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 an

In the previous studies, it was found that many nursing students have the highest satisfaction towards clinical learning environment (CLE). CLE has an impact on nursing students in preparing them in terms of knowledge and providing quality care for patients. The objective of this study was to determine the level of satisfaction among nursing students in the Universiti Kebangsaan Malaysia Medical Centre (UKMMC) towards CLE. A purposive sampling technique was used in quantitative and cross-sectional descriptive design. Ninety-three of Year 1 to Year 4 nursing students participated by answering modified self-reported Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T) scale questionnaire. The questionnaire consisted of three sections; sociodemographic, clinical placement and five dimensions of satisfaction towards CLE (pedagogical atmosphere, leadership style of the head nurse, premises of nursing in the ward, preceptor relationship and role of the preceptor). In medical ward, 51.6% of nursing students had high satisfaction towards CLE and 48.4% reported to have low satisfaction. Whereas for surgical, orthopaedic, homecare and critical area wards reported to have 50% for both high and low satisfaction towards CLE. The relationship between year of study, gender and level of satisfaction towards CLE among nursing students in UKMMC were statistically not significant (p = 0.715, p = 0.139). Among the five dimensions of satisfaction towards CLE, leadership style of the head nurse was the highest (72.0%) and the lowest (30.1%) was from pedagogical atmosphere. This study showed that regardless of specific clinical placement for the nursing students, their satisfaction towards CLE were almost similar and the leadership style of the head nurse had the highest impact. Perhaps, the impact of involvement of the head nurse in the clinical teaching should be explored further in the future.

Introduction: Teaching strategies for nursing students need to be varied to prepare them for their future practice, and to increase their confidence levels in order to ensure that they deliver high quality care to patients. Interprofessional learning (IPL) is a way to develop health professional teams in that it facilitates collaboration by having health professional students learn with, from and about each other's roles and responsibilities in the provision of patient care. At present, nurses are unable to learn together with other health professional students during their clinical posting, because of professional barriers. Objective: To explore nursing students' knowledge and perception of interprofessional learning. Authors developed a grading system named the Discrepancy-Agreement. Method: This paper presents the results of a focus group discussion with nursing students (n= 8). A semi structured guide was used that focused on knowledge, experiences and benefit related to IPL. Result: Data were analysed, from which four major themes emerged: 1) Learning with, from and about other health professionals; 2) Communication skills; 3) Teamwork; and 4) Preparation of future practice Conclusion: The results of this study suggest IPL as an educational strategy should be introduced to nursing students in order to extend their understanding of the roles and responsibilities of other health professionals and to provide them with opportunities to work collaboratively with other health professionals.

Introduction: Body mass index (BMI) and physical activity are the controversial risk factors that cause hemorrhoids. This study was conducted to determine the association between body mass index and physical activity.Methods: This was a case-control study which involved two hundred and two patients using convenience sampling. They had to answer a questionnaire consisting of the International Physical Activity Questionnaire (IPAQ) which monitored their physical activity and their BMI was also measured. For the descriptive analysis, Chi square and an odd ratio were carried out.Results: There was a significant association between age and hemorrhoids (p=0.02), in which the patients who were younger than 50 years old were more likely to have hemorrhoids compared to those who were older than 50 years old (OR=2.268, 95%CI: 1.107-4.630). For the risk estimation calculation, the Chinese individuals were found to have a higher risk compared to non-Chinese individuals (OR=2.056, 95% CI: 1.174-3.601). BMI was proven to be significantly associated with hemorrhoids (p=0.043). Physical activities were found to not be statistically significant (p=0.209). Those with a low and moderate physical activity level were 1.24 times more likely to have hemorrhoids compared to those with a high level of physical activity (OR=1.243, 95%CI:   0.697-2.217). The confidence interval was between 0.697 and 2.217, therefore it was not statistically significant.Conclusion: Physical activity was not associated with the hemorrhoids. However, it was shown that good physical activity could help to regulate bowel function and therefore, the occurrence of hemorrhoids would be less likely. BMI was significantly associated with hemorrhoids.

Introduction: Stress level among the caregivers is often related to caregivers' lack of knowledge and skill to care for the patients. A health education program to the caregivers is one of the important elements in increasing the knowledge and skills in managing patients at home. The specific objectives of this study were to determine caregiver's stress level in managing post total knee replacement (TKR) patients pre and post of a health education program.Materials and Methods: A clinical intervention trial design was conducted in Hospital Universiti Sains Malaysia (HUSM) with a sample size of 32 caregivers. A validated Zarit Burden Interview (ZBI) questionnaire was used to measure the stress level pre and post of the health education program on the management of patients post-TKR surgery which was adopted from Fresno Surgical Hospital in California.Results: The findings showed that there was a significant difference between pre and post level of stress (p ≤ 0.001).Conclusion: This study revealed the positive outcome of the health education program. It reduced the stress level among the caregivers in caring for their relatives with post-TKR surgery.