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The mediating role of organisational stress in the relationship between gender diversity and employee performance in Ghanaian public hospitals

Author

Listed:
  • Hayford Asare Obeng

    (Onbeş Kasım Kıbrıs University)

  • Richard Arhinful

    (Akdeniz Karpaz University)

  • Dagnu Haile Tessema

    (Cyprus International University)

  • Japheth Ahmed Nuhu

    (Cyprus International University)

Abstract

The presence of organisational stress in public hospitals in Ghana significantly affects both the standard of patient care and the overall efficiency of the healthcare delivery system. This level of stress results in burnout, diminished job satisfaction, and more errors. The study leverages social categorisation and identification theory to investigate the mediation role of organisational stress in the relationship between gender diversity and employee performance. The Cochran formula was used to determine the sample size, arriving at a sample size of 384. The Multistage sampling technique used Inclusion and exclusion criteria to collect data from 384 health professionals working in 40 public hospitals in southern Ghana. The collected data were analysed using partial least squares structural equation modelling (PLS-SEM), emphasising path analysis, confirmatory factor analysis, and bootstrapping methods. The study discovered that gender diversity had a positive and significant impact on employee performance and organisational stress. The findings revealed that organisational stress had a positive and significant influence on employee performance. The results of the bootstrapping analysis revealed that organisational stress partially mediates the relationship between gender diversity and employee performance. Impaired employee performance might result from organisational stress in the context of gender diversity. To tackle this issue, managers should encourage a work atmosphere that promotes, supports, recognises and reduces sources of stress and implements specific measures that optimise the advantages of diversity while minimising the risks linked to stress.

Suggested Citation

  • Hayford Asare Obeng & Richard Arhinful & Dagnu Haile Tessema & Japheth Ahmed Nuhu, 2025. "The mediating role of organisational stress in the relationship between gender diversity and employee performance in Ghanaian public hospitals," Future Business Journal, Springer, vol. 11(1), pages 1-19, December.
  • Handle: RePEc:spr:futbus:v:11:y:2025:i:1:d:10.1186_s43093-025-00463-4
    DOI: 10.1186/s43093-025-00463-4
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    References listed on IDEAS

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    1. Martine van Wees & Saskia E. Duijs & Casper Mazurel & Tineke A. Abma & Petra Verdonk, 2024. "Negotiating masculinities at the expense of health: A qualitative study on men working in long‐term care in the Netherlands, from an intersectional perspective," Gender, Work and Organization, Wiley Blackwell, vol. 31(5), pages 1657-1675, September.
    2. Ozden Altindag, 2020. "Relationship between stress management and job performance in organizations," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 9(2), pages 43-49, March.
    3. Caterina Galdiero & Cecilia Maltempo & Rosario Marrapodi & Marcello Martinez, 2024. "Gender Diversity: An Opportunity for Socially Inclusive Human Resource Management Policies for Organizational Sustainability," Social Sciences, MDPI, vol. 13(3), pages 1-13, March.
    4. Avis Devine & Isabelle Jolin & Nils Kok & Erkan Yönder, 2024. "How Gender Diversity Shapes Cities: Evidence from Risk Management Decisions in REITs," Journal of Business Ethics, Springer, vol. 189(4), pages 723-741, February.
    5. Schoenfelder, Jan & Bretthauer, Kurt M. & Wright, P. Daniel & Coe, Edwin, 2020. "Nurse scheduling with quick-response methods: Improving hospital performance, nurse workload, and patient experience," European Journal of Operational Research, Elsevier, vol. 283(1), pages 390-403.
    6. Beatrice Brunner & Ivana Igic & Anita C. Keller & Simon Wieser, 2019. "Who gains the most from improving working conditions? Health-related absenteeism and presenteeism due to stress at work," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(8), pages 1165-1180, November.
    7. Hayford Asare Obeng & Richard Arhinful & Leviticus Mensah & Jerry Seth Owusu-Sarfo, 2024. "Assessing the Influence of the Knowledge Management Cycle on Job Satisfaction and Organizational Culture Considering the Interplay of Employee Engagement," Sustainability, MDPI, vol. 16(20), pages 1-28, October.
    8. Hayford Asare Obeng & Richard Arhinful & Leviticus Mensah & Dennis Affum Osei, 2024. "Investigating the influence of green human resource management practices on employee behavior and organizational commitment in Ghana’s tourism sector," Journal of Tourism Management Research, Conscientia Beam, vol. 11(1), pages 75-97.
    9. Daniel Ofori-Sasu & Maame Ofewah Sarpong & Vivian Tetteh & Baah Aye Kusi, 2022. "Banking disclosure and banking crises in Africa: does board gender diversity play a role?," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-10, December.
    10. Richard Arhinful & Mehrshad Radmehr, 2023. "The Impact of Financial Leverage on the Financial Performance of the Firms Listed on the Tokyo Stock Exchange," SAGE Open, , vol. 13(4), pages 21582440231, November.
    11. Marcello Nonnis & Mirian Agus & Francesca Corona & Nicola Aru & Antonio Urban & Claudio Giovanni Cortese, 2024. "The Role of Fulfilment and Disillusion in the Relationship between Burnout and Career Satisfaction in Italian Healthcare Workers," Sustainability, MDPI, vol. 16(2), pages 1-15, January.
    12. Marko Sarstedt & Christian M Ringle & Jun-Hwa Cheah & Hiram Ting & Ovidiu I Moisescu & Lacramioara Radomir, 2020. "Structural model robustness checks in PLS-SEM," Tourism Economics, , vol. 26(4), pages 531-554, June.
    13. Sander Hoogendoorn & Hessel Oosterbeek & Mirjam van Praag, 2013. "The Impact of Gender Diversity on the Performance of Business Teams: Evidence from a Field Experiment," Management Science, INFORMS, vol. 59(7), pages 1514-1528, July.
    14. Leviticus Mensah & Murad Abdurahman Bein, 2023. "Sound Corporate Governance and Financial Performance: Is There a Link? Evidence from Manufacturing Companies in South Africa, Nigeria, and Ghana," Sustainability, MDPI, vol. 15(12), pages 1-24, June.
    15. Nicola Magnavita & Paolo Maurizio Soave & Walter Ricciardi & Massimo Antonelli, 2020. "Occupational Stress and Mental Health among Anesthetists during the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(21), pages 1-14, November.
    16. Richard Arhinful & Leviticus Mensah & Halkawt Ismail Mohammed Amin & Hayford Asare Obeng, 2024. "The influence of cost of debt, cost of equity and weighted average cost of capital on dividend policy decision: evidence from non-financial companies listed on the Frankfurt Stock Exchange," Future Business Journal, Springer, vol. 10(1), pages 1-24, December.
    17. Guoqin Dou & Guangxia Li & Yunyun Yuan & Bin Liu & Lifeng Yang, 2022. "Structural Dimension Exploration and Measurement Scale Development of Employee Involution in China’s Workplace Field," IJERPH, MDPI, vol. 19(21), pages 1-19, November.
    18. Hayford Asare Obeng & Tarik Atan, 2024. "Understanding Turnover Intentions: The Interplay of Organizational Politics, Employee Resilience, and Person-Job Fit in Ghana’s Healthcare Sector," Sustainability, MDPI, vol. 16(22), pages 1-30, November.
    19. Malik, Ashish & Kumar, Satish & Basu, Shubhabrata & Bebenroth, Ralf, 2023. "Managing disruptive technologies for innovative healthcare solutions: The role of high-involvement work systems and technologically-mediated relational coordination," Journal of Business Research, Elsevier, vol. 161(C).
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