The Effect of Emotional Intelligence on Nurses' Job Performance: the Mediating Role of Moral Intelligence and Occupational Stress

Overview

Journal BMC Nurs

Publisher Biomed Central

Date 2025 Feb 5

PMID 39905367

Authors

Rozita Cheraghi

Naser Parizad

Vahid Alinejad

Mehri Piran

Laleh Almasi

Affiliations

Soon will be listed here.

Abstract

Background: Although previous studies have linked emotional intelligence to nurses' job performance, research lacks how moral intelligence and occupational stress mediate this relationship. Addressing this gap is essential for improving nursing care outcomes. This study aims to determine the mediating effect of moral intelligence and occupational stress in this relationship among Iranian nurses.

Methods: This descriptive cross-sectional correlational study was conducted in Urmia Teaching Hospital from February to April 2022. Six hundred and twenty-one nurses were recruited using quota sampling. Data were collected using a demographic questionnaire, Lenik and Kiel's Moral Intelligence Questionnaire (LK-MIQ), Siberia Schering's Emotional Intelligence Questionnaire (SS-EISQ), Patterson's Job Performance Questionnaire (P-JPQ), and the Nursing Stress Scale (NSS). Data were analyzed using IBM SPSS ver. 23 and Smart-PLS ver. 3.0.

Results: The effect of emotional intelligence on job performance was positive, direct, and weak (β = 0.099, t-value = 2.285, p = 0.023). Emotional intelligence had a negative, direct, and weak effect on moral intelligence (β = - 0.257, t-value = 4.754, p = 0.000) and a negative, direct, and moderate effect on occupational stress (β = - 0.316, t-value = 6.482, p = 0.000). Moral intelligence mediates the relationship between emotional intelligence and occupational stress (β = 0.0842, 95% CI: 0.0532, 0.1194). However, the mediating role of occupational stress between emotional intelligence and job performance was not supported (β = 0.003, 95% CI: - 0.0139, 0.0184).

Conclusion: Moral and emotional intelligence should be key criteria for selecting nursing staff and managers to create a safe, low-stress environment that boosts nurses' job performance. Healthcare managers should promote nurses' emotional intelligence by offering practical courses for enhancing nurses' self-awareness, self-management, social awareness, and relationship management skills. It is essential to support moral intelligence by organizing educational classes that improve their integrity, responsibility, compassion, and forgiveness.

References

Lu Y, Shorey S . Nurses' perceptions of emotional intelligence in the clinical setting: A qualitative systematic review. J Nurs Manag. 2021; 29(8):2453-2460. DOI: 10.1111/jonm.13406. View

Mazza M, Attanasio M, Pino M, Masedu F, Tiberti S, Sarlo M . Moral Decision-Making, Stress, and Social Cognition in Frontline Workers vs. Population Groups During the COVID-19 Pandemic: An Explorative Study. Front Psychol. 2020; 11:588159. PMC: 7710972. DOI: 10.3389/fpsyg.2020.588159. View

Karabey T . Reflection of nurses' moral intelligence levels on care behaviors. Perspect Psychiatr Care. 2021; 58(4):1622-1631. DOI: 10.1111/ppc.12970. View

Pizarro-Ruiz J, Ordonez-Camblor N, Del-Libano M, Escolar-Llamazares M . Influence on Forgiveness, Character Strengths and Satisfaction with Life of a Short Mindfulness Intervention via a Spanish Smartphone Application. Int J Environ Res Public Health. 2021; 18(2). PMC: 7832842. DOI: 10.3390/ijerph18020802. View

Fujino Y, Tanaka M, Yonemitsu Y, Kawamoto R . The relationship between characteristics of nursing performance and years of experience in nurses with high emotional intelligence. Int J Nurs Pract. 2014; 21(6):876-81. DOI: 10.1111/ijn.12311. View

Joseph D, Newman D . Emotional intelligence: an integrative meta-analysis and cascading model. J Appl Psychol. 2010; 95(1):54-78. DOI: 10.1037/a0017286. View

Zoromba M, El-Gazar H, Salah A, El-Boraie H, El-Gilany A, El-Monshed A . Effects of Emotional Intelligence Training on Symptom Severity in Patients With Depressive Disorders. Clin Nurs Res. 2022; 32(2):393-405. DOI: 10.1177/10547738221074065. View

Alonazi W . The Impact of Emotional Intelligence on Job Performance During COVID-19 Crisis: A Cross-Sectional Analysis. Psychol Res Behav Manag. 2020; 13:749-757. PMC: 7520462. DOI: 10.2147/PRBM.S263656. View

El-Gazar H, Shawer M, Alkubati S, Zoromba M . The role of psychological ownership in linking decent work to nurses' vigor at work: A two-wave study. J Nurs Scholarsh. 2024; 56(6):780-789. DOI: 10.1111/jnu.12970. View

10.

Hagerman L, Manankil-Rankin L, Schwind J . Self-compassion in undergraduate nursing: an integrative review. Int J Nurs Educ Scholarsh. 2020; 17(1). DOI: 10.1515/ijnes-2020-0021. View

11.

Zoromba M, El-Gazar H . Nursing Human Resource Practices and Hospitals' Performance Excellence: The Mediating Role of Nurses' Performance. Acta Biomed. 2021; 92(S2):e2021022. PMC: 8383231. DOI: 10.23750/abm.v92iS2.11247. View

12.

Shakeri F, Atashzadeh-Shoorideh F, Varzeshnejad M, Svetic Cisic R, Oomen B . Correlation between Ethical Intelligence, Quality of Work Life and Caring Behaviour of Paediatric Nurses. Nurs Open. 2021; 8(3):1168-1174. PMC: 8046053. DOI: 10.1002/nop2.729. View

13.

Jia H, Shang P, Gao S, Cao P, Yu J, Yu X . Work Stress, Health Status and Presenteeism in Relation to Task Performance Among Chinese Medical Staff During COVID-19 Pandemic. Front Public Health. 2022; 10:836113. PMC: 9092281. DOI: 10.3389/fpubh.2022.836113. View

14.

Landa J, Lopez-Zafra E, Martos M, del Carmen Aguilar-Luzon M . The relationship between emotional intelligence, occupational stress and health in nurses: a questionnaire survey. Int J Nurs Stud. 2007; 45(6):888-901. DOI: 10.1016/j.ijnurstu.2007.03.005. View

15.

MacBeth A, Gumley A . Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clin Psychol Rev. 2012; 32(6):545-52. DOI: 10.1016/j.cpr.2012.06.003. View

16.

Zoromba M, Abualruz H, Abu Sabra M, Zoromba M, El-Gazar H . Decent work and ethical ideologies of nurses-A multicenter cross-sectional study. Nurs Ethics. 2024; 32(2):601-613. DOI: 10.1177/09697330241262471. View

17.

Narvaez D . The emotional foundations of high moral intelligence. New Dir Child Adolesc Dev. 2010; 2010(129):77-94. DOI: 10.1002/cd.276. View

18.

Badu E, OBrien A, Mitchell R, Rubin M, James C, McNeil K . Workplace stress and resilience in the Australian nursing workforce: A comprehensive integrative review. Int J Ment Health Nurs. 2020; 29(1):5-34. DOI: 10.1111/inm.12662. View

19.

Alinejad V, Parizad N, Almasi L, Cheraghi R, Piran M . Evaluation of occupational stress and job performance in Iranian nurses: the mediating effect of moral and emotional intelligence. BMC Psychiatry. 2023; 23(1):769. PMC: 10589938. DOI: 10.1186/s12888-023-05277-8. View

20.

El-Gazar H, Elgohari H, Loutfy A, Shawer M, El-Monshed A, Abou Zeid M . Does internet addiction affect the level of emotional intelligence among nursing students? A cross-sectional study. BMC Nurs. 2024; 23(1):555. PMC: 11321225. DOI: 10.1186/s12912-024-02191-6. View