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Agustina C, Putra K R, Fevriasanty F I. The Mediating Role of Motivation in the Relationship Between Nurses’ Professional Competence and Nursing Work Environment With Patient Safety Management Activities. JCCNC 2026; 12 (2) :201-210
URL: http://jccnc.iums.ac.ir/article-1-982-fa.html

Background: Nurses’ motivation (M) bridges individual and organizational factors with patient safety practices, yet inconsistent findings on its mediating role highlight the need for further context-based investigation. Therefore, this study aimed to analyze the mediating role of M in the relationship between nurses’ professional competence (PC) and work environment (WE) and patient safety management activities (PSMAs). 
Methods: This cross-sectional correlational study was conducted in three hospitals in Malang Raya, East Java, Indonesia from August to September 2025. The study sample included 225 nurses recruited through proportional quota sampling. Data were collected using the nurse PC (NPC) scale, the practice environment scale of the nursing work index (PES-NWI), the safety M tool, and the safety care activity scale. Data analysis was conducted using structural equation modelling-partial least squares (SEM-PLS) with SmartPLS version 4.0, applying a significance level of 5% to examine the relationships among the variables.
Results: PC significantly affected M (β=0.354, P=0.000) and PSMAs (β=0.082, P=0.042). The WE also showed significant effects on M (β=0.177, P=0.005) and PSMAs (β=0.119, P=0.002). M had a strong effect on PSMAs (β=0.734, P=0.000) and significantly mediated the relationships between PC (β=0.26, P=0.000), WE (β=0.13, P=0.007), and PSMAs. The model demonstrated a good fit (SRMR=0.059).
Conclusion: The results emphasize that enhancing nurses’ PC through continuous learning and career development programs is crucial for strengthening M and improving PSMAs. This study contributes to the understanding of patient safety practices in Indonesian hospitals. Further research is recommended to compare different hospital types to explore variations in organizational context.