Volume 23, Issue 2 (7-2025)
Nursing and Midwifery Journal 2025, 23(2): 33-39 |
Back to browse issues page
Ethics code: IR.UMSU.REC.1403.180
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mahmoudpour F, Eghtedar S, Parizad N, Davar S. The Relationship Between Emotional Intelligence, Clinical Decision-Making, and Caregiving Behaviors of Nurses Working in Intensive Care Units of Urmia Hospitals in 2024. Nursing and Midwifery Journal 2025; 23 (2) :33-39
URL: http://unmf.umsu.ac.ir/article-1-5375-en.html
URL: http://unmf.umsu.ac.ir/article-1-5375-en.html
1- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran ,eghtedar_nurse@yahoo.com
3- Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
4- Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
2- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran ,
3- Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
4- Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (267 Views)
Background Emotional intelligence, decisive responses, and the ability to make appropriate decisions in critical situations play a significant role in shaping nurses’ caring behaviors. Research has highlighted the positive impact of emotional intelligence on clinical decision-making; however, some studies have reported no significant association between emotional intelligence and caring behaviors. This study aimed to investigate the relationship between emotional intelligence, clinical decision-making, and caring behaviors among nurses working in the intensive care units (ICUs) of hospitals in Urmia.
Methods This descriptive-correlational study was conducted among nurses working in ICUs in 2024. A total of 220 nurses were selected using quota sampling based on predefined inclusion criteria. Data were collected using questionnaires on demographic characteristics, Schering’s Emotional Intelligence Scale, Lauri’s Clinical Decision-Making Questionnaire, and the Caring Dimensions Index (CDI-25). Data analysis was performed using descriptive and inferential statistics in SPSS version 16.0. The level of statistical significance was set at p < 0.05.
Results The mean score of emotional intelligence was 113.14 ± 9.87, clinical decision-making was 91.46 ± 10.28, and caring behaviors were 106.36 ± 10.80. The Pearson correlation coefficient revealed a significant positive relationship between emotional intelligence and clinical decision-making (r = 0.249, p = 0.001) as well as between emotional intelligence and caring behaviors (r = 0.416, p < 0.001). Furthermore, clinical decision-making demonstrated a significant positive correlation with caring behaviors (r = 0.653, p < 0.001).
Conclusion Emotional intelligence is significantly correlated with clinical decision-making and caring behaviors. Therefore, continuing education programs should emphasize the development of emotional intelligence, and nurses with higher levels of emotional intelligence should be given priority for positions in ICUs.
Methods This descriptive-correlational study was conducted among nurses working in ICUs in 2024. A total of 220 nurses were selected using quota sampling based on predefined inclusion criteria. Data were collected using questionnaires on demographic characteristics, Schering’s Emotional Intelligence Scale, Lauri’s Clinical Decision-Making Questionnaire, and the Caring Dimensions Index (CDI-25). Data analysis was performed using descriptive and inferential statistics in SPSS version 16.0. The level of statistical significance was set at p < 0.05.
Results The mean score of emotional intelligence was 113.14 ± 9.87, clinical decision-making was 91.46 ± 10.28, and caring behaviors were 106.36 ± 10.80. The Pearson correlation coefficient revealed a significant positive relationship between emotional intelligence and clinical decision-making (r = 0.249, p = 0.001) as well as between emotional intelligence and caring behaviors (r = 0.416, p < 0.001). Furthermore, clinical decision-making demonstrated a significant positive correlation with caring behaviors (r = 0.653, p < 0.001).
Conclusion Emotional intelligence is significantly correlated with clinical decision-making and caring behaviors. Therefore, continuing education programs should emphasize the development of emotional intelligence, and nurses with higher levels of emotional intelligence should be given priority for positions in ICUs.
Keywords: Clinical Decision-Making, Emotional Intelligence, Nursing Care, Intensive Care Units, Nurses
References
1. Taghavi MM, Jasemi M, Eghtedar S, Alinejad V. Examining the Relationship Between Nurses' Communication Skills and Patients' Trust in Nurses and Caregiving Behaviors of Nurses. Nursing and Midwifery Journal. 2024;22(10):887-96. [DOI:10.61186/unmf.22.10.887]
2. Rajabipoor Meybodi A, Mohammadi M, Arjmandi H. A qualitative approach to the ethical challenges of Iranian nurses during the COVID-19 pandemic. Journal of Preventive and Complementary Medicine. 2022;1(3):156-62. [Google Scholar]
3. Kisorio LC, Langley GC. Critically ill patients' experiences of nursing care in the intensive care unit. Nursing in critical care. 2019;24(6):392-8. [DOI:10.1111/nicc.12409] [PMID]
4. Karimzadeh A, Taheri M, Bayat M, Beale AD, Ahmadi H. Localized gluteal skin pinch pressure hyperalgesia in patients with chronic low-back pain. Journal of Preventive and Complementary Medicine. 2022;1(1):32-7. [Google Scholar]
5. Hosseinzadeh H, Mohammadi M, Shamshiri M. The study of caring behaviors and its determinant factors from the perspective of nurses in educational hospitals of Ardabil. Journal of Health and Care. 2019;21(3):203-11. [DOI:10.29252/jhc.21.3.203]
6. Amendolair D. Caring behaviors and job satisfaction. JONA: The Journal of Nursing Administration. 2012;42(1):34-9. [DOI:10.1097/NNA.0b013e31823c18af] [PMID]
7. Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, et al. The impact of occupational stress on nurses' caring behaviors and their health related quality of life. BMC Nurs. 2016;15:1-9. [DOI:10.1186/s12912-016-0178-y] [PMID] [PMCID]
8. Mofidighadimahdi M, Norouzadeh R, Aghaei B. The Relationship between Assertiveness and Health Caring Behaviors of Nurses in The Intensive Care Units of The Armed Forces Hospitals in Tehran, Iran. Journal of Marine Medicine. 2022;4(2):115-23. [Google Scholar]
9. Moradi T, Sharifi K. Clinical decision making in Iranian nurses: systematic review. Quarterly Journal of Nursing Management. 2022;11(2):1-13. [Google Scholar]
10. Dehghani K, Nasiriani K, Mousavi T. Investigating Intensive Care Unit Nurses' Performance and its Adjusting with Standard. The Journal of Shahid Sadoughi University of Medical Sciences. 2014;21(6):808-15. [Google Scholar]
11. Sh E, Sedighi Z, Masoudi R, Sedehi M. Evaluation of the effect of SBAR-based pa-tient safety training program on nurses' clinical decision-making in the intensive care unit. Journal of Clinical Nursing and Midwifery. 2020;9(2):651-9. [Google Scholar]
12. Nouhi E, Abdollahyar A, Fasihi Harandi T. Effect of evidence-based Nursing education in nurses' clinical decision making. Journal of Education and Ethics in Nursing. 2022;2(4):43-9. [Google Scholar]
13. Bektaş İ, Yardımcı F, Bektaş M, White KA. Psychometric properties of the turkish version of nursing anxiety and selfconfidence with clinical decision making scale (NASC-CDM-T). Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2017;10(2):83-92. [Google Scholar]
14. Masoudi K, Alavi A. Relationship Between Nurses' Emotional Intelligence with Clinical Decision-Making. Avicenna Journal of Nursing and Midwifery Care. 2021;29(1):14-22. [DOI:10.30699/ajnmc.29.1.14]
15. Aslani P, Hosseinzadegan F, Marjani N, Hemmati Maslakpak M. The effect of training life skills with flipped method on emotional intelligence of nursing students: a quasi-experimental study. Nursing And Midwifery Journal.22(12):1038-49. [DOI:10.61186/unmf.22.12.1038]
16. Zaki HN, Abd-Elrhaman ESA, Ghoneimy AGH. The effect of emotional intelligence program on decision making style. American journal of nursing research. 2018;6(6):524-32. [DOI:10.12691/ajnr-6-6-21]
17. Kiyani A, Haroon M, Liaqat AS, Khattak MA, Bukhari SJA, Asad R. Emotional intelligence and employee participation in decision-making. African Journal of Business Management. 2011;5(12):4775. [Google Scholar]
18. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic. J Nurs Manag. 2020;28(5):1002-9. [DOI:10.1111/jonm.13014] [PMID] [PMCID]
19. Cheshire MH, Strickland HP, Ewell PJ. Measured emotional intelligence in baccalaureate nursing education: A longitudinal study. Nurs Educ Perspect. 2020;41(2):103-5. [DOI:10.1097/01.NEP.0000000000000476] [PMID]
20. Gutierrez D, Mullen PR. Emotional intelligence and the counselor: Examining the relationship of trait emotional intelligence to counselor burnout. J Ment Health Couns. 2016;38(3):187-200. [DOI:10.17744/mehc.38.3.01]
21. Montes‐berges B, Augusto JM. Exploring the relationship between perceived emotional intelligence, coping, social support and mental health in nursing students. J Psychiatr Ment Health Nurs. 2007;14(2):163-71. [DOI:10.1111/j.1365-2850.2007.01059.x] [PMID]
22. Naidoo S. Emotional intelligence and perceived stress: scientific. S Afr Dent J. 2008;63(3):148-51. [Google Scholar]
23. Nightingale S, Spiby H, Sheen K, Slade P. The impact of emotional intelligence in health care professionals on caring behaviour towards patients in clinical and long-term care settings: Findings from an integrative review. Int J Nurs Stud. 2018;80:106-17. [DOI:10.1016/j.ijnurstu.2018.01.006] [PMID]
24. Pearcey P. Caring? It's the little things we are not supposed to do anymore. Int J Nurs Pract. 2010;16(1):51-6. [DOI:10.1111/j.1440-172X.2009.01802.x] [PMID]
25. Chao M, Shih CT, Hsu SF. Nurse occupational burnout and patient‐rated quality of care: The boundary conditions of emotional intelligence and demographic profiles. Jpn J Nurs Sci. 2016;13(1):156-65. [DOI:10.1111/jjns.12100] [PMID]
26. Bamberger E, Genizi J, Kerem N, Reuven-Lalung A, Dolev N, Srugo I, Rofe A. A pilot study of an emotional intelligence training intervention for a paediatric team. Arch Dis Child. 2017;102(2):159-64. [DOI:10.1136/archdischild-2016-310710] [PMID]
27. Larijani TT, Movaghari MR, Rostami M, Zamani N, Ghadirian F. The relationship between emotional intelligence and coping styles against stress among nurses. World J Res Rev. 2017;4(5):71-5. [Google Scholar]
28. Lauri S, Salanterä S, Chalmers K, Ekman SL, Kim HS, Käppeli S, MacLeod M. An exploratory study of clinical decision‐making in five countries. J Nurs Scholarsh. 2001;33(1):83-90. [DOI:10.1111/j.1547-5069.2001.00083.x] [PMID]
29. Karimi Noghondar M, Rahnama Rahsepar F, Golafrooz M, Mohsenpour M. Comparison of critical thinking and clinical decision making skills among the last-semester nursing students and practicing nurses in Sabzevar University of Medical Sciences. Iranian Journal of Medical Education. 2013;12(12):916-24. [Google Scholar]
30. Salimi S, Azimpour A, Fesharaki M, Mohammadzadeh S. Nurses' Perception of Importance of Caring Behaviors and Its Determinant factors. Journal of Urmia Nursing & Midwifery Faculty. 2012;10(1). [Google Scholar]
31. Watson R, Lea A. The caring dimensions inventory (CDI): content validity, reliability and scaling. J Adv Nurs. 1997;25(1):87-94. [DOI:10.1046/j.1365-2648.1997.1997025087.x] [PMID]
32. AL Btoush MR, Malak MZ, Hamaideh SH, Shuhaiber AH. The relationship between emotional intelligence, self-efficacy, and clinical decision-making among critical care nurses in Jordan. J Hum Behav Soc Environ. 2025;35(3):454-68. [DOI:10.1080/10911359.2024.2310261]
33. Jawabreh N. The Relationship Between the Emotional Intelligence and Clinical Decision Making Among Nursing Students. SAGE Open Nurs. 2024;10:23779608241272459. [DOI:10.1177/23779608241272459] [PMID] [PMCID]
34. Govil V, Singhal S, Rani A, Puhal S, Arora S. Anaesthetic Management of a Huge Oropharyngeal Mass- Case Report. Journal of Preventive and Complementary Medicine. 2022;1(2):116-8. [Google Scholar]
35. Taylan S, Özkan İ, Şahin G. Caring behaviors, moral sensitivity, and emotional intelligence in intensive care nurses: A descriptive study. Perspect Psychiatr Care. 2021;57(2):734-46. [DOI:10.1111/ppc.12608] [PMID]
36. Kaur D, Sambasivan M, Kumar N. Effect of spiritual intelligence, emotional intelligence, psychological ownership and burnout on caring behaviour of nurses: A cross‐sectional study. J Clin Nurs. 2013;22(21-22):3192-202. [DOI:10.1111/jocn.12386] [PMID]
37. Rego A, Godinho L, McQueen A, Cunha MP. Emotional intelligence and caring behaviour in nursing. The service industries journal. 2010;30(9):1419-37. [DOI:10.1080/02642060802621486]
38. Alonazi WB. The impact of emotional intelligence on job performance during COVID-19 crisis: A cross-sectional analysis. Psychol Res Behav Manag. 2020:749-57. [DOI:10.2147/PRBM.S263656] [PMID] [PMCID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir