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This descriptive-correlational study aimed to determine the relationship of work environment and sleep quality to confidence in decision-making and emotional labor among nurses as mediated by selfefficacy. Two hundred-fifty staff nurses from eight private hospitals were purposively selected to answer a self-constructed questionnaire. Mean, standard deviation, frequency distribution, Pearson’s product moment correlation, and structural equation modeling were used for statistical analysis. Findings revealed that work environment and sleep quality were fair, self-efficacy and confidence in decision-making were high, and the extent of emotional labor was average. Positive work environments were associated with higher confidence in decision-making. Sleep quality was not associated with any differences in self-efficacy, confidence in decision-making, or emotional labor. The mediation analysis showed that the effect of the work environment on confidence in decision-making is partially mediated by self-efficacy, while the effect of the work environment on deep acting emotional labor is completely mediated by self-efficacy. Results indicated that the final model was a good fit.
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