The Influence of Self-efficacy on Organizational Commitment and Ethical Behavior: The Role of Job Satisfaction

Objective: This study aims to analyze the effect of self-efficacy on organizational commitment and ethical behavior. Furthermore, this study also examines the mediating role of job satisfaction in determining the relationships. Design/Methods/Approach: This study was carried out on healthcare and administrative staff. The sample size and respondents were determined using the Slovin formula and selected through random sampling. The data collected was analyzed using PLS analysis. Findings: The findings reveal that self-efficacy positively and significantly affects ethical behavior and organizational commitment. Additionally, job satisfaction plays a role in mediating the connection between self-efficacy and organizational commitment. Similarly, the analysis shows that job satisfaction mediates the link between self-efficacy and ethical behavior. Originality: The novelty of this study lies in the influence of self-efficacy on organizational commitment and ethical behavior. Previous studies mainly analyzed the influence of self-efficacy on other variables, in which none of them had combined the two variables, along with job satisfaction as a mediation variable. In particular, this study is novel as it analyzes job satisfaction for workers in a Regional General Hospital, in which prior studies only focused on other non-health institutions or companies. Practical/Policy implication : Optimizing communication and institutionalizing ethical and moral values will improve workers' self-efficacy. Institutions should focus on maintaining job satisfaction, including work, rewards, supervision, co-workers, and promotion opportunities, to promote employee commitment and ethical behavior.


Introduction
A hospital is an institution that offers preventive, curative, and rehabilitative health services to the community. Its main objective is to promote high-quality and affordable healthcare while maintaining ethical, disciplinary, and legal standards. The goal is to provide safe services to earn the community's appreciation. To achieve the goals, all medical or non-medical staff must be dedicated to providing excellent service, behaving empathetically, and demonstrating honesty and care while performing their duties.
This study explores ethical issues in hospitals, including medical and administrative matters, as well as potential issues related to the quality of medical services. Hospital leadership and management are also important aspects of ethical considerations. Work ethics refer to the values and norms practiced by all workers in a company, including their leaders (Ferrell & Fraedrich, 2021;Grigoropoulos, 2019). Organizations with good work ethics prioritize values such as honesty, openness, loyalty, consistency in decision-making, good teamwork, high discipline, and responsibility. Understanding a worker's ethics is essential for shaping their ethical behavior. Good work ethics are vital for organizational success in today's competitive business environment. Higher work ethics lead to improved worker quality and performance. Balancing work ethics with work loyalty and organizational commitment is vital for optimal outcomes. Self-efficacy refers to an individual's belief in one's ability, integrated to create maximum performance (Bandura et al., 1999;Iovino, 2022;Schunk et al., 2022). Thus, workers practicing self-efficacy could work more optimally in overcoming problems at work and are easier to develop thanks to having confidence in making changes without hesitation, as a result of practicing self-efficacy that affects the workers' competence and actions. As a result, this practice helps workers perform their skills on the job better, leading to high job satisfaction. Moreover, higher self-efficacy leads to more persistent efforts (Maria et al., 2021;Sarinah et al., 2018). Similarly, another study by Zeb & Nawaz (2016) reported that self-efficacy could improve a person's quality and psychosocial performance. Consequently, individuals with good self-efficacy can formulate goals or objectives for themselves and be resilient when experiencing failure. Thus, self-efficacy affects how individuals think, feel, motivate and act according to the rules, leading to high organizational commitment and better worker performance (Yokoyama, 2019).
Elaborating further, Heslin & Klehe (2006) research reported that self-confidence as a result of self-efficacy affects many aspects of life. Further, Maddux & Gosselin (2012) assumes that belief in one person's efficacy is the foundation of human behavior. Hence, people practicing high self-efficacy tend to achieve better grades, consider more career possibilities, have tremendous job success, set higher personal goals, and have better physical and mental health than those with low self-efficacy (Fraillon et al., 2014). Furthermore, Schultz (2014) added that people who believe they can act and may have more potential to change events in their environment will be more likely to act and be successful than those with low self-efficacy. Hence, referring to (Fraillon et al., 2014;Schulz-Knappe et al., 2019), the present authors affirmed that psychological behavioral processes are influenced by self-efficacy.
Behavioral theory, as presented by Bosnjak et al. (2020), states that attitudes, social norms, and habits determine behavior. In particular, work behavior is related to individual activities in achieving organizational goals. Other studies by Robbins & Judge (2015) have explained the attempts to determine the cause or motive of behavior, which might be internal under the individual's self-control or external that radiates from the outside factors triggered by a forced behavior due to an urgent situation. Several previous studies (Chegini et al., 2019;Demir, 2020;Liu, 2019;Maria et al., 2021;Zeb & Nawaz, 2016) related to the effect of self-efficacy on organizational commitment and ethical behavior indicated mixed results, in which self-efficacy directly had a significant effect on organizational commitment; and other studies (Fida et al., 2015;Martinko et al., 2002;Stremic et al., 2017;Wang et al., 2015) confirmed that self-efficacy proved a significant effect on ethical behavior in general with satisfaction becomes an area of the most studied indicators, especially in relation to supervision and commitment. Satisfaction is considered a factor that strengthens commitment from a social exchange perspective (Chang, 2015;Maan et al., 2020). Thus far, previous research results have encouraged the present authors to develop conceptual models by examining the role of job satisfaction to understand the relationship between self-efficacy towards ethical behavior and organizational commitment.
This study aligns with previous research on the impact of self-efficacy on workers' commitment to their organization and ethical behavior. These findings suggest that employees with solid self-efficacy are likelier to exhibit positive organizational commitment and ethical behavior. According to Chang (2015), job satisfaction is crucial in strengthening commitment from a social exchange perspective. Additionally, the theory of expectations (Vroom & Jago, 2007;Hasibuan, 2016;Mahyuddin et al., 2021) suggests a reciprocal relationship between an employee's desires and needs and their level of job engagement. Service success is measured by how well employees contribute to achieving organizational goals and fulfilling customer expectations. Exemplary organizational commitment involves workers' attitudes towards the organization and their striving to improve their performance to enhance overall effectiveness.
This study aims to analyze and prove (1) the effect of self-efficacy on organizational commitment; (2) the effect of self-efficacy on ethical behavior; (3) the effect of self-efficacy on job satisfaction; (4) the effect of job satisfaction on organizational commitment; (5) the effect of job satisfaction on ethical behavior; (6) the indirect influence of self-efficacy on organizational commitment through job satisfaction; and (7) the indirect influence of self-efficacy on ethical behavior through job satisfaction.
In addition, this study is expected to develop previous research by including the variable of job satisfaction as a mediation of the influence of self-efficacy in the relationship between self-efficacy towards ethical behavior and organizational commitment. Particularly, model development is formulated to examine ethical behavior and organizational commitment of workers in the health sector, both medical and non-medical personnel of Kanjuruhan Regional Hospital, Malang Regency. Hence, this study is expected to strengthen the discourse concerning with commitment and ethical behavior from a social exchange perspective by navigating the effect of worker satisfaction levels. Further, this study's results are expected to benefit organizations and future academics and researchers. For organizations, the results of this study are expected to provide material to increase organizational commitment and ethical behavior. For future academics and researchers, the results of this research are expected to address the research gaps, as further research development is required to engage with other variables, dimensions, and indicators excluded in this study.
In sum, this study is compiled by explaining the literature review and the development of the formulated hypotheses, continued by presenting the research method and explaining the results and discussion. It is finalized with conclusions, limitations, and suggestions for further research development.

Literature Review and Hypotheses Development
The discourse on self-efficacy has inspired a wide array of research in various fields of studies, such as in sports, politics, health, and other fields of studies, based on the belief that self-efficacy influences the actions pursued (by people) as an essential construct in examining human behavior in various contexts (Bandura et al., 1999;Poluektova et al., 2023). Moreover, self-efficacy greatly influences people's choices, effort, and persistence in facing challenges (Tilmon et al., 2023). The theoretical basis for self-efficacy is closely related to Albert Bandura's extensive work (1997), representing a person's belief and confidence to perform a particular task in a particular context. Thus, self-efficacy affects a person's choice of activities by avoiding tasks considered too difficult or impossible and embracing manageable activities. In addition, (Fred, 2011;Stajkovic & Luthans, 1998) defined self-efficacy as an individual's belief (or self-confidence) regarding his or her ability to mobilize the motivation, cognitive resources, and necessary actions to perform a particular task in a given context successfully. Moreover, Bandura (1997) demonstrated a significantly positive relationship among self-efficacy and various motivations, affective outcomes, and behaviors in clinical setting (Bandura et al., 1980;Shehab et al., 2023;Shorey & Lopez, 2021;Xiang et al., 2023); in education setting (Cardullo et al., 2021;Hutzler et al., 2019;Schunk et al., 2022); and in organization setting (Abdel-Azeem et al., 2023;Handiyani et al., 2019;Wood & Bandura, 1989); as well as in specific performance (Chegini et al., 2019;Kurniawan et al., 2019). Additionally, self-efficacy is positively related to internal locus of control (Phillips & Gully, 1997), to self-impact (Wang et al., 2015), and to selfregulation and self-control (Fida et al., 2015). Following prior studies, (Martinko et al., 2002;Shoss et al., 2016) found that workers with an internal locus of control were less likely to participate in CWB (Counterproductive Work Behavior).
Further, another relevant study Na-Nan et al. (2021) explained organizational commitment and job self-efficacy formation. Referring to Wuu Joey's model (2010), organizational commitment and job self-efficacy are influenced indirectly by social support, knowledge creation, and information intensity through the mediation of decision-making quality and perceived opportunism. In addition, self-efficacy directly influences organizational citizenship behavior with statistical significance, depicting indirect influence through worker engagement, organizational commitment, and job satisfaction. Similarly, Demir (2020) postulates that self-efficacy affects organizational commitment and worker job satisfaction. Meanwhile, Chegini et al. (2019) found that nurses with self-efficacy greatly influenced organizational commitment with statistical significance.
Additionally, a former study by Liu (2019) found that self-efficacy significantly influenced organizational commitment. Thus, the present authors assumed that someone with high self-efficacy tends to overcome obstacles to complete their work according to their assigned goals and commitment. Elaborating further, Buangga et al. (2018) revealed that self-efficacy significantly affected organizational commitment and job satisfaction, which aligns with Lin & Wang (2018), revealing that self-efficacy significantly affects organizational commitment and job satisfaction. Besides, several studies have examined the relationship between self-efficacy and work attitudes (Chegini et al., 2019;Demir, 2020;Liu, 2019). Syabaruddin et al. (2020) pointed out that self-efficacy significantly influences employees' organizational commitment. Consequently, employees who have a sense of certainty that they can perform a task are more likely to stay within the organization. Liu and Huang (2019) have reported that occupational self-efficacy directly impacts organizational commitment.
Several studies (Kang & Kim, 2014;Oh & Wee, 2016;Orgambidez al, 2019) reported the relationship between these two variables focusing on nursing. Based on these findings, the authors of this study believe in a positive relationship between self-efficacy and organizational commitment because when employees are confident in performing a particular task, they are more committed to their job. Hence, the present authors formulate the first hypothesis as follows. H1: Self-efficacy has a positive and significant effect on organizational commitment Furthermore, workers with higher self-efficacy will adapt more quickly, survive longer through difficulties at work, and be more confident (Fida et al., 2015). Self-efficacy is also positively related to an internal locus of control (Phillips & Gully, 1997), self-impact (Wang et al., 2015), self-regulation, and self-control (Fida et al., 2015). Similarly, (Martinko et al., 2002;Shoss et al., 2016) found that workers with an internal locus of control are less likely to participate in counterproductive behavior.
Prior studies consistently reported that situational variables and individual differences affected CWB (Fida et al., 2015;Martinko et al., 2002). In addition, prior studies (Stremic et al., 2017) revealed the impact of self-efficacy, perceptions of ethical violations, and guilt related to CWB. Self-efficacy will be negatively related to CWB. Furthermore, it was revealed that the perception of ethical wrongdoing and guilt would mediate the relationship between self-efficacy and CWB. However, only a few studies examine the effect of self-efficacy on worker work attitudes and OCB (Demir, 2020). Hence, this study proposes the following second hypothesis: H2: Self-efficacy has a positive and significant effect on ethical behavior In general, self-efficacy is required by workers to improve their abilities following the job desk assigned by their superiors. Thus the organization runs optimally, and the worker's job satisfaction will increase (Bandura et al., 1999). Therefore, self-efficacy is deemed instrumental in achieving high job satisfaction. Demir (2020) states that self-efficacy affects organizational commitment and worker job satisfaction. Meanwhile, Chegini et al. (2019) found that nurses with self-efficacy strongly influenced organizational commitment with statistical significance. As such, Rahayu et al. (2018) found that people with high self-efficacy also have high job satisfaction, while (Liu, 2019) found that self-efficacy significantly affects organizational commitment. The results of the two mentioned studies are in accordance with another study (Soto & Rojas, 2019) reporting that job satisfaction serves as a mediation that transmits the influence between self-efficacy and organizational citizenship behavior. Therefore, this study employs job satisfaction as a mediation of the relationship between self-efficacy and organizational commitment and the effect of self-efficacy on ethical behavior, leading to the following third hypothesis: H3: Self-efficacy has a positive and significant effect on job satisfaction Job satisfaction has exhibited a significantly positive effect on organizational commitment, indicating that higher job satisfaction will further increase worker's organizational commitment (Baek et al., 2019;Luthans, Youssef et al., 2006;Luthans, Zhu, et al., 2006;Purwanto, 2020). Furthermore, (Petrick et al., 2023) asserted that satisfaction became an indicator of supervision that strengthened commitment from a social exchange perspective. Thus, individual workers with high job satisfaction will have a high organizational commitment (Amoah et al., 2022;Gupta & Agrawal, 2023). Based on the research mentioned earlier results, the following fourth hypothesis is proposed: H4: Job satisfaction has a positive and significant effect on organizational commitment Satisfaction becomes one of the most studied indicators, especially in relation to supervision. Satisfaction is considered a factor that strengthens commitment from a social exchange perspective (Rusbult, 1980). Various previous research results have encouraged the present authors to develop conceptual models and further examine the role of job satisfaction in the relational relationship between self-efficacy, ethical behavior, and organizational commitment. Formerly, Poikkeus et al. (2020) explained that the leverage of ethical behavior indicates the relationship between coworkers, a dimension of job satisfaction (Fred, 2011;Moslehpour et al., 2022). Prior relevant research has examined the relationship between ethical behavior and job satisfaction. For example, Huang et al. (2012), in a survey of 352 respondents, suggested that hospitals can increase organizational citizenship behaviors by influencing job satisfaction with coworkers. In addition, Valentine et al. (2011) reported that ethical values were associated with increasing job satisfaction in a sample of 781 healthcare and administrative employees and 127 sales and marketing employees working for various firms operating in the south-central United States. Previously, Viswesvaran et al. (1998) found that perceived top management support for ethical behaviors was positively correlated with supervision satisfaction. Furthermore, Koh and Boo (2001) revealed that three measures of organizational ethics (top management support for ethical behavior, the ethical climate, and the association between ethical behavior and career success) were associated with job satisfaction. Fu (2013) pointed out that job satisfaction positively impacted the ethical behavior of Chinese employees, indicating that satisfaction with promotion, coworkers, and supervision significantly affected ethical behavior. Among the three facets of satisfaction, coworker satisfaction had the most significant impact on ethical behavior, followed by supervision and promotion satisfaction. Therefore, this indicates that those who believe that their job provides them the things that they consider necessary are more likely to behave ethically in firms. Several studies revealed that job satisfaction has a significantly positive effect on worker's ethical behavior (Fu, 2014;Fu et al., 2020;Kaffashpoor & Sadeghian, 2020), thereby encouraging individual's tendency to behave ethically (Kaffashpoor & Sadeghian, 2020). Thus, the fifth hypothesis is proposed as follows: H5: Job satisfaction has a positive and significant effect on ethical behavior Similarly, (Lin & Wang, 2018) revealed that self-efficacy significantly affects organizational commitment and job satisfaction. Organizational commitment will form when an individual feels comfortable with his work environment (Ashfaq et al., 2021) and realizes it is difficult to leave the organization because it has contributed to his life (Soleman et al., 2020). Hence, it is assumed that self-efficacy positively correlates with organizational commitment; further, it significantly impacts worker engagement, and organizational commitment becomes a mediation between self-efficacy and worker engagement. Therefore, this study employs job satisfaction as a mediation of the relationship between selfefficacy and organizational commitment and the effect of self-efficacy on ethical behavior, with the following hypothesis: Self-efficacy is deemed necessary for workers to improve their abilities in accordance with the job desk assigned by their superiors. Thus the organization runs optimally, and worker job satisfaction will increase (Bandura, 2006). In general, satisfaction becomes one of the most studied indicators, especially supervision, considered a factor that strengthens commitment from a social exchange perspective (Rusbult, 1980). Therefore, self-efficacy is deemed instrumental in achieving high job satisfaction. Demir (2020) noted that self-efficacy affects organizational commitment and worker job satisfaction; meanwhile, Chegini et al. (2019) found that nurses with self-efficacy strongly influenced organizational commitment with statistical significance. As such, Rahayu et al. (2018) found that people with high selfefficacy also have high job satisfaction, while Liu (2019) found that self-efficacy significantly affects organizational commitment. The results of the two mentioned studies are in accordance with Soto and Rojas (2019), who reported that job satisfaction serves as a mediation that transmits the influence between self-efficacy and organizational citizenship behavior. Therefore, this study employs job satisfaction as a mediation of the relationship between self-efficacy and organizational commitment and the effect of self-efficacy on ethical behavior, with the following hypotheses: H6a: Self-efficacy indirectly affects organizational commitment through job satisfaction H6b: Self-efficacy indirectly affects ethical behavior through job satisfaction

Sample and Procedure
Samples were obtained from 541 health and administration workers in Kanjuruhan Regional Hospital, in Malang Regency, by employing Slovin's formula (1960) with the percentage of inaccuracy slack due to sampling errors tolerated by 5%, hence generating a sample size of 225, with the returning questionnaires of 192. Hence, the sample in this study was 192 people.
This research was conducted at the Kanjuruhan Regional General Hospital Malang, East Java. The unit of analysis in this study included the individual (worker) from the group of medical and administrative workers. The determination of Kanjuruhan Hospital as an object of research is based on three reasons. Firstly, it was considered that Kanjuruhan Hospital is a health service located at the center of the Malang Regency government and has a vital role in health services in Malang Regency and the surrounding areas. Since 2020, Kanjuruhan Hospital in Malang Regency has officially become a teaching and research hospital so that it becomes a reference for students who are carrying out educational activities, especially for medical students who are in the medical profession education phase and have passed plenary level accreditation and become a referral hospital for patients in the district. Secondly, Kanjuruhan Hospital serves as a health service center and an education and training hospital, making the RSUD have challenges in improving human resources. Lastly, this hospital's service success is supported by self-confidence, individual commitment and loyalty to the organization, and attention to understanding ethics and ethical behavior.
With a total sample of 192 people, obtained through questionnaires that were distributed offline for one month, the data presentation was as follows: the composition of male workers of 32.3%, female workers of 67.7%, the majority of which are educated at Bachelor level with 40.6%, married status of 88%, and the average duration of work for > 20 years was 24%, with the category of work: health workers of 60.4% and non-health workers of 39.6%.

Instrument
This study implemented a comprehensive survey that included several items covering several measures such as self-efficacy, organizational commitment, job satisfaction, and ethical behavior. The indicators for each variable are described in Table 2.

Result and Discussion
This study implemented the PLS statistical technique for data analysis because this analysis tool is a powerful method applicable to all data scales, which do not require many assumptions.
Consistency test on the instrument items was conducted in accordance with the respondents' assessment needs by using the loading factor, Cronbach's alpha coefficient, composite reliability coefficient, and AVE coefficient. Research items were tested using convergent validity and discriminant validity tests to measure the loading factor. Valid indicators are indicated by the outer loading value above 0.6. The indicator variable with a loading factor below 0.6 is invalid and must be removed from the research model. Generally, the construct has good reliability in each indicator; if Cronbach's alpha coefficient is more than 0.60, the composite reliability coefficient is more than 0.70, and the AVE coefficient is more than 0.50 (Hair Jr et al., 2014).

Measurement Models
Items whose loading factor values are below 0.6 are deleted and retested. Items removed in the self-efficacy variable consist of SE 1 (0.280), SE 2 (0.338), SE 3 (0.583), and SE 4 (0.362); meanwhile job satisfaction variable consists of JS 4 (0.548), JS 5 (0.456), and JS 13 (0.457). Organizational commitment variable consists of OC 9 (0.204) and OC 10 (0.424); meanwhile Ethic behavior variable consists of EB 4 (0.069), EB 5 (0.277), and EB 8 (0.001). After retesting, the loading factor value is produced (see Table 3), presenting the validity construct with a value above 0.6. Thus, it is concluded that all items are declared valid and can be forwarded for model testing.  Table 4 depicts that the instrument items meet the requirements indicating good reliability in each variable indicator, such as self-efficacy, organizational commitment, job satisfaction, and ethical behavior depicting a composite reliability measure greater than 0.70. Thus, variables in this study, such as self-efficacy, organizational commitment, job satisfaction, and ethical behavior, mutually reinforced or could measure the latent variables.

Hypothesis Test Result Direct Influence Test Results
Hypothesis testing criteria were observed through the statistical test score and p-value results. Statistical testing in this study was performed through the bootstrapping method as follows:  Table 5, the hypothesis is deemed acceptable if the p-value is less than 0.05 and has a statistical value greater than that of the t table (1.96). The path coefficient value for the effect of self-efficacy on organizational commitment is 0.457, with a t-statistic value of 7.312 or > 1.96 and a p-value of 0.002; then, if the p-value <0.05, it can be stated that self-efficacy has a positive and significant effect on organizational commitment. The path coefficient value for the influence of self-efficacy on ethical behavior is 0.452 with a t-statistic value of 5.818 or >1.96 and a p-value of 0.00 <0.05; therefore, it is concluded that self-efficacy has a positive and significant effect on ethical behavior. Meanwhile, the path coefficient value for the effect of self-efficacy on job satisfaction is 0.593 with a t-statistic value of 10.238 or > 1.96 and a p-value of 0.000, which is <0.05, indicating that self-efficacy has a positive and significant effect on job satisfaction. Also, the path coefficient value for the effect of job satisfaction on organizational commitment is 0.508 with a statistical value of 6.331 or > 1.96 and a p-value of 0.000 which is <0.05; it can be stated that job satisfaction has a positive and significant effect, on organizational commitment. Lastly, the path coefficient value for the effect of job satisfaction on ethical behavior is 0.253 with a t-statistic value of 3.217 or > 1.96 and has a p-value of 0.001 which is <0.05; thus, it can be concluded that job satisfaction has a positive and significant effect on ethical behavior.  PLS result indicates the indirect influence test between variables, both the indirect effect of self-efficacy on organizational commitment through job satisfaction and ethical behavior through job satisfaction, in which all were tested significantly (p <0.05). Subsequently, the analysis results conclude that job satisfaction mediates the effect of selfefficacy on organizational commitment. Likewise, the analysis results conclude that job satisfaction mediates the effect of self-efficacy on ethical behavior.

Mediation Test Result
Testing of mediation in this study approaches the difference in coefficients. The coefficient of the effect of selfefficacy on organizational commitment with job satisfaction as the mediation is 0.301, which this value is smaller than the coefficient of the direct influence of self-efficacy on organizational commitment. Hence, job satisfaction acts as a partial mediation in the relationship between self-efficacy and organizational commitment.
The coefficient of the effect of self-efficacy on ethical behavior with job satisfaction as the mediation is 0.150, which is smaller than the coefficient of the direct influence of self-efficacy on ethical behavior (0.452). Thus, job satisfaction acts as a partial mediation in the relationship between self-efficacy and ethical behavior. Examining the mediating variable indicating the difference in coefficient approach was performed by examining the direct influence of the independent variable on the dependent variable by involving the mediating variable and examining the effect of the independent variable on the dependent variable without involving the mediating variable. Suppose the coefficient of influence in the independent variable and the mediating variable is significant. In that case, the coefficients of the independent variable are compared to the dependent variable by involving the mediating variable with the coefficients of the independent variable without involving the mediating variable. Suppose the coefficient of influence in the independent variable involving the mediating variable is smaller than the coefficient of influence on the dependent variable without involving the mediating variable. In that case, it is stated as partial mediation (Ghozali & Latan, 2015).

The Effect of Self-Efficacy on Organizational Commitment
The results of this study indicated that self-efficacy had a positive effect on organizational commitment, which are in line with the study results of (Buangga et al., 2018;Chegini et al., 2019;Demir, 2020;Lin & Wang, 2018;Liu, 2019;Na-Nan et al., 2021). (Ashfaq et al., 2021;Joe, 2010;Sarinah et al., 2018) pointing out that self-efficacy significantly affects organizational commitment. Thus, someone with high self-efficacy tends to overcome obstacles to complete their work successfully based on the assigned goals, such as pride in their work and that their work is challenging. In this study, based on the average respondents' answers to each item from the indicators on self-efficacy, the indicator of strength presents the highest average answer, indicating that people with self-efficacy can concentrate on their work, express determination, have self-confidence, and have motivation to work. These factors encourage workers to behave with passion, dedication, and absorption in work operations. When workers are involved with their work, organizational commitment will unconsciously increase.

The Effect of Self-Efficacy on Ethical Behavior
The test results of this study indicated that self-efficacy has a significantly positive effect on ethical behavior, indicating that higher self-efficacy possessed by a worker will affect the individual's tendency for ethical decisions or behavior in the organization. This study's results align with prior studies (Fida et al., 2015;Martinko et al., 2002;Stremic et al., 2017;Wang et al., 2015), which explained that workers with high self-efficacy tend to have ethical attitudes. As stated in the research of (Fida et al., 2015), low levels of self-efficacy increased the likelihood of counterproductive behavior. It was further revealed that individuals with higher self-efficacy levels are less likely to engage in counterproductive work behavior (CWB). Research has consistently reported that an individual's level of self-efficacy appears to influence whether they engage in ethical violations (Fida et al., 2015;Wang et al., 2015). Particularly in this study, based on the generality indicator, the average answer to the respondent's statement item is 3.92, describing the ability to face obstacles in the worker's work which is in the high category. Workers with higher self-efficacy are considered more responsible and have a higher locus of control, which aligns with other studies conducted by Wang et al. (2015) and Fida et al. (2015).
Furthermore, workers with high levels of self-efficacy are more likely to react positively and speak in ethical dilemmas and are less likely to participate in CWB. This connection is deemed necessary in understanding the antecedents of CWB because self-efficacy marks an individual difference variable that influences how the behavior is perceived, whether unethical or permissible. Therefore, this study aimed to present that the level of self-efficacy influences perceptions of ethical behavior.
According to social cognitive theory, self-regulation becomes the most involved mechanism in ethical judgment and behavior (Bandura, 1986;Poluektova et al., 2023;Wood & Bandura, 1989). Selective self-assessment stimulates the process of self-regulation, which in turn adapts to the environment. Self-regulation becomes the process from which behavior change is achieved, in which individuals respond to their external environment based on internal standards and results in self-satisfaction or self-sanction. Self-regulation involves the interaction of three factors, namely personal, environmental, and behavioral. In other words, one's ethical self-assessment does influence one's ethical judgment and behavioral intentions by considering the outside world.

The Effect of Self-Efficacy on Job Satisfaction
The results of this study indicated that self-efficacy has a significantly positive effect on job satisfaction, marking that higher self-efficacy of workers leads to increasing job satisfaction. This study's results align with studies conducted by (Demir, 2020;Fred, 2011;Soto & Rojas, 2019). In addition, (Maria et al., 2021;Rahayu et al., 2018) found that people with high self-efficacy also have high job satisfaction. (Demir, 2020) recorded that self-efficacy affects organizational commitment and worker job satisfaction. Buangga et al. (2018) revealed that self-efficacy significantly affects organizational commitment and job satisfaction. These results are in line with the research of Soto and Rojas (2019), which revealed that job satisfaction serves as a mediation that transmits the influence between self-efficacy and organizational citizenship behavior. Alongside, (Kurniawan et al., 2019;Na-Nan et al., 2021) revealed that self-efficacy, in general, will affect job satisfaction through its relationship with success at work. Individuals with high self-efficacy overcome difficulties more effectively and survive when experiencing failure and obstacles (Gist & Mitchell, 1992;Van den Heuvel et al., 2015). Therefore, they are more likely to reward the results through persistence, thereby leading to intrinsic satisfaction from their work because they understand that their work is meaningful and contributes positively to organizational and individual success.

The Effect of Job Satisfaction on Organizational Commitment
The results of this study indicated that job satisfaction has a significantly positive effect on organizational commitment, indicating that higher job satisfaction will increase worker organizational commitment. The results of this study are in accordance with (Baek et al. 2019;Luthans, Youssef, et al., 2006;Luthans, Zhu, et al., 2006;Purwanto, 2020). Furthermore, Baek et al. (2019) stated that satisfaction becomes one indicator that strengthens commitment from a social exchange perspective. (Amoah et al., 2022;Gupta & Agrawal, 2023) pointed out that individual workers with high job satisfaction will have high organizational commitment. Moreover, workers who are satisfied with their work tend to give more than what the company expects and have a high commitment. Workers who are satisfied with their work tend to give more than what the company expects and have a high commitment. On the other hand, workers with low job satisfaction tend to see work as a routine that is not done wholeheartedly. Job satisfaction is perceived in the positive attitude of workers towards their work and everything they face in their work environment; on the contrary, workers who are not satisfied by the dimensions related to work appear to have negative attitudes that reflect their lack of commitment to the company such as frequent absenteeism, low productivity, high level of damage, to worker transfer.

The Effect of Job Satisfaction on Ethical Behavior
The results of this study indicated that job satisfaction has a positive effect on ethical behavior, asserting that higher job satisfaction will make the individual's tendency to behave ethically. This finding is in line with prior studies (Fu, 2014;Fu et al., 2020;Kaffashpoor & Sadeghian, 2020), which revealed that job satisfaction has a significantly positive effect on worker ethical behavior, where various aspects of job satisfaction (Fred, 2011) such as satisfaction with promotions, co-workers, and supervision (Robbins & Judge, 2017) have a significant positive impact on respondents' ethical behavior.

Job Satisfaction as a Mediation of Self-Efficacy Effect on Ethical Behavior.
The results of this study indicated that job satisfaction can be used as mediation on the effect of self-efficacy on ethical behavior. The results of this study are expected to provide insight into increasing job satisfaction affects the increasing ethical behavior among workers. In other words, a high level of self-efficacy affects job satisfaction; thus, it subsequently affects the tendency of workers to behave ethically. According to the present authors, it is essential to note that individuals having high self-efficacy will perform the behavior as expected by their work unit or organization. However, people with low self-efficacy tend to perform behaviors beyond their job expectations to work effectively and successfully in their jobs and for organizations. Prior studies (Demir, 2020;Luthans, Youssef, et al., 2006;Soto & Rojas, 2019) have reported that workers with high self-efficacy affect job satisfaction. Furthermore, workers with higher satisfaction will affect the tendency to behave ethically (Fu et al., 2020;Poikkeus et al., 2020).

Job Satisfaction as a Mediation of Self-Efficacy Effect on Organizational Commitment.
The results of this study indicated that job satisfaction can be used as mediation on the effect of self-efficacy on organizational commitment. In other words, increasing job satisfaction will likely affect the increasing worker's commitment. In other words, if self-efficacy is high, it will affect job satisfaction and the increasing organizational commitment among the workers. (Demir, 2020) noted that self-efficacy affects organizational commitment and worker job satisfaction. Similarly, Buangga et al. (2018) revealed that self-efficacy significantly affects organizational commitment and job satisfaction. (Lin & Wang, 2018) and (Ashfaq et al., 2021) revealed that self-efficacy, in general, will affect job satisfaction through its relationship with success at work.

Conclusion
Based on the results of a study of the research model consisting of self-efficacy, job satisfaction, organizational commitment, and ethical behavior variables, it can be summarized that self-efficacy, in general, has a significantly direct influence on ethical behavior and organizational commitment as well as job satisfaction as mediation in the relationship between self-efficacy and ethical behavior, as well as a mediation between self-efficacy and worker organizational commitment. This finding can be explained because people with self-efficacy behave confidently in their job responsibilities to gain success. Self-efficacy can improve ethical behavior and organizational commitment; self-efficacy is a belief in one's ability to complete tasks and perform behavior. Confidence to face obstacles at work and willingness to try is believed to generate the best work results. This condition will affect individuals' strength, direction, and persistence to strive for success and overcome all obstacles encountered. Effort, strength, and persistence will affect individual motivation and job satisfaction, increasing individual commitment and directing individuals to behave according to applicable norms and provisions.
Based on the referred studies, it can be implied that higher individual self-efficacy leads to higher organizational commitment and the tendency to behave ethically. Based on the selection of objects in this study, workers engaging in the health sector are particularly prone to ethical behavior and commitment. Thus, devoted attention to job satisfaction, both in satisfaction with work, rewards, co-workers, and opportunities for promotion, will affect the increase in organizational commitment and the tendency of workers to behave ethically. As observed in this study, self-efficacy impacts behavior in several important ways. Firstly, self-efficacy can influence the choices and individual actions at work when individuals feel competent and confident in their abilities. Secondly, self-efficacy determines how much effort is made by the individual, how long the individual will survive when facing obstacles, and how steadfast in facing unfavorable situations, meaning that self-efficacy will affect how much motivation an individual worker has in terms of the amount of effort, strength, and persistence. Lastly, someone with self-efficacy has self-confidence, work commitment, high motivation, and enthusiasm. Hence, high self-efficacy will develop a strong personality in a person; affect the ability to deal with stress in threatening situations (Larengkeng et al., 2019). High self-efficacy encourages someone to try hard and be optimistic about getting positive results or success. People with high self-efficacy actualize themselves more optimally than people with low self-efficacy. High self-efficacy helps individuals to complete tasks and reduce workload psychologically and physically. However, people with low self-efficacy indicate an attitude of not trying hard.
Meanwhile, the managerial implications from this study include comprehensive efforts to increase the tendency to behave ethically by optimizing the self-efficacy possessed by individuals or indirectly through increasing job satisfaction. The embodiment of job satisfaction is also able to increase employee organizational commitment, both affective, normative, and sustainability commitments, as well as the level of job satisfaction will also be able to increase the tendency of workers to behave ethically both willingness to understand and recognize behavior according to a code of ethics, take actions that are consistent with values and confidence, able to act based on values and norms even though it is difficult or risky.
Workers in the health sector, especially medical personnel, must have certain behavioral determinations to complete all work. One of these behaviors includes self-efficacy, which refers to individual beliefs regarding their ability to mobilize motivation (Soelton et al., 2020), cognitive resources (Sudiro et al., 2023), and actions needed to accomplish the assigned tasks in certain contexts. Work ethic provides a system of values or norms used by all company workers, including their leaders, in carrying out their daily work (Aryati et al., 2018), implementing good work ethics and practice values, such as honesty, openness, loyalty to the company, consistency in decisions, good cooperation, discipline, and responsibility. An understanding of ethics serves as a basis for forming character in the ethical behavior of a worker, expected to support the success of the organization in the long term. Loyalty can be interpreted as devotion and trust given or addressed to a person or institution, in which there is a sense of love and responsibility to try to provide the best service and behavior (Handoko, 2016). Loyalty reflects organizational commitment, which describes individuals' strong recognition and involvement in the organization. Workers with high commitment will have a greater emotional bond with the organization and feel happier with their work and tend to reduce the likelihood of leaving the work environment. (Meyer & Allen, 1991;Mobley et al., 1978) states that organizational commitment is a moral dimension, where one form of organizational commitment, namely normative commitment, is a form of moral responsibility to the organization where they work.
Workers, who have high organizational commitment, exhibit different attitudes with workers who have low organizational commitment. High organizational commitment results in high work performance, low absenteeism, and high achievement of work targets. In addition, highly committed people will have maximum work performance (Eliyana & Ma'arif, 2019;Febrianto et al., 2019;Hendri, 2019). Hence, organizational commitment becomes one of the critical factors in the success of organizational achievement. In addition, the confidence of an individual worker to perform a task also affects the level of commitment. Organizational commitment can be achieved by increasing the self-efficacy of individual workers.
In particular, at Kanjuruhan General Hospital, attention to the self-efficacy of workers could be done by optimizing the communication function and institutionalizing ethical and moral values in the organization through the actualization of the vision, mission, and organizational strategy to raise awareness and understanding of workers to behave ethically. The ongoing attention and efforts of the institution to maintain the level of job satisfaction, primarily related to work, rewards, supervision/supervision, co-workers, and promotion opportunities, will affect the level of employee commitment and the tendency to continue behaving ethically.
This study, however, has several limitations, especially in measuring worker ethical behavior. Several development concepts in this study need to be observed (excluded) related to ethical behavior for health sector workers, such as code of ethics or ethical climate. Hence, further study is encouraged to explore ethical considerations and decisions. In research related to ethics, cultural differences need to be explored more broadly. This study was conducted using a quantitative approach, encouraging further research with a qualitative approach. Subsequently, discourse regarding selfefficacy in raising organizational commitment and ethical behavior can be more comprehensively understood.