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

Nurs Health Sci. 2026 Mar;28(1):e70301. doi: 10.1111/nhs.70301.

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.

Keywords: emotional intelligence; ethical decision‐making; nursing; quantitative research; students.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Decision Making* / ethics
  • Education, Nursing, Baccalaureate / methods
  • Education, Nursing, Baccalaureate / standards
  • Emotional Intelligence*
  • Female
  • Humans
  • Male
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Psychometrics / standards
  • Reproducibility of Results
  • Students, Nursing* / psychology
  • Students, Nursing* / statistics & numerical data
  • Surveys and Questionnaires
  • Turkey
  • Young Adult