Employee commitment in Ghanaian healthcare: a multi-factor analysis

Abstract. Purpose – The study investigates the factors influencing organizational commitment among employees at a Municipal Health Directorate (MHD) in Ghana. It focuses on identifying key organizational and individual factors that drive commitment and examining potential gender differences.
Research methodology – A quantitative approach was employed, using a cross-sectional survey of 204 MHD employees, with a final sample size of 153. A structured questionnaire measured organizational commitment and influencing factors. Multiple regression analysis was used to
examine relationships between variables.
Findings – Key drivers of commitment include training and development, salary, leadership style, work environment, job satisfaction, and involvement in decision-making. Training and
development were the strongest predictors of commitment, while job-related stress negatively influenced commitment. No significant gender differences in commitment were found.
Research limitations – The cross-sectional design limits causality. Future research should adopt longitudinal designs to track changes in commitment over time and explore gender differences in other contexts.
Practical implications – The findings emphasize the importance of investing in employee development, fostering supportive leadership, managing job stress, and involving employees in decision-making to enhance commitment.
Originality/Value – This study provides valuable insights into the determinants of employee commitment in healthcare, contributing to the limited research on organizational commitment in resource-constrained healthcare settings in Ghana.