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Purpose This study aimed to determine the effect of role conflict and role ambiguity on job satisfaction, self-efficacy and nurses’ adaptability and improvement in service quality by analysis of quality function deployment. Design/methodology/approach This study used a cross-sectional study design. The research sample of 115 nurses and 299 patients was obtained through the use of probability sampling techniques. Data were statistically analyzed using Spearman’s test to see the correlation between independent and dependent variables. Kruskal–Wallis and one-way ANOVA were used to see the differences and quality function deployment analysis was conducted to improve service quality. Findings The study concluded there is influence of role conflict and role ambiguity on job satisfaction, self-efficacy and nurses’ adaptability. There are differences in role ambiguity in the inpatient unit, critical room and the emergency room. Practical implications The quality of service in the hospital can be improved by evaluating the behavior of nurses on the quality of service perceived by the patient. In addition, the necessary improvement of discipline and commitment between physicians and nurses in improving the quality of services at the hospital. Originality/value With this measure, the management of nursing at the hospital can translate patient’s needs into specific plans to produce products and services that bring together the needs of the patient to service quality.

This study aims to investigate the interaction between Psychological Capital (PsyCap) and Organizational Commitment in predicting Organizational Citizenship Behaviors (OCB) via Work-Engagement among nurses in Indonesia. Although most studies supported that PsyCap always had a positive impact on desired employee's outcomes, the effect could be different across jobs. The Cognitive Evaluation Theory was used to explain how the coexistence of Organizational Commitment could reduce the effect of Nurse's PsyCap. This study administered 900 survey booklets to six randomly selected hospitals in the eastern part of Indonesia. The survey included demographic data (e.g. age and tenure), Psychological Capital Questionnaire, Organizational Commitment Questionnaire, Utrecht Work-Engagement Scale, and Organizational Citizenship Behavior Scale. There were 637 (71%) out of 900 registered Nurses fully participated in the data collection and mostly female (529 or 90.6%). The data were analyzed with Moderatedmediation technique using PROCESS by Hayes in SPSS. The results suggested a partial mediation effect of Work-Engagement on the PsyCap-OCB relationship. This indicated that PsyCap directly predicted OCB or via Work-Engagement. The key findings also indicated that having a high degree of Organizational Commitment could reduce the effect of PsyCap on Work-Engagement and subsequently on OCB. It appeared that while Nurses maintained a high Organizational Commitment, their PsyCap did not contribute significantly to OCB and Work Engagement.

BACKGROUND: Moringa oleifera is a nutritional food supplement that can save lives, particularly in countries with malnourished community. Such supplement can also be provided to breastfeeding mothers so that they can produce more breast milk. AIM: This study investigated the effect of M. oleifera on pregnant and breastfeeding mothers on their breast milk’s docosahexaenoic acid (DHA) and arachidonic acid (AA) concentration. METHODS: This was a longitudinal study which was the continuity from the previous experimental study. The research sample was 64 breastfeeding mothers given Moringa leaves powder (MLP), Moringa leaves extract (MLE), or iron-folic acid (IFA). The data were analyzed using Kruskal–Wallis test with the significance level of 95% aiming to assess the difference between the breast milk’s DHA and AA level on MLP, MLE, and IFA groups. RESULTS: This research indicated that most mothers had low education level (71.9 %) and did not work (89.1%). There was no significant difference between the DHA level (p = 0.215) and AA (p = 0.914) of the breast milk among the MLP, MLE, and IFA groups. CONCLUSION: The intervention might contribute a little effect on DHA and AA level in the breast milk.

Purpose This study aims to identify the relationships among self-efficacy, health literacy, self-care and glycemic control in older people with type 2 Diabetes Mellitus (DM). Design/methodology/approach This study was a descriptive analytics correlational study with a cross-sectional design. The sampling method was purposive sampling involving 68 older people with type 2 DM. Findings The results showed that self-efficacy, health literacy and self-care correlated with glycemic control at significant levels of p = 0.020, p = 0.002 and p = 0.022, respectively. Practical implications Nurses should help older people with type 2 DM in maintaining their self-efficacy and self-care and increasing their health literacy to ensure their glycemic control is in normal state. Originality/value This study showed that self-care, self-efficacy and health literacy had a significant correlation with glycemic control in older people with type 2 DM. It indicates that the better self-care, self-efficacy and health literacy of patients, the more likely the patients’ blood HbA1C level to be in the normal range.