Effect of Cognitive Dimension of Employee Engagement on Performance of Workers in the Primary Health Care Division of the Local Government Service of Osun State, Nigeria

Abstract

This study examines the effect of the cognitive dimension of employee engagement on the performance of workers in the Primary Health Care (PHC) division of the Local Government Service in Osun State, Nigeria. Cognitive engagement, defined as employees’ mental alertness, focus, and intellectual commitment to work, is increasingly recognized as a critical determinant of public sector performance. A descriptive cross-sectional survey was conducted involving 266 PHC employees and 240 service users across 12 selected urban local government councils. Data were analyzed using multiple regression and ANOVA techniques. The regression analysis revealed that the perception of challenge and growth had the strongest positive influence on performance (β = 0.578, p = 0.000), followed by a sense of accomplishment (β = 0.314, p = 0.000), and the ability to concentrate on work (β = 0.213, p = 0.003). The perception that one’s suggestions were considered by supervisors showed a weaker but still significant effect (β = 0.148, p = 0.039). The overall model was statistically significant (F = 34.359, p = 0.000), explaining a substantial portion of the variance in performance (R² = 0.696). These findings underscore the importance of fostering cognitive engagement among PHC workers to improve job performance and healthcare delivery. The study recommends targeted strategies such as professional development programs, task enrichment, improved feedback systems, and distraction-free work environments to sustain high levels of cognitive engagement and enhance service outcomes.