The impact of organizational commitment on job performance in primary healthcare: a motivation internalization perspective.

IF 3.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Frontiers in Public Health Pub Date : 2025-10-01 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1685420

Shichao Zhao, Tao Wang, Shanshan Luo, Yuequn Mi, Ying Wang, Huifen Ma, Xiaolin Wei

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Abstract

Introduction: Primary healthcare workers (PHCWs) are crucial to the healthcare system, as they directly impact the delivery of essential health services. Their job performance is influenced by various types of organizational commitment, but the effects of these commitments are not fully understood. This study aims to explore how four types of organizational commitment (affective, normative, economic, and opportunity) affect job performance among PHCWs, using Self-Determination Theory to examine motivation internalization as a mediating factor.

Methods: A cross-sectional survey of 870 PHCWs from 38 primary healthcare institutions was conducted. Hierarchical regression analysis was used to explore the relationships between commitment types, motivation internalization, and job performance.

Results: Affective and normative commitments positively predicted job performance, with motivation internalization partially mediating this relationship. Opportunity commitment negatively predicted job performance, mediated by reduced motivation internalization. Economic commitment showed no significant effect on either motivation internalization or job performance.

Discussion: The impact of organizational commitment on job performance is shaped by its motivational quality. Strengthening affective and normative commitments through supportive incentive strategies can enhance PHCWs' performance in primary healthcare settings.

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初级卫生保健组织承诺对工作绩效的影响：动机内化视角。

初级卫生保健工作者（PHCWs）对卫生保健系统至关重要，因为他们直接影响基本卫生服务的提供。不同类型的组织承诺对员工的工作绩效有影响，但这些组织承诺的作用机制尚不完全清楚。本研究旨在探讨四种类型的组织承诺（情感性、规范性、经济性和机会性）对初级保健护士工作绩效的影响，运用自我决定理论考察动机内化作为中介因素的影响。方法：对38家基层卫生保健机构的870名初级保健员进行横断面调查。采用层次回归分析探讨了承诺类型、动机内化与工作绩效之间的关系。结果：情感性承诺和规范性承诺正向预测工作绩效，动机内化在其中起部分中介作用。机会承诺负向预测工作绩效，其中介是动机内化降低。经济承诺对动机内化和工作绩效均无显著影响。讨论：组织承诺对工作绩效的影响是由其激励质量决定的。通过支持性激励策略加强情感和规范承诺可以提高初级卫生保健机构初级保健护士的绩效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.