Brenda Abena Nyarko2Mudasir Mohammed Ibrahim3Letitia Chanayireh4Department of Nursing, Nurses’ and Midwives’ Training CollegeCollege of Nursing, University of KentuckyEliane Marieb College of Nursing, University of MassachusettsDepartment of Nursing, Nurses’ and Midwives’ Training CollegeDepartment of Midwifery and Women’s Health, School of Nursing and Midwifery, University for Development StudiesAbstract Background Midwives play a pivotal role in maternal and child health systems, yet their performance is profoundly shaped by organizational commitment and work engagement. Aim This study examined the mediating effect of work engagement on the relationship between organizational commitment and work performance among midwives in Ghana. Method 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). Results 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). Conclusion 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.https://doi.org/10.1186/s12913-025-13062-4Organizational commitmentWork engagementWork performanceMidwives
spellingShingle Iddrisu Sisala Mohammed
Abubakari Wuni
Brenda Abena Nyarko
Mudasir Mohammed Ibrahim
Letitia Chanayireh
Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach
BMC Health Services Research
Organizational commitment
Work engagement
Work performance
Midwives
title Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach
title_full Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach
title_fullStr Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach
title_full_unstemmed Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach
title_short Work engagement: the key driver in transforming organizational commitment into enhanced work performance among midwives in Ghana - a structural equation modelling approach
title_sort work engagement the key driver in transforming organizational commitment into enhanced work performance among midwives in ghana a structural equation modelling approach
topic Organizational commitment
Work engagement
Work performance
Midwives
url https://doi.org/10.1186/s12913-025-13062-4
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