The Effect of Emotional Intelligence on Ethical Decision-Making Competence in Nursing Students: A Cross-Sectional Study


KOVANCI M. S., ÖCALAN S.

Nursing and Health Sciences, vol.28, no.1, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 1
  • Publication Date: 2026
  • Doi Number: 10.1111/nhs.70301
  • Journal Name: Nursing and Health Sciences
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, Psycinfo, Public Affairs Index
  • Keywords: emotional intelligence, ethical decision-making, nursing, quantitative research, students
  • Hacettepe University Affiliated: Yes

Abstract

This study aimed to examine the relationship between emotional intelligence and ethical decision-making competence in nursing students and to evaluate the validity and reliability of the Ethical Decision-Making Competence Scale (EDM-CS) in the Turkish context. A descriptive-predictive cross-sectional design was used with 273 third- and fourth-year nursing students from a public university. Data were collected using the Individual Information Form and Trait Emotional Intelligence Questionnaire-Short Form. Confirmatory factor analysis, Pearson correlation, and stepwise multiple regression analyses were conducted. Ethical decision-making competence was significantly and positively correlated with emotional intelligence (r = 0.486, p < 0.01). Regression analysis identified four significant predictors: emotional intelligence, self-confidence in solving ethical problems, clinical setting, and academic year. Emotional intelligence emerged as the strongest predictor, explaining 36.1% of the variance in ethical competence. Nursing students' ethical decision-making competence was at a good level and closely associated with emotional intelligence. Emotional intelligence plays a central role in enhancing ethical awareness, motivation, and action. Educational strategies that promote emotional intelligence and reflective learning may strengthen students' ethical competence in clinical practice.