Document Type : Original Article


1 Department of Medical and Surgical, School of Nursing and Midwifery, Shahrekord University of Medical Sciences,

2 Prehospital Emergency Care, Disaster and Emergency Medical Management Center, Shahrekord University of Medical Sciences, Shahrekord,

3 Department of Infection Control, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran


BACKGROUND: Nursing students are generally trained to acquire the knowledge, skills, and
approaches required for solving problems and contradictions in life and at work. In fact, problem‑solving
skills are the core of effective nursing activities. Therefore, the aim of this study is to evaluate the
effectiveness of problem‑solving training on the promotion of emotional intelligence in nursing students.
MATERIALS AND METHODS: This interventional case–control study used a pretest‑posttest design.
All senior nursing students (n = 43) attending the seventh semester of their undergraduate studies at
Hazrat Fatemeh School of Nursing and Midwifery of Shiraz University of Medical Sciences were recruited
in the present study. The participants were randomly allocated to either the intervention group (n = 20)
or the control group (n = 23). The collected data were analyzed with SPSS software version 16.
RESULTS: While the mean standardized scores of Emotional Quotient Inventory of the two
groups were not significantly different before the intervention, the scores were significantly higher
in the intervention group both immediately and 2 months after the intervention. Comparison of the
standardized emotional intelligence scores revealed the intervention group to have significantly
higher mean scores immediately and 2 months after the intervention compared to baseline
scores (105.87 ± 9.82 and 109.44 ± 9.56 vs. 101.22 ± 10.93; P < 0.001). Such significant differences
were absent in the control group.
CONCLUSION: Using the results of this research in nursing education, it is possible to improve the
level of nurses’ knowledge and personal skills and to increase the level of services and increase
the satisfaction of the clients.


1. Moattari M, Abedi H. The Effect of Education on Cognitive
Styles, Critical Thinking Skills and Thinking Strategies of Nursing
Students [Masters’ thesis]. Tabriz University of Medical Sciences;
2. Jun WH, Lee G. Corrigendum to The role of ego‑resiliency in
the relationship between social anxiety and problem solving
ability among South Korean nursing students. Nurse Educ Today
3. Heidari M, Shahbazi S. Effect of training problem‑solving skill
on decision‑making and critical thinking of personnel at medical
emergencies. Int J Crit Illn Inj Sci 2016;6:182‑7.
4. Lee H, Yoon JY, Lim Y, Jung H, Kim S, Yoo Y, et al. The effect
of nurse‑led problem‑solving therapy on coping, self‑efficacy
and depressive symptoms for patients with chronic obstructive
pulmonary disease: A randomized controlled trial. Age Ageing
5. Shahbazi S, Heydari M, Shaykhi R. The effect of problem solving
course on students stress intolerance. J Shahrekord Univ Med Sci
6. Altun I. The perceived problem solving ability and values of
student nurses and midwives. Nurse Educ Today 2003;23:575‑84.
7. Salehi S, Bahrami M, Hosseini S, Akhondzadeh K. Critical
thinking and clinical decision making in nurse. IR J Nurse Mid
Res 2008;12:13‑6.
8. Heidari M, Ebrahimi P. Examining the relationship between
critical‑thinking skills and decision‑making ability of emergency
medicine students. Indian J Crit Care Med 2016;20:581‑6.
9. Freshwater D, Stickley T. The heart of the art: Emotional
intelligence in nurse education. Nurs Inq 2004;11:91‑8.
10. Štiglic G, Cilar L, Novak Ž, Vrbnjak D, Stenhouse R, Snowden A,
et al. Emotional intelligence among nursing students: Findings
from a cross‑sectional study. Nurse Educ Today 2018;66:33‑8.
11. Foster K, Fethney J, Kozlowski D, Fois R, Reza F, McCloughen A,
et al. Emotional intelligence and perceived stress of Australian
pre‑registration healthcare students: A multi‑disciplinary
cross‑sectional study. Nurse Educ Today 2018;66:51‑6.12. Smith L, Heaven PC, Ciarrochi J. Trait emotional intelligence,
conflict communication patterns, and relationship satisfaction.
Pers Individ Dif 2008;44:1314‑25.
13. Augusto Landa JM, López‑Zafra E, Berrios Martos MP,
Aguilar‑Luzón Mdel C. The relationship between emotional
intelligence, occupational stress and health in nurses:
A questionnaire survey. Int J Nurs Stud 2008;45:888‑901.
14. Benson G, Ploeg J, Brown B. A cross‑sectional study of emotional
intelligence in baccalaureate nursing students. Nurse Educ Today
15. Imani B, Mohamad Khan Kermanshahi S, Vanaki Z,
Kazemnejad Lili A, Zoghipaydar M. Iranian hospital nurses’
lived experiences of emotional intelligence: A phenomenological
study. Issues Ment Health Nurs 2018;30:1‑8.
16. Kozlowski D, Hutchinson M, Hurley J, Browne G. Increasing
nurses’ emotional intelligence with a brief intervention. Appl
Nurs Res 2018;41:59‑61.
17. Por J, Barriball L, Fitzpatrick J, Roberts J. Emotional intelligence:
Its relationship to stress, coping, well‑being and professional
performance in nursing students. Nurse Educ Today
18. Kaya H, Şenyuva E, Bodur G. The relationship between critical
thinking and emotional intelligence in nursing students:
A longitudinal study. Nurse Educ Today 2018;68:26‑32.
19. Habibpour Z, Khorami Markani A. Emotional intelligence and its
application in nursing. J Urmia Nurs Midwifery Fac 2006;3:156‑66.
20. Shahbazi S, Heidari M, Vanaki Z. Today nursing need for
emotional intelligence: Integrative review of literature. Q J Nurs
Manag 2012;1:55‑64.
21. Bar‑On RE, Parker JD. The Handbook of Emotional Intelligence:
Theory, Development, Assessment, and Application at Home,
School, and in the Workplace. San Francisco, CA, US: Jossey‑Bass;
2000. p. 133.
22. Haghnegahdar F. Relation between Emotional Intelligence
and Sport Successful in Sport Mans of Shiraz [Master’s Thesis].
Esfahan: Islamic Azad University Khorasgan Branch; 2007. p. 57.
23. Shahbazi S, Heidari M. The impact of training by social
problem‑solving model of D‑Zurilla & Gold fried on
problem‑solving skills of nursing students. Iran J Nurs 2012;25:1‑9.
24. Lau Y. Factors affecting the social problem‑solving ability of
baccalaureate nursing students. Nurse Educ Today 2014;34:121‑6.
25. Moattari M, Soltani S, Mousavi‑Nasab M, Ayattollahi A. The effect
of problem solving on self concept in Shiraz nursing students. IR
J Educ Med Sci 2006;5:147‑55.
26. FowlerJ. Advancing practice: From staff nurse to nurse consultant.
Part 7: Problem solving. Br J Nurs 2013;22:419.
27. King EB, Gregory RP, Schlundt DG, Garton R, Fielder MT,
Snow DC, et al. The effect of problem‑solving training on the
counseling skills of telephonic nurse care managers. J Nurses
Staff Dev 2007;23:229‑37.
28. Salami SO, Aremu AO. Relationship between problem‑solving
ability and study behaviour among school‑going adolescents
in Southwestern Nigeria. Electron J Res Educ Psychol
29. Palanci M, Okutan M. Explanation of school administrators’
problem solving skills with their personality traits, emotional
intelligence and emphatic tendency. Procedia Soc Behav Sci
30. Wessel J, Larin H, Benson G, Brown B, Ploeg J, Williams R, et al.
Emotional-social intelligence in health science students and its
relation to leadership, caring and moral judgment. Int J Allied
Health Sci Pract 2008;6:1-9.
31. Abe K, Niwa M, Fujisaki K, Suzuki Y. Associations between
emotional intelligence, empathy and personality in Japanese
medical students. BMC Med Educ 2018;18:47.
32. Shewchuk RM, Johnson MO, Elliott TR. Self-appraised social
problem solving abilities, emotional reactions and actual problem
solving performance. Beh Res Therapy 2000;38:727-40.
33. McCallin A, Bamford A. Interdisciplinary teamwork: Is the
influence of emotional intelligence fully appreciated? J Nurs
Manag 2007;15:386‑91.
34. Ahghar GH. Effect of problem‑solving skills education on
auto‑regulation learning of high school students in Tehran.
Procedia Soc Behav Sci 2012;69:688‑94.
35. Shahba S, AllahvirdiyaniK. Comparative study of problem‑solving
and emotional intelligence on decreasing of third grade girl
students’ aggression of the Rajaee guidance school of Tehran.
Procedia Soc Behav Sci 2013;9;84:778‑80.