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This study analyzes the impact of these three cognitive forces (occupational stress, interpersonal trust and organizational commitment) on valence, Organizational citizenship behavior (OCB) and job satisfaction in the healthcare sector of Karachi (Pakistan). A sample of 375 responses is drawn from seven healthcare institutions of Karachi on a self-administered questionnaire. Using PLS-SEM, hypotheses and predictive relevance are tested with bootstrapping method and cross-validated redundancy analysis respectively. The results show that all three cognitive forces have significant impact on valence with the minor exception of affective commitment and strain. Moreover, valence has significant impact on both OCB has also shown a
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