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Received: 4 August 2019    Revised: 6 December 2019    Accepted: 12 December 2019

DOI: 10.1111/jonm.12932

ORIGINAL ARTICLE

Emotional intelligence and intent to stay among nurses


employed in Jordanian hospitals

Zaid M. Al-Hamdan RN, PhD, Associate Professor1  | Anas Muhsen RN, MSN,


Senior staff nurse2  | Mohammad Alhamdan MDc, Medical student3 |
Ahmad Rayan RN, PhD, Assistant Professor4  | Khaled Banyhamdan PhD,
Associate professor5 | Hala Bawadi RN, RM, PhD, Associate professor6

1
Faculty of Nursing, Jordan University of
Science and Technology, Irbid, Jordan Abstract
2
Faculty of Nursing, Jordan University of Aims: This study aimed to examine the relationship between Emotional intelligence
Science and Technology & RN King Hussein
(EI) and intent to stay and to identify their correlates among nurses.
cancer Center, Irbid, Jordan
3
School of Medicine, The University of
Background: EI plays a significant role in nurses’ practice, relationships, behaviours
Jordan, Amman, Jordan and decisions.
4
Psychiatric and Mental Health Nursing, Methods: A descriptive, cross-sectional study was conducted with a sample of 280
Zarqa University, Zarqa, Jordan
5 registered nurses working in a public, a private and a university hospital in Jordan. A
Faculty of Business, Amman Arab
University, Amman, Jordan self-administered questionnaire was used to collect data from the participants.
6
School of Nursing, The University of Results: EI was significantly correlated with nurses’ intent to stay (r = .427, p < .01).
Jordan, Amman, Jordan
Some of the nurses’ socio-demographic and work-related characteristics were found
Correspondence to predict EI and intent to stay.
Zaid M. Al-Hamdan, Faculty of Nursing,
Jordan University of Science and Conclusion: The findings of the study came with a supportive knowledge about the
Technology, P.O.Box 3030, Irbid 22110, positive impacts of EI on nurses’ intent to stay. Improving both EI and intent to stay
Jordan.
Emails: zaid_hamdan@hotmail.com, among nurses is important because it could have positive effects on organisations’ de-
zmhamdan@just.edu.jo cisions, policymaking process, quality of care, employee commitment and satisfaction.
Implications for Nursing Management: Nurse managers should pay attention to the
EI of nurses during recruitment considering various determinants of EI identified in
the current study. Additionally, nurse managers might want to strengthen factors as-
sociated with more stay intent among their staff.

KEYWORDS

emotional intelligence, intent to stay, job satisfaction, jordan, nurses, nursing

1 |  BAC KG RO U N D (Goleman, Boyatzis, & McKee, 2013). These dimensions have sig-
nificant effects on nurses’ practice, behaviours and outcomes.
Emotional Intelligence (EI) is defined as “the subset of social intel- Nurses with higher levels of EI can deliver higher quality care and
ligence that involves the ability to monitor one's own and others’ achieve organisational goals (Ezzatabadi et al., 2012). In addition,
feelings and emotions, to discriminate among them and to use this nurses with high EI usually report better job satisfaction (Clancy,
information to guide one's thinking and actions” (Salovey & Mayer, 2014). Furthermore, higher levels of EI are strongly associated with
1990) (p. 189). The EI has four dimensions or skills; Self-awareness, lower burnout and stress levels among nurses (Görgens-Ekermans &
Self-management, Social awareness and Relationship Management Brand, 2012).

J Nurs Manag. 2020;28:351–358. wileyonlinelibrary.com/journal/jonm© 2019 John Wiley & Sons Ltd     351 |
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352       AL-HAMDAN et al.

Nurses’ EI was found to be significantly and positively correlated on nurses’ job satisfaction (Al-Faouri, Al-Ali, & Al-Shorman, 2014).
with coping, nurses’ well-being, nurses’ self-efficacy and negatively However, no previous study examined the relationship between EI and
correlated with stress (El-Sayed, El-Zeiny, & Adeyemo, 2014; Karimi, intent to stay among Jordanian nurses. In addition, no previous study
Cheng, Bartram, Leggat, & Sarkeshik, 2015; Park, Ha, Lee, & Lee, identified the correlates of EI and intent to stay among nurses working
2014). Nurses who pose EI qualities experience less stress in their in Jordanian hospitals.
work, less burnout experience and high level of organisational com- Nel, Jonker, and Rabies (2013) suggest that poor EI is associated
mitment and intention to stay (Hong & Lee, 2016). Furthermore, EI with difficulty in responding to job demands, burnout and reduced
was found to have a strong relationship with self-leadership (van Zyl, commitment. Also, Trivellas, Gerogiannis, and Svarna (2013) found
Mokuoane, & Nel, 2017). Research has shown that nurse managers that only self-emotion appraisal (SEA) and one's use of personal emo-
with EI capabilities have the precedence to discover and manage neg- tions (UOE) have a direct impact on nurses’ intention to stay in their
ative attitudes and behaviours such as bullying which ensures a safer jobs. However, in a more recent study by Lee and Woo (2015), all EI
and better workplace environment (Bennett & Sawatzky, 2013). dimensions, UOE, SEA, AEA and UOE, were positively correlated with
The American Nurses Association (2016) reported that the larg- registered nurses' intention to stay in their career (Lee and Woo, 2015).
est proportion of clinical care providers are nurses. The nursing However, male nurses who have higher EI scores were more likely to
shortage and nurses’ turnover are problems facing health care sys- leave their jobs. Hong and Lee (2016) found that EI had a minimal not
tems around the world (Flinkman, Leino-Kilpi, & Salanterä, 2010). significant effect of EI on nursing stay intention but in a positive direc-
As nurses act as a monitoring system for the patients, assessing, tion. It was also found that EI of registered nurses and their intention
intervening and detecting adverse events or complications, it is im- to stay in their jobs are positively correlated; once nurses have a high EI
portant to have well-trained and highly educated nurses who are score, their intention to stay in their jobs is highly expected (Suneyna &
able to deliver high-quality care to the patients and reduce mortal- Sasikala, 2014). This gap in knowledge is clear as the literature review
ity rates (Kuo, Lin, & Li, 2014; Kutney-Lee & Aiken, 2008). According revealed no consensus on these relationships. The aim of this study
to Mariani (2012), a nurse's intent to stay is defined as “the nurse's was to examine the relationship between EI and intent to stay and
plan in projected number of years to remain active in the nursing to identify their correlates among Jordanian nurses. The outcomes of
profession in practice, education, administration, or research” (p. 3). the current study would help health care sectors to put strategies to
A nurse's intention to leave is defined as nurse's decision to likely increase stay intention rates among nurses. Increasing stay intention
leave the current job in the nursing field and looking for another ca- rates would enhance the quality of care, cost, and nurses’ and clients’
reer opportunity (El-Jardali, Dimassi, Dumit, Jamal, & Mouro, 2009). satisfaction. In addition, the outcomes of this study could help nurse
Nursing stay intention and turnover have been found associated managers in the recruitment process by hiring nurses who are able to
with many factors; such as length of working hours (Dall'Ora, Griffiths, meet the organisational goals.
Ball, Simon, & Aiken, 2016), demographic variables; gender, having a
childbearing responsibilities, job satisfaction levels, workload and or-
ganisational attitudes (Flinkman et al., 2010), work environment, staff 2 | M E TH O DS
empowerment and support (Karimi et al., 2015), nurse-physician rela-
tionship, age, nurses’ participation in hospitals activities and tasks, and 2.1 | Study design
burnout (Heinen et al., 2013). EI is recognized as a factor that could
contribute to collaboration and increases staff well-being and intent A quantitative, descriptive, cross-sectional and correlational study
to stay, and this is because individuals who own strong social aware- design was used.
ness are able to act properly in different social situations (Karimi et al.,
2015).
Nursing turnover has significant negative economic impacts on 2.2 | Settings
health care organisations. Several studies have been conducted to es-
timate the cost of nurses’ turnover (Li & Jones, 2013; Roche, Duffield, Data were collected from a university, a governmental and a private
Homer, Buchan, & Dimitrelis, 2015). According to Nursing Solution tertiary hospital in Jordan. Hospitals were selected randomly from
Incorporated (NSI) survey (2016), the estimated cost of nursing turnover Jordanian hospitals that have at least 300 registered nurses and a
in 2015 was $38,000–$59,000 for each registered nurse, with average bed census of 200 or more.
hospital loss of 5 Million Dollar- 8 Million Dollar. Jordanian health care
sectors face challenges in terms of the continuous nursing shortage and
attrition of nurses. Between 2003 and 2007, the turnover (moving out- 2.3 | Sampling technique
side Jordan) rate among Jordanian nurses was 32.1% (n = 5,737).
Up to the researcher's knowledge, there are only two studies in The sample size was calculated by using G*power statistical test pro-
Jordan highlighted EI among nurses. The first one investigated its gram (MS Windows version) (Faul, Erdfelder, Lang, & Buchner, 2007).
impact on nursing performance (Al-Hamdan, Nussera, & Masa'deh, Using a power of 0.95, α of .05, moderate effect size (Al-Hamdan, Al-
2016), while the another study investigated the impact of EI training Ta'amneh, Rayan, & Bawadi, 2019) and 8 predictors to be tested, the
AL-HAMDAN et al. |
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minimum required sample size was 160. The sample size was increased Technology (IRB No. 2017/0068) and the Institutional Review Board
to 300 to avoid the risk of attrition and drop out during the study. (IRB) of the participating hospitals. Taking part in the study was vol-
untary; the participants had the right to withdraw from the study at
any time without accountability. Participants’ socio-demographic data
2.4 | Instruments and personal information were confidential; data were kept in a closed
cabinet in a closed office. Participants obtained the researcher's con-
2.4.1 | The Socio-demographic Questionnaire tact information for any question or explanation. Before starting filling
the questionnaire, participants were consented to be part of the study
In this questionnaire, participants were asked to identify their gen- by signing a written consent form. Approvals to use study instruments
der, age, marital status, educational level, experience in nursing and were obtained from instruments’ authors before collecting data.
the working area.

2.6 | Data collection procedure


2.4.2 | Wong's and Lee Emotional Intelligence Scale
(WLEIS) After obtaining IRB approvals and permissions to start data collection
from the selected hospitals, meetings with administrative buddies in
WLEIS is a 16-item scale that is commonly used to measure EI compo- nursing departments were conducted. The purposes of these meet-
nents: Self-Emotion Appraisal (SEA), Others’ Emotion Appraisal (OEA), ings were to explain the purposes of the study, get their support and
Use of Emotion (UOE) and Regulation of Emotions (ROE). Each subscale help in data collection procedure, and to encourage the nursing team
has four items. The internal consistency reliability was 0.86, 0.79, 0.85 to participate in the study during different shifts and duties. Data col-
and 0.82 for SEA, ROE, UOE and OEA, respectively (Law, Wong, & lection procedure took place by distributing self-administered ques-
Song, 2004). In Eastern and European countries, the scale has internal tionnaires to the eligible participants who met the inclusion. Data
consistency reliability of 81, 0.88, 0.82 and 0.87 for SEA, OEA, UOE collection procedure took place during participants' break time with-
and ROE, respectively (27). The scale has a four-point Likert scale, rang- out interrupting their busy work time. To assure confidentiality, partic-
ing from 1 (strongly disagree) to 4 (strongly agree). In the current study, ipants were asked to fill the questionnaire in a private room away from
the Cronbach's alpha tests showed that the 16-item EI questionnaire their direct supervisor. Two well-trained research assistants holding a
(WELS) had a good internal consistency reliability (Cronbach's α = .79), Master's degree in nursing helped in distributing questionnaires, col-
with internal consistency reliability of 65, 0.67, 0.62 and 0.69 for SEA, lecting data and answering or explaining participant's inquiries.
OEA, UOE and ROE, respectively. The permission to use Wong and Law
Emotional Intelligence Scale (WLEIS) was officially obtained from the
author of the scale, Mr. Wong Chi Sum. The scale was not translated 2.7 | Statistical analysis
from English to Arabic, since the study participants graduated from
nursing programmes that use the English language for education and Data analysis was done using IBM SPSS (v.22). The level of significance
use textbooks written in English (Shuriquie, While, & Fitzpatrick, 2008). (p) was .05 (Al-Hamdan et al., 2019). Missing data and incomplete ques-
tionnaires were excluded. Analysing participant's socio-demographic
characteristics was done by descriptive statistics: frequencies and
2.4.3 | McCain's intent to stay scale percentages. Means, standard deviation, frequencies and percentages
were reported for EI and the intent to stay. Pearson's r test was used
Intention to stay was examined by McCain's Intent to Stay Scale to examine the relationship between EI and intent to stay. Multiple
(McCloskey & McCain, 1987), which is a 5-items measure, rated on regression analyses were used to identify the most socio-demographic
five-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). and work-related characteristics affecting nurses’ intent to stay and EI.
The scale has very good Cronbach's internal consistency reliability
(Cronbach's α  =  .86) (McCloskey & McCain, 1987). In the current
study, the 5-item McCain's Intent to Stay Questionnaire had very 3 | R E S U LT S
good internal consistency reliability, Cronbach's α = .87. The permis-
sion to use the McCain Intent to Stay questionnaire was officially 3.1 | Characteristics of the participants
obtained from the author of the scale, Mr. Bruce McCain.
Out of the three hundred questionnaires distributed to nurses in the
three hospitals, two hundred and eighty nurses agreed to partici-
2.5 | Ethical considerations pate in the study and returned completed questionnaires, represent-
ing a response rate of 93.3%. Socio-demographic and work-related
Ethical approval to conduct this study was obtained from the re- characteristics of the sample are presented in Table 1. Participants’
search and ethics committee at the (Jordan) university of science and gender evenly divided into the sample. The majority of nurses were
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354       AL-HAMDAN et al.

TA B L E 1   Sample characteristics (N = 280) TA B L E 2   Descriptive statistics for nurses’ emotional intelligence


and intent to stay
Characteristic Frequency (%)
Item Mean (SD)
Sex
Male 139 49.6 Self-Emotion Appraisal (SEA) 3.1 (0.5)
Female 141 50.4 Other's-Emotion Appraisal (OEA) 3.0 (0.5)
Age Use Of Emotion (UOE) 3.1 (0.6)
20–25 years 88 31.4 Regulation Of Emotions (ROE) 3.0 (0.6)
26–30 years 118 42.2 Intent to Stay 3.4 (0.9)
31–35 years 42 15
36–40 years 32 11.4
Use of Emotion (UOE) and Regulation of Emotions (ROE). The mean
Marital status
score of SEA subscale was 3.1 (SD = 0.5) out of 4 points, OEA was 3.0
Never married 111 39.6
(SD = 0.5) out of 4, while the average response to UOE subscale was
Ever married 169 60.4
3.1 (SD = 0.6) out of 4, and ROE was 3.0 (SD = 0.6) out of 4. The mean
Education
score of nurses’ stay intention in the job was 3.36 (SD = 0.9) out of 5,
Bachelor's degree 235 83.9
indicating that nurses were between neutral to agreeing to whether
Master's degree 45 16.1
they plan to stay in their present job as long as possible or not.
University
Governmental 219 78.2
Private 61 21.8
3.3 | The association between nurses’ EI and intent
Hospital type
to stay
Governmental 95 33.9
Private 90 32.2
The relationship between nurses’ EI and intent to stay was inves-
University 95 33.9
tigated using Person's r. There was a positive correlation between
Total experience years
the two variables (r  = .427, p < .01), with increased level of EI as-
1–5 years 124 44.3
sociated with stronger nurse intention to remain employed. There
6–10 years 98 35
were strong positive correlations between all EI domains and nurses’
11–15 years 38 13.6
intent to stay, but ROE domain was the most significant domain cor-
16–20 years or more 20 7.1
related with stay intent (r = .378, p < .01), as nurses who were more
Current hospital experience
able to handle and regulate their emotions had higher stay intent in
1–5 years 154 55
their jobs.
6–10 years 79 28.2
11–15 years 27 9.7
16–20 or more years 20 7.1
3.4 | Predictors of nurses’ EI
Working unit
Medical 63 22.5
The multivariate linear regression model was used to assess the
Surgical 49 17.5
combined and individual effect of each of the nurses’ socio-demo-
ICU and CCU 80 28.6
graphic and work-related characteristics on their overall self-rated
ER 37 13.2
EI (Table 3). The model suggested that the included variables had a
Maternity 28 10
significant relationship with the nurses’ EI, F (9,274) = 3.84, p < .001.
Paediatric 23 8.2
The model also showed that these variables collectively explained
11.5% of the variations in the nurses’ self-rated EI.
young, and 42.2% of them were 26- to 30-year-old, 169 (60.4%) of The multivariate technique suggested that nurses working in
the sample are single, and 235 (83.9%) had a bachelor's degree in the private hospital reported significantly greater EI (M  =  3.16,
nursing. 44.3% have 1–5  years of experience as nurses and 28.6% SD  = 0.38) than nurses working in the governmental hospital
currently working in intensive care units. (M = 3.03, SD  = 0.34), when keeping everything else in the model
equal, p  = .004. Too, nurses holding a bachelor's degree reported
significantly less EI (M = 3, SD = 0.41) than those with master's de-
3.2 | Nurses’ EI and intent to stay gree (M = 3.2, SD  = 0.37), also by keeping all other variables simi-
lar, p = .030. However, self-rated EI was not significantly correlated
Table 2 displays nurses’ responses to EI questionnaire and Intent to with sex (β = .057, t = 0.795, p = .427), gender (β = .069, t = 1.065,
Stay Questionnaire. EI questionnaire includes four main subscales: p  = .288), marital status (β = .125, t = 1.941, p  = .053), education
Self-Emotion Appraisal (SEA), Others’ Emotion Appraisal (OEA), (β = .055, t  = 0.911, p  =  .363), private hospital type (β  =  −.086,
AL-HAMDAN et al.       355|
TA B L E 3   Multivariate linear regression
  B SE Standardized Beta t-value p
model explaining the joint and individual
effects of nurses’ demographic and (Constant) 2.935 0.119   24.690 <.001
work-related characteristics on their self- Age: >30 years old .054 0.067 0.057 0.795 .427
reported EI
Sex: Male .056 0.053 0.069 1.065 .288
Marital status: Ever .104 0.054 0.125 1.941 .053
married
Degree: BSN −.141 0.064 −0.128 −2.185 .030
Education: .055 0.060 0.055 0.911 .363
Governmental
University
Hospital type: Private .176 0.060 0.199 2.908 .004
Hospital type: −.074 0.058 −0.086 −1.274 .204
University
Experience .137 0.113 0.081 1.204 .230
years > 11
Nursing station .017 0.035 0.030 0.485 .628

Note: Reference comparison groups: Sex: Female, Marital status: Single, Age: ≤30 years,
Experience: ≤11 years, Education: Master's degree, University type: Private, Hospital type:
Governmental hospital.

TA B L E 4   Multiple linear regression


  B SE Standardized Beta t-value p
model explaining the joint and individual
effects of nurse socio-demographics (Constant) 3.871 0.257   15.065 <.001
and work-related characteristics on their Gender: Male −.046 0.112 −0.024 −0.406 .685
intent to stay within the nursing career
Age > 30 years .370 0.142 0.169 2.596 .010
Marital status: Ever .298 0.115 0.155 2.594 .010
married
Degree: BSN. −.207 0.140 −0.081 −1.485 .139
Education: Govt. −.065 0.129 −0.029 −0.504 .615
University
Hospital type: −.372 0.129 −0.185 −2.877 .004
Private
Hospital type: −.791 0.126 −0.399 −6.289 <.001
University
Nursing experience: .031 0.222 0.008 0.139 .889
>11 years
Nurse station −.082 0.075 −0.064 −1.097 .274

Note: Reference comparison groups: Sex: Female, Marital status: Single, Age: ≤30 years,
experience: ≤11 years, Education: Master's degree, University type: Private, Hospital type:
Governmental hospitals.

t = −1.274, p = .204), experience (β = .081, t = 1.204, p = .230) and their nursing career. The model showed that nurses working in uni-
nursing station (β = .030, t = 0.485, p = .628). versity hospital reported less stay intention in job (M = 2.9, SD = 1)
than those working in governmental hospital (M = 3.6, SD = 0.46),
p  ≤  .001. Likewise, those nurses who work in private hospital
3.5 | Predictors of intent to stay reported significantly less intent to stay in their job (M  =  3.6,
SD = 0.63) compared to those who are working in the governmen-
The multivariate linear regression model suggested that there was tal hospitals, p = .004. Conversely, the ever married nurses (mar-
a significant relationship between the collective set of variables ried and divorced) had significantly greater intent to stay in their
and the nurses’ intent to stay F (9,279) = 8.01, p < .001. The model job (M = 3.5, SD = 0.92) than their single peers (M = 3.1, SD = 0.92),
suggested that these variables collectively explained a total of p  = .010. In the same manner, those nurses aged above 30 years
21.1% of the variations in the nurses’ perceived intent to stay in tended to report greater intent to stay (M = 3.8, SD = 0.58) than
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356       AL-HAMDAN et al.

their peers who were younger than 30 years (M = 3.2, SD = 0.97), nurses with higher levels of academic education had less stay intents
p = .01. However, sex (β = −.024, t = −0.406, p = .685), education and higher turnover rates. However, the study of Mrayyan (2005)
(β = −0.029, t = −0.504, p = .615), experience (β = .008, t = 0.139, was conducted since more than 10 years where nurses with higher
p = .889) and nursing station (β = −.064, t = −1.097, p = .274) did not education levels were highly dissatisfied and seeking higher job po-
converge significantly on intent to stay (Table 4). sitions and career development.
The outcomes of the current study should be interpreted con-
sidering some limitations. Including nurses in only three hospitals in
4 |  D I S CU S S I O N Jordan may limit the generalization of study results and findings. In
addition, the bias and the possibility of subjectivity in responding
The purpose of this study was to examine the relationship be- to research instruments by the participants may negatively affect
tween EI and intent to stay and to identify their correlates among study findings.
Jordanian nurses. Worldwide, health care organisations struggle
to empower nurses and increase their productivity and retention
(Healy, El-Atroush, Abol-Enein, & El-Sayed, 2013). The findings of 4.1 | Limitation
the current study revealed that EI has a significant correlation with
nurses’ intent to stay in nursing and/or their current jobs. This out- There are some limitations in this study. The study used self-report
come is congruent with a study conducted in Greece which found questionnaires, which introduces bias and limits our ability to deter-
that EI is negatively associated with nurses’ intention to quit their mine actual relationships among concepts of interest. In addition, as
jobs (Trivellas et al., 2013). EI was negatively associated with leav- this is a cross-sectional study, it is not possible to make cause-and-
ing intention among nurses (Kang & Kim, 2016). The Regulation of effect statements.
Emotion (ROE) had the strongest positive relationship with inten-
tion to stay. This is congruent with the findings of some studies
(Güleryüz, Güney, Aydın, & Aşan, 2008; Ko & Kim, 2014), but in 4.2 | Implications for nursing management
contrary to the study of Trivellas et al., (2013) who found that only
Self-Emotion Appraisal (SEA) and Use of Emotion (UOE) had a sig- The findings of the current study have important implications
nificant positive impact on nurses’ job satisfaction and intention and recommendations for nurses and nursing managers. Nurses’
to stay. EI helps nurses to effectively handle their emotions and behav-
EI is a set of skills and abilities that the individual gains by learn- iours and respond to various situations smoothly and effectively.
ing from experiences and events (Goleman, 2006). However, many In addition, it improves nurses’ self-awareness and recognition of
studies looked for individual traits that may affect EI levels or capa- other emotions and promotes the relationships between nurses.
bilities. Our study found that level of education (Master's degree) This could also improve the workplace environment and achieve
and hospital type (a private one) were the most and significantly nursing goals and organisational aims. Nurse managers should pay
characteristics affecting Jordanian nurses EI scores, which was con- attention to EI of nurses during recruitment considering various de-
gruent with only one study (Kalyoncu, Güney, Arslan, & Ayranci, terminants of EI identified in the current study. Additionally, nurse
2012). However, the study of Kalyoncu et al. (2012) found that EI managers might want to strengthen factors associated with more
increases with ageing. Furthermore, previous studies revealed vari- stay intent among their staff. EI should be considered in nursing
ous factors associated with EI including years of experience, nurses’ courses, schools and academic settings. Nursing students should
gender and level of education (Humpel & Caputi, 2001; Nikolaou & be trained and educated about EI and its effectiveness in dealing
Tsaousis, 2002; Oginska-Bulik, 2005). However, none of these stud- with themselves and others during their early academic journey.
ies were conducted in the Arab world, indicating that cultural factors Continuous education, workshops and activities within educa-
might play a role in determining the factors associated with EI. tional facilities should be held to improve nurses' EI. Furthermore,
In this study, Jordanian nurses’ intent to stay in their jobs and understanding of EI and its impacts on nursing and organisational
careers was predicted by hospital type (governmental), marital sta- outcomes helps administrators to adopt action plans and strategies
tus (married), age (older than 30 years) and level of education (mas- to involve and promote EI practice in all nursing departments and
ter's degree). Many studies were congruent with these findings, sections.
while others were not. For example, a previous study revealed that
Jordanian nurses who work for the public sector in the governmen-
tal hospitals showed higher intent to stay rates than those work for 5 | CO N C LU S I O N
private or university hospitals which was congruent with our find-
ings (Al-Hamdan, Manojlovich, & Tanima, 2017). In addition, similar The findings of the study came with a supportive knowledge about
to our findings, Mrayyan (2005) revealed that married nurses and the positive impacts of EI on nurses’ intent to stay. Improving in-
those older than 30 years had higher rates of retention and stay in tent to stay could have positive effects on organisations’ decisions,
their jobs. In opposing to our findings, Mrayyan (2005) reported that policymaking processes, quality of care, employee commitment and
AL-HAMDAN et al. |
      357

satisfaction. Nurse managers should pay attention to EI of nurses Ezzatabadi, M., Bahrami, M., Hadizadeh, F., Arab, M., Nasiri, S.,
Amiresmaili, M., & Tehrani, G. (2012). Nurses' emotional intel-
during recruitment considering various determinants of EI identified
ligence impact on the quality of hospital services. Iranian Red
in the current study. Executives and decision makers in the health Crescent Medical Journal, 14(12), 758. https​ ://doi.org/10.5812/
care organisation have the responsibility to adopt EI theories and ircmj.926
approaches in order to increase nurses’ retention and commitment Faul, F., Erdfelder, E., Lang, A., & Buchner, A. (2007). G* Power 3: A flex-
ible statistical power analysis program for the social, behavioral, and
to their organisation.
biomedical sciences. Behavior Research Methods, 39(2), 175–191.
https​://doi.org/10.3758/BF031​93146​
AC K N OW L E D G E M E N T S Flinkman, M., Leino-Kilpi, H., & Salanterä, S. (2010). Nurses’ in-
We are grateful to all the Jordanian nurses who participated in this tention to leave the profession: Integrative review. Journal
study. of Advanced Nursing, 66(7), 1422–1434. https​
://doi.
org/10.1111/j.1365-2648.2010.05322.x
Goleman, D. (2006). Emotional Intelligence: Bantam.
E T H I C A L A P P R OVA L Goleman, D., Boyatzis, R., & McKee, A. (2013). Primal Leadership:
Ethical approval was obtained from the research and ethics com- Unleashing the Power of Emotional Intelligence. Brighton, MA: Harvard
mittee at the Jordan university of Science and Technology, number Business Press.
Görgens-Ekermans, G., & Brand, T. (2012). Emotional intelligence as a
20170068.
moderator in the stress–burnout relationship: A questionnaire study
on nurses. Journal of Clinical Nursing, 21(15–16), 2275–2285. https​://
ORCID doi.org/10.1111/j.1365-2702.2012.04171.x
Zaid M. Al-Hamdan  https://orcid.org/0000-0001-6086-2428 Güleryüz, G., Güney, S., Aydın, E., & Aşan, Ö. (2008). The mediating effect
of job satisfaction between emotional intelligence and organisational
Anas Muhsen  https://orcid.org/0000-0002-4046-5799
commitment of nurses: A questionnaire survey. International Journal
Ahmad Rayan  https://orcid.org/0000-0002-8377-2297 of Nursing Studies, 45(11), 1625–1635. https​://doi.org/10.1016/j.ijnur​
stu.2008.02.004
REFERENCES Healy, S., El-Atroush, H., Abol-Enein, H., & El-Sayed, N. (2013). Emotional
intelligence and its relation to nursing performance among nurses at
Al-Faouri, I., Al-Ali, N., & Al-Shorman, B. (2014). The influence of emo-
Mansoura University Hospital and Urology and Nephrology Center.
tional intelligence training on nurses? Job satisfaction among
The Medical Journal of Cairo University, 81(1), 689–697.
Jordanian nurses. European Journal of Scientific Research, 117(4),
Heinen, M. M., van Achterberg, T., Schwendimann, R., Zander, B.,
486–494.
Matthews, A., Kózka, M., … Schoonhoven, L. (2013). Nurses' inten-
Al-Hamdan, Z., Adnan Al-Ta'amneh, I., Rayan, A., & Bawadi, H. (2019).
tion to leave their profession: A cross sectional observational study
The impact of emotional intelligence on conflict management styles
in 10 European countries. International Nournal of Nursing Studies,
used by Jordanian nurse managers. Journal of Nursing Management,
50(22), 174–184. https​://doi.org/10.1016/j.ijnur​stu.2012.09.019
27, 560–566. https​://doi.org/10.1111/jonm.12711​
Hong, E., & Lee, Y. (2016). The mediating effect of emotional intelligence
Al-Hamdan, Z., Manojlovich, M., & Tanima, B. (2017). Jordanian nurs-
between emotional labour, job stress, burnout and nurses' turnover
ing work environments, intent to stay, and job satisfaction. Journal
intention. International Journal of Nursing Practice, 22(6), 625–632.
of Nursing Scholarship, 49(1), 103–110. https​ ://doi.org/10.1111/
https​://doi.org/10.1111/ijn.12493​
jnu.12265​
Humpel, N., & Caputi, P. (2001). Exploring the relationship between
Al-Hamdan, Z., Nussera, H., & Masa'deh, R. (2016). Conflict management
work stress, years of experience and emotional competency
style of Jordanian nurse managers and its relationship to staff nurses’
using a sample of Australian mental health nurses. Journal of
intent to stay. Journal of Nursing Management, 24(2), E137–E145.
Psychiatric and Mental Health Nursing, 8(5), 399–403. https​ ://doi.
https​://doi.org/10.1111/jonm.12314​
org/10.1046/j.1365-2850.2001.00409.x
ANA (2016). Nursing Staffing. Retrieved 5/9/2016, from http://www.
Kalyoncu, Z., Güney, S., Arslan, M., & Ayranci, E. (2012). Analysis of The
nursi​ngwor​ld.org/nurse​staffing
Relationship Between Emotional Intelligence and Stres Caused By
Bennett, K., & Sawatzky, J. (2013). Building emotional intelligence: A
The Organization: A Study of Nurses. Business Intelligence Journal,
strategy for emerging nurse leaders to reduce workplace bully-
5(2), 334–346.
ing. Nursing Administration Quarterly, 37(2), 144–151. https​ ://doi.
Kang, H., & Kim, Y. (2016). Influence of the emotional intelligence,
org/10.1097/NAQ.0b013​e3182​86de5f
communication competence and stress coping on turnover inten-
Clancy, C. (2014). The importance of emotional intelligence. Nursing
tion in psychiatric nurses. Journal of the Korea Academia-Industrial
Management, 21(8), 15–15. https​ ://doi.org/10.7748/nm.21.8.15.
Cooperation Society, 17(1), 141–151. https​://doi.org/10.5762/
s21
KAIS.2016.17.1.141
Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. (2016). Association
Karimi, L., Cheng, C., Bartram, T., Leggat, S., & Sarkeshik, S. (2015). The
of 12 h shifts and nurses' job satisfaction, burnout and intention to
effects of emotional intelligence and stress-related presenteeism
leave: Findings from a cross-sectional study of 12 European coun-
on nurses’ well-being. Asia Pacific Journal of Human Resources, 53(3),
tries. British Medical Journal Open, 5(9), e008331.
296–310. https​://doi.org/10.1111/1744-7941.12049​
El-Jardali, F., Dimassi, H., Dumit, N., Jamal, D., & Mouro, G. (2009). A na-
Ko, H., & Kim, J. (2014). The relationships among emotional intelligence,
tional cross-sectional study on nurses' intent to leave and job satis-
interpersonal relationship, and job satisfaction of clinical nurses.
faction in Lebanon: Implications for policy and practice. BMC Nursing,
Journal of Korean Academic Society of Nursing Education, 20(3), 413–
8(1), 3. https​://doi.org/10.1186/1472-6955-8-3
423. https​://doi.org/10.5977/jkasne.2014.20.3.413
El-Sayed, S., El-Zeiny, H., & Adeyemo, D. (2014). Relationship between
Kuo, H., Lin, K., & Li, I. (2014). The mediating effects of job satisfaction
occupational stress, emotional intelligence, and self-efficacy among
on turnover intention for long-term care nurses in T aiwan. Journal
faculty members in faculty of nursing Zagazig University. Egypt.
of Nursing Management, 22(2), 225–233. https​ ://doi.org/10.1111/
Journal of Nursing Education and Practice, 4(4), 183. https​ ://doi.
jonm.12044​
org/10.5430/jnep.v4n4p183
|
358       AL-HAMDAN et al.

Kutney-Lee, A., & Aiken, L. (2008). Effect of nurse staffing and education Park, H., Ha, J., Lee, M., & Lee, H. (2014). The relationship between
on the outcomes of surgical patients with comorbid serious mental emotional intelligence and stress coping of nurses. Journal of Korean
illness. Psychiatric Services (Washington, D. C.), 59(12), 1466–1469. Academy of Fundamentals of Nursing, 21(4), 466–474. https​://doi.
https​://doi.org/10.1176/appi.ps.59.12.1466 org/10.7739/jkafn.2014.21.4.466
Law, K., Wong, C., & Song, L. (2004). The construct and criterion va- Roche, M., Duffield, C., Homer, C., Buchan, J., & Dimitrelis, S. (2015). The
lidity of emotional intelligence and its potential utility for manage- rate and cost of nurse turnover in Australia. Collegian, 22(4), 353–
ment studies. Journal of Applied Psychology, 89(3), 483. https​://doi. 358. https​://doi.org/10.1016/j.colegn.2014.05.002
org/10.1037/0021-9010.89.3.483 Salovey, P., & Mayer, J. (1990). Emotional intelligence. Imagination,
Lee, S., & Woo, H. (2015). Structural relationships among job embedded- Cognition and Personality, 9(3), 185–211. https​ ://doi.org/10.2190/
ness, emotional intelligence, social support and turnover intention DUGG-P24E-52WK-6CDG
of nurses. Journal of Korean Academy of Nursing Administration, 21(1), Shuriquie, M., While, A., & Fitzpatrick, J. (2008). Nursing work in Jordan:
32–42. https​://doi.org/10.11111/​jkana.2015.21.1.32 an example of nursing work in the Middle East. Journal of Clinical
Li, Y., & Jones, C. (2013). A literature review of nursing turnover Nursing, 17(8), 999–1010.
costs. Journal of Nursing Management, 21(3), 405–418. https​://doi. Suneyna, S., & Sasikala, S. (2014). Relationship of emotional intelligence,
org/10.1111/j.1365-2834.2012.01411.x alternative employment opportunities, job satisfaction and organiza-
Mariani, B. (2012). The Effect of Mentoring on Career Satisfaction of tional commitment with turnover intensions. International Journal of
Registered Nurses and Intent to Stay in the Nursing Profession. Nursing Education and Management Studies, 4(1), 38.
Research and Practice, 2012, 9. https​://doi.org/10.1155/2012/168278 Trivellas, P., Gerogiannis, V., & Svarna, S. (2013). Exploring workplace
McCloskey, J., & McCain, B. (1987). Satisfaction, commitment and profes- implications of Emotional Intelligence (WLEIS) in hospitals: Job
sionalism of newly employed nurses. Journal of Nursing Scholarship, satisfaction and turnover Intentions. Procedia-Social and Behavioral
19(1), 20–24. https​://doi.org/10.1111/j.1547-5069.1987.tb005​81.x Sciences, 73, 701–709. https​://doi.org/10.1016/j.sbspro.2013.02.108
Mrayyan, M. (2005). Nurse job satisfaction and retention: Comparing van Zyl, E., Mokuoane, M., & Nel, P. (2017). The Effect of Work Stress
public to private hospitals in Jordan. Journal of Nursing Management, and Emotional Intelligence on Self-leadership among Nurses in
13(1), 40–50. https​://doi.org/10.1111/j.1365-2834.2004.00453.x Leadership Positions in the Lesotho Ministry of Health and Social
Nel, J. A., Jonker, C. S., & Rabies, T. (2013). Emotional intelligence and Welfare. Africa Journal of Nursing and Midwifery, 19, 88–104. https​://
wellness among employees working in the nursing environment. doi.org/10.25159/​2520-5293/613
Journal of Psychology in Africa, 23(2), 195–203.
Nikolaou, I., & Tsaousis, I. (2002). Emotional intelligence in the work-
place: Exploring its effects on occupational stress and organizational
How to cite this article: Al-Hamdan ZM, Muhsen A, Alhamdan
commitment. The International Journal of Organizational Analysis,
10(4), 327–342. https​://doi.org/10.1108/eb028956
M, Rayan A, Banyhamdan K, Bawadi H. Emotional intelligence
NSI (2016). National Healthcare Retention & RN Staffing Report. East and intent to stay among nurses employed in Jordanian
Petersburg, PA: Nursing Solution Inc. hospitals. J Nurs Manag. 2020;28:351–358. https​://doi.
Oginska-Bulik, N. (2005). Emotional intelligence in the workplace: org/10.1111/jonm.12932​
Exploring its effects on occupational stress and health outcomes in
human service workers. International Journal of Occupational Medicine
and Environmental Health, 18(2), 167–175.

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