International Journal of Nursing and Health Services (IJNHS)
Vol. 9 No. 3 (2026): International Journal of Nursing and Health Services (IJHNS)

Association of Body Image, Eating Behavior, and Physical Activity with Wasting among Adolescents

Deby Andriani (Universitas Hang Tuah Pekanbaru)



Article Info

Publish Date
29 Jun 2026

Abstract

Background: A learning organization is therefore essential, yet the psychological mechanism that links leadership commitment and open organizational culture with organizational learning among hospital nurses remains insufficiently explained. Objective: This study analyzed the associations of perceived leadership commitment and open organizational culture with learning organization, with happiness at work as a mediating variable among nurses at An-Nisa Hospital, Tangerang. Method: An explanatory cross-sectional study was conducted among 225 staff nurses selected using purposive sampling. Data were collected using a validated 45-item questionnaire with a four-point Likert scale. Direct and indirect effects were evaluated using Structural Equation Modeling-Partial Least Squares. Result: Perceived leadership commitment and open organizational culture explained 54.8% of the variance in happiness at work. The final model explained 69.3% of the variance in learning organization and demonstrated acceptable model fit (SRMR = 0.055). Happiness at work had the strongest association with learning organization (? = 0.574, p < 0.001), followed by open organizational culture (? = 0.251, p = 0.004) and perceived leadership commitment (? = 0.104, p = 0.048). Happiness at work partially mediated the association of perceived leadership commitment (? = 0.127, p < 0.001) and open organizational culture (? = 0.351, p < 0.001) with learning organization. Conclusion: Nurses’ happiness at work is a central psychological pathway through which leadership commitment and open organizational culture are translated into organizational learning. Recommendation: Hospital managers should strengthen fair leadership practices, transparent communication, shared organizational values, and nurse well-being programs to support clinical learning.   Keywords: happiness at work; leadership commitment; learning organization; nurses; organizational culture

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Journal Info

Abbrev

ijnhs

Publisher

Subject

Health Professions Nursing Public Health Social Sciences

Description

International Journal of Nursing and Health Service is a refereed international publication that provided a venue for nursing scholar and others related health to publish the updating information. We aim to highlight research on nursing science, public health, public health nursing, and other health ...