Mediating Effect of Tacit Knowledge Sharing among Nurses : Case of a Malaysian Teaching Hospital

The complications of Covid-19 have intensely increased the importance of nurses’ tacit knowledge sharing worldwide when protocols and rules are being developed at a rapid paced and uncertainty is a constant concern. The unexpected critical care workforce demands more nurses to exploit their previous experience and knowledge to be learned, unlearned, and relearn. As such, nurse supervisors may provide continuous support on the urgency of an event due to the varying procedures and providing patient care. One way to examine the nurses’ relationship is via Social Exchange Theory (SET) lens which two or more individuals mutually benefit social exchange of support in decision. In turn, such an environment will be likely to encourage tacit knowledge sharing and contribute to innovative behavior among the nurses. Despite the emergence of tacit knowledge sharing as an important predictor of innovative behaviour, research that goes linking tacit knowledge sharing as a mediator is astoundingly less explored. Using social exchange theory as the underpinning theory, seven hypotheses were tested. The research method included both self-report and supervisor-report. Both 360 nursing employees and 21 nurse supervisors in a teaching hospital were selected using disproportionate stratified sampling, which yields 94.17 per cent response rate. Data were obtained through survey and analyses were performed using Structural Equation Modelling (SEM) confirmed using Partial Least Squares (PLS). The results showed that three hypotheses were significant, and two hypotheses were insignificant for direct effect. Tacit knowledge sharing played a mediating effect in supervisory justice in their relationship with innovative behaviour. Interestingly, no mediating effect of tacit knowledge sharing on perceived supervisor support. The findings conclude that workplace exchange relationship is crucial between nurse and supervisor. This study provides a conceptual basis for effective tacit knowledge sharing in a teaching hospital. From the practical aspect, this study underlines the importance of nurses to share tacit knowledge in order for them to be innovative

The mediating effect of tacit knowledge sharing in predicting innovative behaviour from trust

The recent COVID-19 has significantly impact the awareness towards importance of online shopping in Malaysia. Nevertheless, the online shopping adoption rate in Sarawak particularly in Sibu is relatively low at only 24 percent of its total population. With the recent development of e-commerce, the types of consumers to adopt online shopping have becoming more diverse than before. This research incorporates the Theory of Planned Behaviour (TPB) and demographic determinants to provide insights on the acceptance and adoption of online shopping among consumers in Sibu, Sarawak. Five hypotheses were developed accordingly to evaluate the relationships of proposed framework model. A web-based survey was employed to minimize the physical contact with the respondents. A total of 384 respondents were selected in order to represent the population of Sibu, of which only 308 samples were acceptable for analysis. Responses were analyzed using Mann-Whitney U Test and Kendall’s Tau b-Test. The results showed all the independent variables (age, gender, education level, and attitude) have significant effect on the behavioral intention. On the other hand, age factor was found to be negatively related to attitude and behavioral intention of online shopping. Furthermore, the finding indicates that behavioral intention was positively related to the actual usage behavior of online shopping. These results suggest that the e-commerce platform developers and e-marketers are responding to consumers’ acceptance including the adoption of online shopping

The Mediating Effect of Tacit Knowledge Sharing on the Relationship between Perceived Supervisor Support and Innovative Behaviour among Nurses in a Malaysian Public Teaching Hospital

Drawing upon social exchange theory, this study tested tacit knowledge sharing as a mediator of the relationship between perceived supervisor support and innovative behaviour. A sample of 339 nurse-supervisor dyads from a Malaysian public teaching hospital was selected for the distribution of questionnaire. Using the structural equation modeling (SEM), the following significant relationships are concluded: (1) perceived supervisor support on tacit knowledge sharing, (2) perceived supervisor support on innovative behaviour, (3) tacit knowledge sharing on innovative behaviour, and (4) the mediating role of tacit knowledge sharing. The current study adds significantly to the body of knowledge on social exchange theory and can help teaching hospital hospital supervisors to support nurses by providing proper direction to develop effective workplace relationship between nurses and supervisors in achieving innovative behaviour

The mediating effect of tacit knowledge sharing in predicting innovative behaviour from trust

The main purpose of this research is to examine a mediating effect understanding of tacit knowledge sharing on both affect and cognition-based trust with innovative behaviour in a Malaysian public teaching hospital. A quantitative method approach within a post-positivist paradigm using questionnaire was employed to gather data for the study and analyses were performed using Structural Equation Modelling (SEM) which confirmed using partial least square (PLS). The results of analysing339 nurse –nurse supervisor dyads revealed that tacit knowledge sharing mediates the relationship between affect and cognition-based trust with innovative behaviour. In the future, more research on Malaysian teaching hospitals is needed to explore the willingness to share tacit knowledge. This study pointed out that supervisor in a teaching hospital may need to use this finding in developing ways to ensure innovative behaviour is practice efficiently among the nurses. This study adds to the body of knowledge about the effect of tacit knowledge sharing on trust and innovative behaviour of nursing employees

The mediating effect of tacit knowledge sharing on the relationship between perceived supervisor support and innovative behaviour among nurses in a Malaysian public teaching hospital

Drawing upon social exchange theory, this study tested tacit knowledge sharing as a mediator of the relationship between perceived supervisor support and innovative behaviour. A sample of 339 nurse-supervisor dyads from a Malaysian public teaching hospital was selected for the distribution of questionnaire. Using the structural equation modeling (SEM), the following significant relationships are concluded: (1) perceived supervisor support on tacit knowledge sharing, (2) perceived supervisor support on innovative behaviour, (3) tacit knowledge sharing on innovative behaviour, and (4) the mediating role of tacit knowledge sharing. The current study adds significantly to the body of knowledge on social exchange theory and can help teaching hospital hospital supervisors to support nurses by providing proper direction to develop effective workplace relationship between nurses and supervisors in achieving innovative behaviour

Supervisory Justice, Organizational Citizenship Behavior, and Innovative Behavior : The Mediating Role of Tacit Knowledge Sharing among Nurses

Using the perspective of social exchange theory, this study aims to provide insight on the relationship between supervisory justice, organizational citizenship behavior (OCB) and innovative behavior using mediation approach of tacit knowledge sharing. Research on the justice, OCB, and tacit knowledge sharing relationship has received minimal research attention although the role of justice and OCB is influencing the social exchange relationship quality between the employee and supervisor is well established. Method: Data were collected on a sample of 339 nurse dyads in 3 major disciplines in a Malaysian public teaching hospital. The data analyses were performed using Structural Equation Modelling (SEM) which confirmed using Partial Least Square (PLS 3.0). PLS is applied to test the research model as it has a less critical requirement of the sample size to validate. Findings: For the direct effect, the results provide support for the acceptance of all hypotheses because there are statistically significant relationships. For the indirect effect, following the mediation analysis procedure, it is concluded that tacit knowledge sharing partially mediates the relationship since both the direct and indirect effects are significant. Conclusion: This study provides a new perspective on the mediating effect of tacit knowledge sharing in predicting innovative behavior from individual factors (supervisory justice and OCB) among nurses. Contributions: From a theoretical perspective, this study contributes to the literature by introducing the mediating effect of tacit knowledge sharing on the relationships between individual factors and innovative behavior. From a practical perspective, this study provides empirical evidence on the proposed framework and provides anunderstanding of the relationships within a workplace allows teaching hospitals to initiate appropriate steps towards achieving their organizational goals

Low back pain among nurses in orthopedic and intensive care unit at Universiti Kebangsaan Malaysia Medical Centre: the incidence, impacts and level of disability

Low Back Pain (LBP) is a common problem affecting people at some point in their lives especially among nurses worldwide as well as Malaysia. When it happens, LBP can make many everyday activities difficult to do. A cross-sectional descriptive study was carried out to identify the incidence of low back pain among nurses, its impact and level of disability of nurses with LBP. Furthermore, this study intends to evaluate the relationship between age, years of working, BMI and low back pain. Using simple random selection, 105 nurses working in Orthopedic unit and ICU at Pusat Perubatan Universiti Kebangsaan Malaysia were chosen as respondent in this study. The incidence, impact and level of disability of LBP were evaluated with Nordic Low Back Questionnaire and Oswestry Low Back Pain and Disability Questionnaire. Student t test for independent samples was used in data analysis by using SPSS. The finding showed that the incidence of low back pain in life time among nurses was 65.7%. The impacts of LBP on work (44.1%), leisure activity (30.9%), and change of duties (2.9%) were small. Total length of time LBP had prevented from doing normal work were highest in 1 to 7 days (53.6%). More than half nurses showed significant impacts in pain intensity, lifting, sleeping and travelling. Most nurses (87%) were having the minimal disability of doing daily life. No significant mean difference in age and BMI in nurses who has low back pain and nurses with no low back pain. However, there is significant mean difference in years of working in nurses who has low back pain and nurses with no low back pain working in the respective units (p<0.05). The use of lifting devices should be emphasized as a preventive measure of LBP among nurses

Essential nursing guidelines: clinical skills and procedures

This book is the first to be developed in Malaysia with the collaborations of nurses from the Ministry of Higher Education Malaysia, Malaysian Ministry of Health and Malaysian Nursing Board. The initial effort took place in 2010 until it was revised in 2019. The collaboration involved was nurses from various fields of nursing. They were nursing lecturers, nursing supervisors, nurse specialists and nurse consultants and a team from the Malaysian Nursing Board. The main purpose to develop this book was to make it a reference and reading material for the nursing students. We also hope that this book can be a lectern of clinical learning material and standardize all the nursing procedures and skills in the country. Several new procedures have been included in this edition to keep pace with the latest changes in nursing knowledge and those on the market. The selection of procedures and skills was based on the sights and references from experienced nursing individuals and the latest clinical nursing textbooks. This book contains 17 units and 136 basic procedures or skills as tools to deliver patient care. The followings are the main modules in which there are only pertinent procedures included; Fundamental of Nursing, Vital Signs, Personal Hygiene, Bed Making, Moving and Positioning, Maintaining Airway and Oxygenation, Oral and Enthral Nutrition, Specimen, Bowel and Elimination, Comfort Measures, Medication, Intravenous, Wound Care, Bandages, Intraoperative Procedures, Special Procedures and Care After Death. Lastly, we also hope that this book will continue to be the source of opportunity for the nurses in Malaysia to write, enduring to improve this book to the second edition and following current needs

THE MEDIATING EFFECT OF TACIT KNOWLEDGE SHARING IN PREDICTING INNOVATIVE BEHAVIOUR FROM TRUST

The recent COVID-19 has significantly impact the awareness towards importance of online shopping in Malaysia. Nevertheless, the online shopping adoption rate in Sarawak particularly in Sibu is relatively low at only 24 percent of its total population. With the recent development of e-commerce, the types of consumers to adopt online shopping have becoming more diverse than before. This research incorporates the Theory of Planned Behaviour (TPB) and demographic determinants to provide insights on the acceptance and adoption of online shopping among consumers in Sibu, Sarawak. Five hypotheses were developed accordingly to evaluate the relationships of proposed framework model. A web-based survey was employed to minimize the physical contact with the respondents. A total of 384 respondents were selected in order to represent the population of Sibu, of which only 308 samples were acceptable for analysis. Responses were analyzed using Mann-Whitney U Test and Kendall’s Tau b-Test. The results showed all the independent variables (age, gender, education level, and attitude) have significant effect on the behavioral intention. On the other hand, age factor was found to be negatively related to attitude and behavioral intention of online shopping. Furthermore, the finding indicates that behavioral intention was positively related to the actual usage behavior of online shopping. These results suggest that the e-commerce platform developers and e-marketers are responding to consumers’ acceptance including the adoption of online shopping

Self-assessment, attitude and perception of interprofessional learning in hospital acquired infection control practices among health professionals in Klang Valley, Malaysia

Background: Interprofessional learning (IPL) is a key challenge in Malaysia in incorporating the current profession-specific medical education into the interprofessional learning curriculum. Safe practices would be enhanced with improved collaboration among the health professionals when they learn with, from, and about each other. The main objective of this study was to determine the significant differences in self-assessment, attitude, and perception of interprofessional learning among doctors and nurses in a teaching hospital in Klang Valley, Malaysia. The second objective was to determine if there is any significant difference in the selected demography factors, mean and total scores between doctors and nurses in self-assessment, attitude, and perceptions of IPL aspects. Methods: A total of doctors (39) and nurses (37) were recruited for an interventional study on the interprofessional learning approach on hospital acquired infection control. The participants responded to the University of West England Interprofessional (UWEIP) questionnaire at baseline consisting of four dimensions in IPL aspects; Self-assessment on communication and teamwork skills (CTW), interprofessional learning (IPL), interprofessional interaction (IPI), and interprofessional relationship (IPR). The Cronbach alpha value for the total questionnaire was established at 0.79. Results: The majority of doctors scored positive in CTW, IPL, IPR, and neutral in IPI. Nurses’ also recorded the highest positive scores in CTW, IPL, and IPR, and neutral in IPI. Negative scores were found in CTW and IPI. A significant difference was revealed between doctors and nurses in IPL attitude; p = 0.024 and there was no significant difference in other dimensions (p > .05). Results also found a significant difference between participants’ and non-participants of IPL training sessions; p = 0.009. Conclusions: This study revealed the infusion of interprofessional learning training among the health professionals displayed better self-assessments, attitudes, and perceptions towards collaborative practices