Personal Mastery Nursing Models to Improve Quality and Patient Safety Performance

The nurses' performance in terms of quality and patient safety in the health services is still low. The low performance of the nurses is an indicator of the nurses' low personal mastery. The aim of this study was to develop personal mastery models to improve the nursing performance in the domains of quality and patient safety. This study used an explanatory design with 126 respondents. The sample was selected using the cluster sampling technique. The data was collected using a questionnaire that had been tested for validity and reliability. The variables included organizational characteristics, job characteristics, individual characteristics, personal mastery and the nurse’s performance in terms of quality and patient safety. The data was analyzed using partial least square. A focus group discussion was conducted with nurses, chief nurses and the hospital management to identify the strategic issues present and to compile recommendations. The results showed that the organization factor influenced the nurse’s characteristics (t=3.631) and that job characteristics influenced the nurse’s characteristics (t=2.028). The nurse’s characteristics influenced personal mastery (t=15.703), the organization factor influenced personal mastery (t=3,764) and personal mastery influenced nursing performance in relation to quality and patient safety (t=3.225). The nurse’s characteristics did not influenced the nursing performance in terms of quality and patient safety (t=0.919). The personal mastery models improved the nurse’s performance by 36.98 %. The personal mastery model was developed through organizational support, the clarity of their job description and increasing the capacity of individual nurses. Further studies must be conducted to analyze the effects of personal mastery, nursing performance and patient satisfaction.