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Drawing on social exchange theory, this study has two objectives. First, it sought to explore the mediating role of social exchange reciprocating responses, specifically citizenship behavior toward the organization (OCB-O) and organizational deviance, in the relationship between perceived organizational support (POS) and quality of care. Second, it aimed to develop a better understanding of the moderating effect of the educational level in the relationships proposed.

A cross-sectional survey design was implemented. The study involved 228 nurses from Argentina and data were collected between May and November 2019. A cross-sectional survey design was implemented. This study employs partial least squares structural equation modeling (PLS-SEM) and multi-group analysis (MGA) to examine hypotheses.

The findings indicate that both social exchange reciprocating responses (i.e. OCB-O and organizational deviance) play a mediating role in the relationship between POS and quality of care. Moreover, the mediating role of OCB-O between POS and quality of care is moderated by the educational level of nursing professionals.

Nurse managers should acknowledge and promote nurses' reciprocating responses such as citizenship or deviant behaviors that enhance the quality of care. Furthermore, senior managers and HR departments should design strategies to support nurses in obtaining further education.

This study identifies the mediating role of social exchange reciprocating responses such as OCB-O and organizational deviance in the relationship between POS and quality of care. Furthermore, our research shows that educational level moderates the mediating effect of OCB-O in the relationship between POS and quality of care.

Drawing on social exchange theory and the expectancy–value model, this study has two objectives. First, it sought to explore the mediating role of nurses’ self-concept and affective commitment between perceived organizational support (POS) and three different targets (organization, co-workers and patients) of organizational citizenship behavior (OCB). Second, it aimed to develop a better understanding of how nurses´ self-concept and affective commitment mediate the influence of POS on OCB directed toward different targets through sequential mediation.

A cross-sectional study was conducted with 229 nurses. This sample was representative of the nursing population based on several demographic characteristics. Data analysis was performed using partial least squares analysis.

The study revealed that nurses´ self-concept plays a mediating role between POS and OCB directed toward the organization, co-workers and patients, while affective commitment has a mediating effect between POS and OCB directed toward the organization and co-workers. Finally, the indirect influence of POS on OCB through nurses´ self-concept and affective commitment was significant only at the organizational level.

This study contributes to the extant literature by identifying the mediating role of nurses´ self-concept among social exchange constructs such as POS, affective commitment and OCB directed toward different targets.