Providing a clinical decision-making model based on emotional intelligence with mediation self-efficacy and self-confidence in Nursing staff in Rasht Hospital

Document Type : Research Paper

Authors

1 PhD student General Psychology , Department of Psychology , Roudehen Branch , Islamic Azad University, , Roudehen , Iran.

2 Assistant Professor، Department of Psychology , Roudehen Branch , Islamic Azad University ,Roudehen ,Iran.

3 Assistant Professor، Department of Psychology , Roudehen Branch, Islamic Azad University, Roudehen , Iran.

Abstract

Decisions that the nurses taking during clinical care are affecting their effectiveness in clinical performance and can affect the patient's life and his medical experience. The present study aimed to provide a clinical decision-making model based on emotional intelligence with the assumption of self-efficacy and self-confidence beliefs in the Nursing staff of Rasht Hospital. The method of this descriptive-correlational study was relying on structural equation model. The statistical population of this study was nurses in the intensive care units of Rasht hospitals, which were selected by randomized cluster sampling method, and 364 people were selected by clinical decision-making questionnaire Laureria and Salalara (2002), Bradury and Erotic Elementary Questionnaire (2005), Self-efficacy Questionnaire in Clinical Performance and Partners (2009) and Sensor-Self-confidence and 1993) confidence questionnaire. Data analysis using structural equation modeling method showed that emotional intelligence affects the clinical decision making model of nurses (P <0.01, β = 0.57); Self-efficacy beliefs affect the clinical decision making model of nurses (P <0.01), β-300) and self-esteem on the clinical decision-making model of nurses (P <0.01, β = 241). Also, self-efficacy beliefs (p <0.01, β = 186) and self-confidence (P <0.01), β-108 = 2006 mediate the effect of emotional intelligence on clinical decision making model of nurses. It is suggested that in the formulation of curriculum, self-efficacy and self-confidence beliefs are considered as the facilitating facilitating agents and the clinical performance of nursing students.

Keywords

References

Amendolair, D. (2012). Caring behaviors and job satisfaction. JONA: The Journal of Nursing Administration, 42(1),
34-39.
Bradbury‐ Jones, C., Sambrook, S., & Irvine, F. (2007). The meaning of empowerment for nursing students: a critical
incident study. Journal of Advanced Nursing, 59(4), 342-351.
Buljac-Samardzic, M., Dekker-van Doorn, C. M., van Wijngaarden, J. D., & van Wijk, K. P. (2010). Interventions to
improve team effectiveness: a systematic review. Health policy, 94(3), 183-195.
Chapman, R., Watkins, R., Bushby, A., & Combs, S. (2013). Assessing health professionals’ perceptions of family
presence during resuscitation: a replication study. International Emergency Nursing, 21(1), 17-25.
Cheraghi, F., Hassani, P., Yaghmaei, F., & Alavi‐ Majed, H. (2009). Developing a valid and reliable self‐ efficacy in
clinical performance scale. International Nursing Review, 56(2), 214-221.
Choi, M., & Kim, J. (2015). Relationships between clinical decision-making patterns and self-efficacy and nursing
professionalism in Korean pediatric nurses. Journal of pediatric nursing, 30(6), e81-e88.
Cowin, L. S., Craven, R. G., Johnson, M., & Marsh, H. W. (2006). A longitudinal study of student and experienced
nurses' self-concept. Collegian, 13(3), 25-31.
Dan, X., Xu, S., Liu, J., Hou, R., Liu, Y., & Ma, H. (2018). Innovative behaviour and career success: Mediating roles of
self-efficacy and colleague solidarity of nurses. International journal of nursing sciences, 5(3), 275-280.
Dipidip, C., Cas-ing, R., & San Luis, K. (2018). Bridging Health Promotion with Emotional Intelligence: A Nursing
Perspective.
Esmaeli, S., Cheraghi, M., Masoudi, R., Rabiei, L., & Keywani, A. (2011). Clinical decision making process in
emergency nursing: A qualitative study. Journal of Rescue & Relief, 3(1), 19-32.
Fry, M., & MacGregor, C. (2014). Confidence and impact on clinical decision-making and behaviour in the emergency
department. Australasian Emergency Nursing Journal, 17(3), 91-97.
Heyhoe, J., Birks, Y., Harrison, R., O’Hara, J. K., Cracknell, A., & Lawton, R. (2016). The role of emotion in patient
safety: are we brave enough to scratch beneath the surface?. Journal of the Royal Society of Medicine, 109(2), 52-
58.
Hunink, M. M., Weinstein, M. C., Wittenberg, E., Drummond, M. F., Pliskin, J. S., Wong, J. B., & Glasziou, P. P.
(2014). Decision making in health and medicine: integrating evidence and values. Cambridge university press.
Hutchinson, M., Hurley, J., Kozlowski, D., & Whitehair, L. (2018). The use of emotional intelligence capabilities in
clinical reasoning and decision‐ making: A qualitative, exploratory study. Journal of clinical nursing, 27(3-4), e600-
e610.
Jahanpour, F., Azodi, P., Sharif, F., & Salsali, M. (2011). Clinical decision making in nursing. Boushehr University of
Medical Science,
Johansen, M. L., & O'Brien, J. L. (2016). Decision making in nursing practice: a concept analysis. In Nursing
forum (Vol. 51, No. 1, pp. 40-48).
Kim, M. S., & Sohn, S. K. (2019). Emotional Intelligence, Problem Solving Ability, Self Efficacy, and Clinical
Performance among Nursing Students: A Structural Equation Model. Korean Journal of Adult Nursing, 31(4), 380-
388.
Kline, R. B. (2016). Principles and practice of structural equation modeling, edition 4,Guilford press, New York &
London.
Lauri, S., & Salantera, S. (2002). Developing an instrument to measure and describe clinical decision making in
different nursing fields. Journal of Professional Nursing, 18(2), 93-100.
Lee, D. S., Abdullah, K. L., Subramanian, P., Bachmann, R. T., & Ong, S. L. (2017). An integrated review of the
correlation between critical thinking ability and clinical decision‐ making in nursing. Journal of Clinical
Nursing, 26(23-24), 4065-4079.
Lewis, G. M., Neville, C., & Ashkanasy, N. M. (2017). Emotional intelligence and affective events in nurse education:
A narrative review. Nurse education today, 53, 34-40.
Mallinckrodt, B., Abraham, W.T., Wei, M., Russell, D.W. (2006). Advances in Testing the Statistical Significance of
Mediation Effects,Journal of Counseling Psychology, 53( 3), 372–378.
Monroe, M., & Wofford, L. (2017). Open visitation and nurse job satisfaction: an integrative review. Journal of clinical
nursing, 26(23-24), 4868-4876.
Petrovici, A., & Dobrescu, T. (2014). The role of emotional intelligence in building interpersonal communication
skills. Procedia-Social and Behavioral Sciences, 116, 1405-1410.
Reid, C., Jones, L., Hurst, C., & Anderson, D. (2018). Examining relationships between socio-demographics and selfefficacy among registered nurses in Australia. Collegian, 25(1), 57-63.
Sarabia-Cobo, C. M., Suárez, S. G., Crispín, E. J. M., Cobo, A. B. S., Pérez, V., de Lorena, P., ... & Gross, L. S. (2017).
Emotional intelligence and coping styles: An intervention in geriatric nurses. Applied nursing research, 35, 94-98.
Shrauger, J. S., & Schohn, M. (1995). Self-confidence in college students: Conceptualization, measurement, and
behavioral implications. Assessment, 2(3), 255-278.
Srinivasan, M., & Geethu, J. (2014). Importance of Clinical Decision Making by Nurses in Care of Patients in Acute
Care Settings. Journal of Nursing Science & Practice, 4(1), 9-13.
Tower, M., Chaboyer, W., Green, Q., Dyer, K., & Wallis, M. (2012). Registered nurses’ decision‐ making regarding
documentation in patients’ progress notes. Journal of Clinical Nursing, 21(19pt20), 2917-2929.
medical journal of mashhad university of medical sciences
Volume 65, Issue 2
May and June 2022
Pages 543-558

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