Factors Influencing Clinical Competence Among Nursing Students: Exploring Emotional Intelligence and Sleep Quality
DOI:
https://doi.org/10.17533/udea.iee.v43n2e14Keywords:
emotional intelligence, sleep quality, clinical competence, nursing students, academic performance, nursing education, patient careAbstract
Objective. This study aimed to investigate emotional intelligence (EI), sleep quality, and clinical competence among nursing students and identify factors associated with clinical competence.
Methods. This cross-sectional study included 199 pre-final and final-year nursing students from a college in Northern India. Data were collected using validated questionnaires measuring EI (Schutte Self-Report Emotional Intelligence Scale), sleep quality (Pittsburgh Sleep Quality Index), and clinical competence (Clinical Competence Questionnaire).
Results. Most students demonstrated high EI (56.3%) and good sleep quality (54.3%). EI was positively correlated with clinical competence (r=0.417, p<0.01) and negatively correlated with poor sleep quality (r=−0.173, p<0.05). Final-year students scored significantly higher on EI, clinical competence, and sleep disturbance than pre-final-year students. Multiple regression analysis identified academic year (β=0.208, p=0.002), EI (β=0.248, p<0.001), and sleep disturbance (β=−0.188, p=0.004) as significant predictors of clinical competence.
Conclusion. EI and sleep quality are important factors associated with the clinical competence of nursing students. Incorporating EI training and sleep hygiene education into nursing curricula may help improve students' clinical performance and prepare them for professional practice.
Downloads
References
1. Mayer JD, Salovey P. Emotional intelligence and the construction and regulation of feelings. Applied and Preventive Psychology. 1995; 4(3):197–208.
2. Shibiru S, Aschalew Z, Kassa M, Bante A, Mersha A. Clinical Competence of Nurses and the Associated Factors in Public Hospitals of Gamo Zone, Southern Ethiopia: A Cross-Sectional Study. Nursing Research and Practice. 2023; 2023:9656636.
3. Novalis S, Cyranowski J, Dolhi C. Passing the NBCOT Examination: Preadmission, Academic, and Fieldwork Factors. The Open Journal of Occupational Therapy. 2017; 5.
4. Brown T, Williams B, Etherington J. Emotional Intelligence and Personality Traits as Predictors of Occupational Therapy students' Practice Education Performance: A Cross-Sectional Study. Occupational Therapy International. 2016; 23(4):412–24.
5. Cherry MG, Fletcher I, O'Sullivan H, Dornan T. Emotional intelligence in medical education: a critical review. Medical Education. 2014; 48(5):468–78.
6. Nelson KL, Davis JE, Corbett CF. Sleep quality: An evolutionary concept analysis. Nursing Forum. 2022; 57(1):144–51.
7. Stoller JK, Taylor CA, Farver CF. Emotional intelligence competencies provide a developmental curriculum for medical training. Medical Teacher. 2013; 35(3):243–7.
8. Schutte N, Malouff J, Hall L, Haggerty D, Cooper J, Golden C, et al. Development and Validation of a Measure of Emotional Intelligence. Personality and Individual Differences. 1998; 25(2):167–77.
9. Liou SR, Cheng C yu. Developing and validating the Clinical Competence Questionnaire: A self-assessment instrument for upcoming baccalaureate nursing graduates. Journal of Nursing Education and Practice. 2013; 4.
10. Backhaus J, Junghanns K, Broocks A, Riemann D, Hohagen F. Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. Journal of Psychosomatic Research. 2002; 53(3):737–40.
11. Dawda D, Hart SD. Assessing emotional intelligence: reliability and validity of the Bar-On Emotional Quotient Inventory (EQ-i) in university students. Personality and Individual Differences. 2000; 28(4):797–812.
12. The relationship between emotional intelligence and clinical teaching effectiveness in nursing faculty. Journal of Professional Nursing. 2012;28(4):231-40.
13. Kaur S, Jiwan T. An Exploratory Study to Assess Emotional Intelligence and Performance of Students of Selected Nursing Institute, Ludhiana, Punjab. Asian Journal of Nursing Education and Research. 2014; 4(3):346–51.
14. Effects of an irregular bedtime schedule on sleep quality, daytime sleepiness, and fatigue among university students in Taiwan. BMC Public Health. 2012; 9:248.
15. Feng G shuang, Chen J wu, Yang X zhen. Study on the status and quality of sleep-related influencing factors in medical college students]. Zhonghua Liu Xing Bing Xue Za Zhi. Chinese Journal of Epidemiology. 2005; 26(5):328–31.
16. Jafari MJ, Mostafazadeh P, Mojebi MR, Nemati-Vakilabad R, Mirzaei A Identifying predictors of patient safety competency based on sleep quality in student faculty of nursing and midwifery during the internship period: a multidisciplinary study. BMC Nursing. 2024; 23(1):67.
17. Beauvais AM, Brady N, O'Shea ER, Griffin MTQ. Emotional intelligence and nursing performance among nursing students. Nurse Education Today. 201; 31(4):396–401.
18. Codier E, Kooker BM, Shoultz J. Measuring the emotional intelligence of clinical staff nurses: an approach for improving the clinical care environment. Nurse Administration Quarterly. 2008; 32(1):8-14.
19. Frush D. The correlation of emotional intelligence, academic achievement and clinical performance in undergraduate athletic training students. [Dissertation]. University of Virginia. 2006. Available from: https://www.proquest.com/openview/e9df18275ea14fd8d9315c8f99581c99/1?pq-origsite=gscholar&cbl=18750&diss=y
20. Wheaton AG, Chapman DP, Croft JB. School Start Times, Sleep, Behavioral, Health, and Academic Outcomes: A Review of the Literature. Journal of School Health. 2016; 86(5):363–81.
21. Kamphuis J, Dijk DJ, Spreen M, Lancel M. The relation between poor sleep, impulsivity and aggression in forensic psychiatric patients. Physiology & Behavior. 2014; 123:168–73.
22. Gharetepeh A, Safari Y, Pashaei T, Razaei M, Bagher Kajbaf M. Emotional intelligence as a predictor of self-efficacy among students with different levels of academic achievement at Kermanshah University of Medical Sciences. Journal of Advances in Medical Education & Professionalism. 2015; 3(2):50–5.
23. Jalali R, Khazaei H, Paveh BK, Hayrani Z, Menati L. The Effect of Sleep Quality on Students' Academic Achievement. Advances in Medical Education and Practice. 2020; 11:497–502.
24. Becker CM, Adams T, Orr C, Quilter L. Correlates of Quality Sleep and Academic Performance. Health Education Journal. 2008; 40(2):82–9.
25. Park KH, Chung WJ, Hong D, Lee WK, Shin EK, Park KH, et al. Relationship between the Clinical Performance Examination and Associated Variables. Korean Journal of Medical Education. 2009; 21(3):269–77.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Investigación y Educación en Enfermería
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Derechos de propiedad / Direitos de Propriedade
English: If the article is accepted for publication, all copyright will be of exclusive property of Investigación y Educación en Enfermería. The text and the graphics included in the publication are exclusive responsibility of the authors and not necessarily reflect the thought of the Editorial Committee.
Español: Si el artículo es aprobado para publicación, todos los derechos son de propiedad de Investigación y Educación en Enfermería. El texto y las gráficas incluidas en la publicación son de exclusiva responsabilidad de los autores y no necesariamente refleja el pensamiento del Comité Editorial.
Português: Se o artigo for aceito para publicação, todos os direitos autorais serão de propriedade exclusiva de Investigación y Educación en Enfermería. O texto e os gráficos incluídos na publicação são de responsabilidade exclusiva dos autores e não refletem necessariamente o pensamento do Comitê Editorial.
