Determinants of Nurse Self-Efficacy and Infection Prevention Competency on Hospital Quality of Care

Authors

  • Nonalisa Nurindah Universitas Pelita Harapan, Indonesia
  • Ferdi Antonio Universitas Pelita Harapan, Indonesia

DOI:

https://doi.org/10.37641/jimkes.v14i3.5113

Keywords:

Care Delivery, Nurse Personal Trait, Nurse Professionalism, Nurse-Reported Quality of Care, Organizational Collaboration Ability, Professional Development Capability, Professional Skill

Abstract

This study aims to analyze the factors that influence nurse-reported quality of care in medical personnel by involving 207 nurses as a sample. Six constructs were tested, namely care delivery, nurse professionalism, professional skill, professional development capability, organizational collaboration ability, and nurse personal trait. The method used was a quantitative cross-sectional method using Partial Least Squares–Structural Equation Modeling through SmartPLS4 software to see the structural relationship between variables and identify the factors that most influence the quality of care based on nurses’ perceptions. The results showed that most of the hypotheses were supported. Nursing services significantly influenced nurses’ infection prevention professional skills, professional development capabilities, organizational collaboration, and personal traits. Nurse professionalism had a great impact on professional skills, ability to develop professionally, and individual qualities, but did not affect the collaboration in the organization. The personal traits did not have a direct effect, whereas the quality of nursing services depended mainly on the professional development capabilities, skills of preventing infections, and collaboration of the organization. These results prove that the professional competence of nurses is one of the primary factors that define the quality of the services, and it is essential to reinforce competency-based training and lifelong learning.

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References

Al Hadid, L. A., Al Barmawi, M., & Alnjadat, R. (2023). The effect of a clinical training course on new nursing graduates’ knowledge, skills, self-efficacy, and willingness to care for COVID-19 patients using simulation. International Journal of Africa Nursing Sciences, 19(9), 100-116.

Alkhawaldeh, J. F. M., Yehia, D., Kutah, O. A., El-Hneiti, M., Bani Hani, D. A., Al-Omran, H., & Alsabilah, R. (2025). Effectiveness of simulation-based training on critical care nurses’ competency in infection prevention: A systematic review. Nursing in Critical Care, 30(6), 702-716.

Alsulami, A., Sacgaca, L., Pangket, P., Pasay-An, E., Al Amoudi, F. A., Alreshidi, M. S., ... & Gonzales, A. (2025). Exploring the relationship between knowledge, attitudes, self-efficacy, and infection control practices among Saudi Arabian Nurses: a multi-center study. In Healthcare (Vol. 13, No. 3, p. 238). Paris: MDPI.

Amavasi, B., & Zimmerman, P. A. (2024). Infection prevention and control continuous education and training in pre-registration nursing programmes. Nurse Education Today, 133(10), 106-121.

Arvidsson, L., Skytt, B., Lindberg, M., & Lindberg, M. (2023). Nurses’ assessed self-efficacy levels to medical asepsis and their relation to structural empowerment, work engagement, and work-related stress. Work, 74(2), 501–513.

Berdida, D. J. E., & Alhudaib, N. (2025). Linking patient safety, caring behaviours and professional self-efficacy with missed nursing care among Filipino emergency room nurses: A structural equation model study. Journal of Clinical Nursing, 34(6), 2181–2193.

Chen, N., Li, S., Kuang, Z., Gong, T., Zhou, W., & Wang, Y. (2024). Identifying a competency improvement strategy for infection prevention and control professionals: A rapid systematic review and cluster analysis. Health Care Science, 3(1), 53–66.

Chi, C., Gong, G., Zhang, X., Cai, X., Chen, J., & Jiang, H. (2025). Safety performance behaviors of hospital nurses from the perspective of social cognition theory. Frontiers in Psychology, 16(8), 167-177.

Cho, J. Y., & Kim, N. (2025). Relationships among clinical competence, self-efficacy, organizational culture for infection control, and compliance with standard precautions in early career nurses. American Journal of Infection Control, 9(7), 101-111.

Cui, L., He, A., Wang, X., Wang, Y., Huang, X., & Ni, Z. (2022). Development and validation of a competency evaluation model for hospital infection prevention and control practitioners in the post-pandemic era: A mixed methods study. Journal of Hospital Infection, 119(10), 132–140.

Ebm, C., Sarti, R., Panico, P., Pagliotta, M., Vinci, V., & Oldani, S. (2025). Enhancing compassion in medical education-a comparative study of the efficacy of clinical clerkships versus simulation-based training methodologies. BMC Medical Education, 25(1), 181-191.

Elgazzar, S. E., Elkashif, M. M. L., Elbqry, M. G., & Elmansy, F. M. (2023). Improving nurses’ knowledge, practice, and self-efficacy regarding caring patients with tuberculosis: A quasi-experimental design. Iranian Journal of Nursing and Midwifery Research, 28(3), 235–243.

Guerrero, J. G., Attallah, D. M., Gomma, N. H., & Ali, S. A. (2024). Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study. BMC nursing, 23(1), 66-77.

Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Partial least squares structural equation modeling (PLS-SEM) using R: A workbook. Cham: Springer International Publishing.

Handayani, N., Syafei, M. Y., & Narimawati, U. (2025). Integrating hospital information systems and national health insurance: impact on employee performance and service quality. Jurnal Ilmiah Manajemen Kesatuan, 13(4), 2889-2898.

Hansen, M., Storm, M., Syre, H., Dalen, I., & Husebø, A. M. L. (2023). Attitudes and self-efficacy towards infection prevention and control and antibiotic stewardship among nurses: A mixed-methods study. Journal of Clinical Nursing, 32(18), 6268–6286.

Hendy, A., Ibrahim, R. K., Abuelzahab, N. H., Aboelmagd, A. N., Alharbi, H. F., Abdullahi, N. M., & Almagharbeh, W. T. (2025). Bridging the gap: The mediating role of self-efficacy in the impact of workload on core competencies among pediatric nurses. BMC Nursing, 24(1), 956-977.

Hussien, R. M., Khalil, T., Nashwan, A. J., Al-Najjar, H., & Khedr, M. A. (2025). Compassionate care in nursing: The role of simulation-based compassionate care on nurses’ caring behavior, self-efficacy, and compassion competency. Nurse Education in Practice, 8(4), 104-111.

Hyeon, Y. H., & Moon, K. J. (2024). Development of an infection control competency scale for clinical nurses: An instrument design study. BMC Nursing, 23(1), 250-260.

Jeyakumar, T., Karsan, I., Williams, B., Fried, J., Kane, G., Ambata-Villanueva, S., ... & Wiljer, D. (2024). Paving the way forward for evidence-based continuing professional development. Journal of Continuing Education in the Health Professions, 44(1), 53-57.

Kim, E. J., & Kang, J. (2025). Infection control nursing competency model for nurses in intensive care units: A Delphi study. American Journal of Infection Control, 53(2), 203–209.

Kim, S. Y., & Ko, Y. (2023, May). Influence of the team effectiveness of nursing units on nursing care left undone and nurse-reported quality of care. In Healthcare (Vol. 11, No. 10, p. 1380). Paris: MDPI.

Kim, Y., & Song, Y. (2021). Organizational culture for infection control and practice of standard precaution in veterans hospital nurses: The mediating effect of self-efficacy. Journal of Health Informatics and Statistics, 46(1), 124-130.

Lee, S. H., & Yang, I. S. (2024). Empowering hospital-associated infection prevention and control: A quasi-experimental study on the effect of scenario-based simulation training. Nurse Education in Practice, 76(11), 103-116.

Li, J., Liu, Y. Q., Song, J., Huang, X. F., & Chen, M. F. (2025). Correlations between leadership, self-efficacy, and evidence-based practice competency in nursing in a Chinese tertiary hospital. Risk Management and Healthcare Policy, 12(9), 999–1009.

Lindberg, M., & Lindberg, M. (2023). Development and validation of the infection prevention appraisal scale. Nursing Reports, 13(1), 157-165.

Linnik, L., Turan, N., Polat Dünya, C., Lahtinen, K., Franck, T., Valta, M., ... & Cauli, O. (2024). Association between hand hygiene knowledge and self-efficacy in nursing students: a multicenter cross-sectional study within the framework of the Erasmus project. Nursing Reports, 14(3), 1973-1986.

Ma, G., Han, Z., & Ma, X. (2023). Core self-evaluation and innovative behavior: mediating effect of error orientation and self-efficacy of nurses. Frontiers in Psychology, 14(7), 129-136.

Magon, A., Conte, G., Dellafiore, F., Arrigoni, C., Baroni, I., Brera, A. S., ... & Caruso, R. (2023). Nursing profession self-efficacy scale—Version 2: A stepwise validation with three cross-sectional data collections. In Healthcare (Vol. 11, No. 5, p. 754). Paris: MDPI.

Mahdizadeh, S. M., Sany, S. B. T., Sarpooshi, D. R., Jafari, A., & Mahdizadeh, M. (2021). Predictors of preventive behavior of nosocomial infections in nursing staff: a structural equation model based on the social cognitive theory. BMC Health Services Research, 21(1), 11-27.

McCauley, L., Kirwan, M., & Matthews, A. (2021). The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: a scoping review. International Journal of Nursing Studies Advances, 3(1), 100-109.

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. In Healthcare Management Forum (Vol. 35, No. 2, pp. 112-117). Los Angeles, CA: SAGE Publications.

McMahan, R. D., Tellez, I., & Sudore, R. L. (2021). Deconstructing the complexities of advance care planning outcomes: What do we know and where do we go? Journal of the American Geriatrics Society, 69(1), 234–244.

Miao, C., Liu, C., Zhou, Y., Zou, X., Song, L., Chung, J. W., & Li, D. (2024). Nurses’ perspectives on professional self-concept and its influencing factors: A qualitative study. BMC Nursing, 23(1), 237-248.

Min, Q. F., Gong, X. W., Qi, Z. P., & Yang, J. S. (2025). Assessment framework for infection prevention and control competence in trained nurses in regional medical communities. Infection and Drug Resistance, 9(5), 2537–2546.

Piredda, M., Sguanci, M., De Maria, M., Petrucci, G., Usai, M., Fiorini, J., & De Marinis, M. G. (2024). Nurses’ evidence-based knowledge and self-efficacy in venous access device insertion and management: Development and validation of a questionnaire. Nursing Open, 11(7), 177-188.

Reisinger, J. D., Wojcik, A., Jenkins, I., Edson, B., Pegues, D. A., & Greene, L. (2017). The Project Protect Infection Prevention Fellowship: A model for advancing infection prevention competency, quality improvement, and patient safety. American Journal of Infection Control, 45(8), 876–882.

Teymourzadeh, E., Bahadori, M., Fattahi, H., Khodadost, M., & Shokri, A. (2019). Nurses’ competency and their role in prevention and control of hospital infections: A case study in a large military teaching hospital. Advances in Human Biology, 9(2), 156–161.

Yoo, H. J., & Song, E. (2021). Effects of personal hygiene habits on self-efficacy for preventing infection, infection-preventing hygiene behaviors, and product-purchasing behaviors. Sustainability, 13(17), 94-103.

Zhang, M., Wu, S., Ibrahim, M. I., Noor, S. S. M., & Mohammad, W. M. Z. W. (2024). Significance of ongoing training and professional development in optimizing healthcare-associated infection prevention and control. Journal of Medical Signals & Sensors, 14(5), 13-26.

Zirges, C. C., Sherman, E. R., Davidson, J., Holmes, K., Taylor, H., Brum, R., & Holley, S. (2025). A framework for defining and documenting infection preventionist competency. American Journal of Infection Control, 53(1), 163–166.

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Published

2026-05-31

How to Cite

Nurindah, N., & Antonio, F. (2026). Determinants of Nurse Self-Efficacy and Infection Prevention Competency on Hospital Quality of Care. Jurnal Ilmiah Manajemen Kesatuan, 14(3), 2481–2494. https://doi.org/10.37641/jimkes.v14i3.5113