“Emotional Intelligence and Quality Patient Care Among Nurses”

A Research Proposal Presented to

The Faculty of the College of Nursing
University of St. La Salle
Bacolod City

In Partial Fulfillment
of the Requirement for NRes 111A
Bachelor of Science in Nursing

DAWIS, KAYE FRANCES

ABENDAN, LYCA JOY,
ALONSO, ALYSSA VITA,
CASPE, JP
CASTEL, ROBERT JR.
EBANOS, PAULINE MARIE

AUGUST 2020
INTRODUCTION

Background of the study

The theoretical knowledge and practical experience will always be important factors

in determining top talent in health care. However, experts say emotional intelligence – the

ability to perceive, manage and express one’s emotions, and to recognize and react

appropriately to the emotions of others – is an invaluable social skill and successful nurses

should possess to effectively deliver quality patient care (Nguyen, 2017).

Emotional Intelligence refers to the capability of a person to manage and control the

emotions and possess the ability to control the emotions of other people also. Delivery

quality patient care is when health care services are provided to patients to improve the

desired outcomes. From the section “Emotional Intelligence and Nursing” of Kim Mryniak,

PhD, RNC-NIC, that the concept of emotional intelligence (EI or EQ) emerged over 20 years

ago and still applies today. Studies have shown that there is a correlation between emotional

intelligence and delivery of quality patient care because of the positive patient outcomes.

This includes clinical outcomes, patient satisfaction and the ability to develop therapeutic

relationships.

According to a study, the components of Emotional Intelligence are self-awareness,

self-regulation, motivation, social skills and empathy (Raghubir, 2018). The components of

emotional intelligence of Raghubir, shows that nurses must apply it in real settings in doing

patient care. 20 years ago the understanding of personal emotional intelligence may improve

the personal and professional relationships to have better quality of delivering care.
Statement of the Problem

This study will aim to determine the relationship between emotional intelligence and the

delivery of quality patient care among nurses of different hospitals in Bacolod City.

The main purpose of the study will aim to determine the relationship between emotional

intelligence and the delivery of quality patient care among nurses. Specifically, it will aim to:

1. What are the staff nurses’ demographic profile in terms of age, gender, religion, marital

status, years of experience as a staff nurse?

2. What is the degree of emotional intelligence of staff nurses?

3. What is the level of nursing performance in delivering quality care?

4. What is the significant relationship between emotional intelligence and the quality

patient care among nurses of different hospitals in Bacolod City?

Hypothesis

1. There is no significant relationship between Emotional Intelligence and delivery of

quality patient care among nurses of Bacolod City.

Theoretical Framework

 Jean Watson’s theory of Human Caring

Nursing is a unique discipline, shaped by its own concepts and practices. The defining

distinctions are framed by what is commonly known as nursing theory. Nursing theories are

organized, knowledge-based concepts that essentially define the scope of nursing practice.

This scope would include what constitutes nursing, what nurses are typically tasked with, and

the reasons why these tasks are in place.

 This study will anchor on Jean Watson’s theory of Human Caring.   The caring theory

is a theoretical framework developed by Jean Watson to help enhance nursing practice,

management, education and research. Watson believes that health professionals make social,

moral, and scientific contributions to humankind and that nurses’ caring ideals can affect

human development.  Caring goes beyond just caring for a patient but also caring for oneself.

Nurses and patients should share caring moments that become bigger than either the nurse or

the patient, and the nurse potentiates healing by involving their own humanity. In these

"caring moments" life is transcended, and the moment becomes part of both the patient and

the nurse's life. 

Watson’s philosophy and science of caring is concerned on how nurses express care

to their patients. Her theory stresses humanistic aspects of nursing as they intertwine with

scientific knowledge and nursing practice.   She contends that caring regenerates life energies

and potentiates capabilities, is central to nursing practice, and promotes health better than a

simple medical cure. Watson also emphasizes that nurses should care for themselves to be

able to care for others in promoting health, preventing illness, caring for the sick, and

restoring health.  Caring is a mutually beneficial experience for both the patient and the

nurse, as well as all health team members. 

Daniel Goleman Emotional Intelligence Theory

Another theory by Daniel Goleman on Emotional Intelligence states that EI is a

cluster of skills and competencies, which are focused on four capabilities: self-awareness,

relationship management, and social awareness.  This study considered the mixed models

and the ability model. Mixed models conceptualize EI as a conglomeration of characteristics,

including empathy, motivation, persistence, optimism, and social skills. Mixed EI is typically
measured through self-report instruments, and it overlaps extensively with personality traits

and measures of emotional/psychological well-being. The ability model, in contrast, defines

EI as the integration of several capacities: “the ability to perceive accurately, appraise, and

express emotion; the ability to access and/or generate feelings when they facilitate thought;

the ability to understand emotion and emotional knowledge; and the ability to regulate

emotions to promote emotional and intellectual growth”. Ability EI is assessed in adults

using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) which assesses each

of the four abilities (“branches”) of perceiving, facilitating, understanding, and managing

emotions. MSCEIT scores show a positive relationship with various domains of daily life,

including mental and physical health, social functioning, and academic and workplace

performance.

The theories mentioned above lead the researchers to appropriately design the

research structure of the study in order to accomplish the specific objectives or answer the

specific problems.

Conceptual Framework

Nursing Care

According to Jean Watson the metaparadigm concepts in nursing includes the person

or human being, health, and nursing. She referred to a human being as a valued person in and

of him or herself to be cared for, respected, nurtured, understood and assisted; in general, a

philosophical view of a person as a fully functional integrated self. Human is viewed as

greater than and different from the sum of his or her parts. Health, meanwhile, is defined as a

high level of overall physical, mental, and social functioning; a general adaptive-maintenance

level of daily functioning; and the absence of illness, or the presence of efforts leading to the
absence of illness. And nursing as a science of persons and health-illness experience that are

mediated by professional, personal, scientific, and ethical care interactions.

She devised 10 caring needs specific carative factors critical to the caring human

experience that need to be addressed by nurses with their patients when in a caring role.

Watson explains that the carative factors refer to how interventions are associated with the

human care process. As the nurse has interaction with the patient, the carative factors become

actualized. She further explains that higher levels of caring can occur between different

nurses and different experiences.

Watson’s 10 carative factors are: (1) forming humanistic-altruistic value systems, (2)

instilling faith-hope, (3) cultivating a sensitivity to self and others, (4) developing a helping-

trust relationship, (5) promoting an expression of feelings, (6) using problem-solving for

decision-making, (7) promoting teaching-learning, (8) promoting a supportive environment,

(9) assisting with gratification of human needs, and (10) allowing for existential-

phenomenological forces. The first three factors form the “philosophical foundation” for the

science of caring, and the remaining seven come from that foundation.

 
 The structure for Jean Watson's science of caring includes ten carative factors.  These

concepts were adapted for Watson's theory based on the assumptions that were both stated

and implicit within her theory.

Emotional Intelligence

Daniel Goleman’s five components of emotional intelligence covered Emotional self-

awareness, Self-regulation, Motivation, Empathy, and Social skills. The first is Self-

awareness which refers to the capacity to recognize and understand emotions and to have a

sense of how one’s actions, moods and the emotions of others take effect. It involves keeping

track of emotions and noticing different emotional reactions, as well as being able to identify

the emotions correctly. Self-awareness also includes recognizing that how we feel and what

we do are related, and having awareness of one’s own personal strengths and limitations. It is

associated with being open to different experiences and new ideas and learning from social

interactions.

Second is Self-regulation, this aspect of EI involves the appropriate expression of

emotion. Self-regulation includes being flexible, coping with change, and managing conflict.

It also refers to diffusing difficult or tense situations and being aware of how one’s actions

affect others and take ownership of these actions. Third, is Social Skills which refers to

interacting well with other people. It involves applying an understanding of the emotions of

ourselves and others to communicate and interact with others on a day-to-day basis. Different

social skills include – active listening, verbal communication skills, non-verbal

communication skills, leadership, and developing rapport. The fourth component is Empathy

which refers to being able to understand how other people are feeling. This component of EI
enables an individual to respond appropriately to other people based on recognizing their

emotions. It enables people to sense power dynamics that play a part in all social

relationships, but also most especially in workplace relations. Empathy involves

understanding power dynamics, and how these affect feelings and behavior, as well as

accurately perceiving situations where power dynamics come into force. The last is

Motivation, when considered as a component of EI, refers to intrinsic motivation. Intrinsic

motivation means that an individual is driven to meet personal needs and goals, rather than

being motivated by external rewards such as money, fame, and recognition. People who are

intrinsically motivated also experience a state of ‘flow’, by being immersed in an activity.

They are more likely to be action-oriented, and set goals. Such individuals typically have a

need for achievement and search for ways to improve. They are also more likely to be

committed and take initiative.

In view of the 5 components of Emotional Intelligence: self-awareness, self-

regulation, social skills, empathy, and motivation, Nurses should possess these components

of emotional intelligence to be able to deliver nursing care.

Demographic Profile:
-Age
-Gender
-Marital status
-Religion
-Years of Experience as a Staff
Nurse
 Degree of
Level of Quality
Emotional
Patient Care
Intelligence

Scope and Limitation of the Study

The main purpose of the study is to determine if there will be a significant relationship

between the emotional intelligence and quality patient care among nurses. 

This study will limit only to registered staff nurses of different hospitals in Bacolod

City .     The study will also focus only on registered staff nurses of different hospitals in

Bacolod City and their nursing performance in delivering quality patient care. The

respondents of this study will be “N” registered staff nurses (“n” Males, “n” Females).

Since the researchers’ focus is to determine the relationship of EI and nursing performance, it

will only limit to the emotional intelligence and not on IQ or other factors that affect nursing

performance. The respondents will come from different hospitals in Bacolod City to avoid

bias and to get objective perception. The researchers’ collection of data is on December 15,

2020  to  March 15,2021.

Significance of the Study

 The primary goal of this study will assess if emotional intelligence plays an

important role that affects the delivery of quality patient care of nurses in Bacolod City.. 

The study is significant to the following stakeholders:

Government Agencies. The findings of the study will include the recommendation

that it can be used by the government authorities. They could conduct assessments and

programs basing from the results of the study. It will allow them to have government

hospitals with high performance rates from their nurses.

This study will greatly benefit the staff nurses as well as the clinical supervisors to

monitor the factor that affects their nursing performance. Also, they may be able to conduct

seminars to maintain their good emotional health.

 This study will be helpful to the school nursing administration. Nursing schools can

consider emotional intelligence as a factor that affects nursing student performance and

future success.

This study will also be very helpful to future researchers in nursing. They can utilize

the results and recommendation of this study as their guide and basis in conducting their

study. 

Definition of Terms

For the readers to better understand the technical terms used in this study, conceptual

and operational definitions of the terms are included in this section:

Caring. Conceptually, this term refers to the work or practice of looking after those

unable to care for themselves, especially sick and elderly people.

Operationally, this term is used to mean the moral ideal of nursing whereby the end is

protection, enhancement, and preservation of human dignity.

Emotional intelligence. Conceptually, this term is the capacity to be aware of,

control, and express one's emotions, and to handle interpersonal relationships judiciously and

empathetically.

Operationally, this term refers to the ability to perceive emotions, to access and

generate emotions so as to assist thought, to understand emotions and emotional knowledge,

and to reflectively regulate emotions so as to promote emotional and intellectual growth

(Mayer & Salovey, 1997)

 Human Care. Conceptually, this term refers a special kind of relationship where both

the nurse and the other have a high regard for the whole person in a process of being and

becoming.

Operationally, this term refers to involve values, a will and a commitment to care,

knowledge, caring actions, and consequences. (Jean Watson, 2017). In this study human care

is provided by the nurse to the patient with special kind of relationship, commitment, actions

and full support for patient’s recovery.

Intelligence. Conceptually, this term is defined as the ability to learn or understand

or to deal with new or trying situations and the ability to apply knowledge to manipulate

one's environment or to think abstractly as measured by objective criteria

Operationally, this term refers to the unique human mental ability to handle and

reason about information (Mayer, Roberts & Barsade, 2008). In this study, intelligence refers

to the ability of the nurse to apply knowledge and deal with situations to improve a patient’s

health condition and environment.

Nursing. Conceptually, this term encompasses autonomous and collaborative care of

individuals of all ages, families, groups and communities, sick or well and in all
settings. Nursing includes the promotion of health, prevention of illness, and the care of ill,

disabled and dying people.

Operationally, this term is used as a profession concerning with the provision of

services essential to the maintenance and restoration of health by attending the needs of sick

persons.

Nurse. Conceptually this term refers to a person who is a licensed health-care

professional who practices independently or is supervised by a physician, surgeon, or dentist.

He or she is trained and skilled in caring, promoting and maintaining health for the sick or

infirmed.

Operationally, this term refers to a person who has completed a program of basic,

generalized nursing education and is authorized by the appropriate regulatory authority to

practice nursing in his/her country. Basic nursing education is a formally recognized

programme of study providing a broad and sound foundation in the behavioral, life, and

nursing sciences for the general practice of nursing, for a leadership role, and for post-basic

education for specialty or advanced nursing practice. The nurse is prepared and authorized

(1) to engage in the general scope of nursing practice, including the promotion of health,

prevention of illness, and care of physically ill, mentally ill, and disabled people of all ages

and in all health care and other community settings; (2) to carry out health care teaching; (3)

to participate fully as a member of the health care team; (4) to supervise and train nursing

and health care auxiliaries; and (5) to be involved in research. (ICN, 1987)
 Nursing Care. Conceptually, this term refers to the care that is provided and

supervised by registered qualified nurses for the clients. It involves clinical care that can

allow people with complex conditions and care needs to be safely supported.

Operationally, this term generally refers to procedures or medications which are solely or

primarily aimed at providing comfort to a patient or alleviating that person’s pain, symptoms

or distress, and includes the offer of oral nutrition and hydration

REVIEW OF RELATED LITERATURE

Emotional Intelligence
 Emotional intelligence alludes to the capacity to see, utilize, understand, and oversee

feelings. Earlier beliefs often questioned the  compatibility between emotion and logic, and

the possibility of interference of human emotion to rational behavior, as they were seen as an

opposition to each other. Intrigue in emotional intelligence and related concepts was fueled

by developing acknowledgement that cognitive capacity accounts for as it were a constrained

sum of the changeability found in imperative life results. There are two diverse ways of

considering Emotional Intelligence- the ‘ability’ approach and the ‘trait’ approach. Both

approaches are emphatically related with mental well being and social alteration in adults and

children, with few reliable contrasts related to vital statistical factors. (Barbarasch &

Cherniss, 2016)

According to Vesely-Maillefer and Fiori (2018) the orthodox model of emotional

intelligence is a four-branch model that was established by Mayer and Salovey. This four-

branch model of Emotional Intelligence was widely recognized and has been used as a

foundation in the development of similar EI models and measures. The model includes four

hierarchically connected ability areas: facilitating thought using emotions, managing

emotions, perceiving emotions, and understanding emotions. Perceiving emotions would

refer to the capacity of a person to identify the emotions precisely through detection,

attendance and deciphering emotional signals in voices, faces and pictures.  This would also

include identifying and recognizing one’s own psychological and physical state, as well as

sensitivity to the emotion of others. 

Facilitating thoughts applying emotions includes using emotions to ease the thought

process. This transpire through reflection of emotional information, which aids unparalleled

cognitive activities, like, reasoning, decision-making, problem-solving, and contemplation of

the people’s perspective. Understanding Emotions includes the ability to understand the

relationship between emotions and how it can change throughout time and situations. This

comprises the understanding of emotion language and the use of it to identify differences in

emotion and  describe various mixtures of feelings. Managing emotion would refer to the

capacity of one’s self and others to control emotions successfully. Such capacity entails that

one can balance and shift emotional responses in either positive or negative ways in a given

situation. (Vesely-Maillefer and Fiori, 2018)

According to the study done by Rathore, et al. (2017) the ubiquity of emotional

intelligence as built that’s said to assist in execution enhancement additionally in foreseeing

behavior at a working environment is expanding exceptionally quickly. Emotional

intelligence is related to positive work behaviors such as work execution, transformational

leadership, group adequacy, organizational commitment, lower word related push, way better

strife administration procedures.  

“Emotional Intelligence (EI) is supported as a vital element in excellent job performance

profiles, in employee behavior and organizational practices leading to an outstanding climate

for service delivery and in employee concern for quality and ability to deal with workplace

conflict.” As the results shown in many studies, emotional intelligence has a significant

relationship in the delivery of quality care. Ciarrochi et al. stress that being able to

understand, perceive and express emotions in an appropriate way can determine whether an

individual is successful or not as an employee. El is becoming one of the most important

individual competencies as it gives an impact in delivery quality care and performs beyond

the patient’s expectations. 

Roles of Nurses

In an IOM report in 2010, The Future of Nursing: Leading Change, Advancing

Health, gave recommendations on what nursing can do to furnish it’s new systems to provide

better patient and client care that can be a part of a new health reform. The report identified

four key areas: nurses attaining education in higher levels; nurses practicing their skills and

knowledge completely; nurses collaborating with other health care workers, like, physicians

and nutritionists; and enhancing data collecting and information infrastructure. (Berman, et

al., 2016, p.45)

According to Berman et al. (2016) nurses take on roles to provide necessary care to

patients and clients. Nurses are doing these roles altogether rather than exclusively. Nurses

can be a counselor while giving physical care and teaching parts of that care. The roles that

are needed at a time depends on the care and needs that is required by the patient. Nursing

care should be patient-centered, safe, efficient, effective, timely and equitable. There are

about eleven roles that nurses take to provide the care that a client needed and these are:

caregiver, communicator, teacher, client advocate, counselor, change agent, leader, manager,

case manager, research consumer, and expanded career roles.

  According to Berman et al. (2016) as a client advocate a nurse must protect the

client. A nurse represents the needs and wishes of the client to other health professionals,

like, passing on requests of information to other health care workers. Caregiver role of a

nurse is a character that has traditionally incorporated activities that will help the client

psychologically and physically while the client's dignity is intact. The role of nurses as  a

communicator includes nurses identifying the problems of the patients and the clients and to

refer these problems to other health care members. Communication is a vital part of nurses as
we need to convey a message precisely in order for the care to be met. Teaching role of

nurses should always be practiced as clients and patients learn more about their health status,

procedures that they will undergo and practices that they need to follow to achieve optimum

health. Nurse as a counselor, is a role that helps clients and patients to identify and cope with

the stresses and social problems  that a client may undergo. Nurses act as a change agent in

the healthcare system. This is when it comes to technology, age of the client population, and

changes in medications. From the root word lead, this means that nurses have followers that

you need to guide. The leader nurse role levels can be: Individual, family, groups of clients,

colleagues, or the community. A nurse manages responsibility in the health care settings.

They accomplish the work of the organization and can have client care services such as

director of nursing or a chief nurse. Nurse care manager works as a team in healthcare. There

can be a different agency or specialist. For example, psychiatric nurses, community health

nurses, research nurses, and such. Multidisciplinary teams in nursing must focus on

providing primary care for better management of responsibility. Nurses also have expanded

career roles like, nurse administrator, nurse practitioner, clinical nurse specialists, nurse

anesthetist, nurse midwife, nurse researcher, nurse educator, nurse entrepreneur and forensic

nurse.

Jahromi and Ramezanali (2016) concluded that therapeutic communication with

patients needs to achieve care that is effective and responsive to their needs. The results of

this study show that the patient’s need directed the communicative roles of nurses. Enhancing

the knowledge of the patient is one of the major roles of nursing which established the basic

foundation of trust. Since most nurses’ endeavors were directed to patients’ actual needs and

they met these needs on time, the satisfaction of patients from nursing care was very high. In
addition, when nurses understood the patients’ conditions, they won the patients’ trust. This

study correlates to our study in presenting new insights into the roles of Nurses to the patient.

Quality Nursing Care

Nurses should evaluate the quality of nursing care that was given as it is part of a

professional’s accountability. According to Berman et al. (2016) Evaluation should not only

be exclusive to individuals but also be inclusive to groups of patients or clients. These

activities are already used for evidence-based practice and will also help to improve

evidence-based practice. The criteria to evaluate quality nursing care are; Quality Assurance, 

Quality Improvement, Nursing-Sensitive Indicators and Nursing Audit.

Quality Assurance program is used to assess the quality of care given by a health care

agency. It is a continuing, systematic procedure designed to assess and promote quality

health care provided to patients and clients. There are three components to quality assurance;

structure, process, and outcome. Focal point of Structure evaluations is the setting. The

environment and structural standard of an institution can influence care that was given to

individuals. Process evaluation’s focal point is how care was given to the clients. The care

should be complete, relevant, appropriate and timely. Outcome evaluation’s focal point is if

there are observable changes and improvement to the health of the client after care was given

to the client. (Berman et al., 2016)

Institute for Healthcare Improvement, an independent non-profit organization is

leading the improvement of quality health care all throughout the world. IHI’s duty is to

promote improvement of quality care by constructing with will for change and place ideas
into action in the health care system. Bedside care was transformed and improved, a program

collaboration between Robert Wood Johnson Foundation and the American Organization of

Nurse Executives that is housed in the IHI, pivots mainly on reliable and safe care, teamwork

and vitality, client-centered care, and value-added care. It was stated that assessing health

care organizations will continuously improve patient care and health care for the public, in

cooperation with other stakeholders, this will enable them to excel in providing effective and

safe care of the highest value and quality. Quality improvement follows patient or client care

and not the organizational structure. Focus on the procedures instead of individuals and

utilizes a systematic approach together with the intention of enhancing the quality of care.

(Berman et al., 2016)

Nursing sensitive indicators should also be followed by institutions to maintain

quality nursing care, the National Quality Forum, a nonprofit organization that focuses on

enhancing health care, whose job permits nurses to constantly gather data to be used to assess

the quality of care. Nursing audit would refer to the review or evaluation of record. There are

two types of audits; concurrent and retrospective. Concurrent audit is the assessment of a

patient’s health care while the patient is receiving and given the care form the institution,

while retrospective audit is the assessment of a patient’s record after the care was given and

was discharged from the institution. (Berman et al., 2016)

Quality nursing care was characterized by competence and individual and personal

caring supported by professionalism and conveyed with a fitting deportment. In spite of the

fact that the qualities of competence, caring, professionalism and deportment were

recognized as common components of quality care over different understanding populaces,

the caring space increased in significance when patients with progressed illnesses perceived
themselves as defenseless. Appraisal of quality nursing care for patients with progressed

sickness should incorporate measures of understanding patient’s perception of

defenselessness. According to Raghubir (2018), the integration of emotional intelligence is

supported inside a few disciplines as there’s agreement on the effect that emotional

intelligence has, on work fulfillment, stress, burnout and makes a difference to encourage a

positive environment. 

According to Ying Lui (2017), a higher and improved understanding of variables

affecting quality care in nursing can offer assistance  to improve services of quality care and

to implement effective programs. In spite the fact that certain relationships have been found

between chosen components and quality nursing care and various study models, there have

been no studies to determine the relationship between job satisfaction, work environment and

patient-to-nurse ratio in a broader theoretical model. It was found out that the work

environment had an expansive impact on quality nursing care. Burnout widely and directly

affects quality nursing care, which was subsequently followed by nurse-to-patient ratio and

work environment. Job satisfaction is indirectly influenced by quality nursing care through

burnout. 

Patient’s Satisfaction

According to a study done in the burn wards at the Sina Hospital of Tabiz by Mojgan

Lofti et al. in 2018 most of their patients were discontented with the nursing care. There was

a relationship that was seen between and patient satisfaction, sex of both patient and nurse

and patient-nurse communication. These variables were observed to have a significant

correlation with each other. The flaw between nurse and patient communication was evident

in the said study and the patients were discontented with the way the nurses communicate
with the patients. It should be a goal in an institution to increase patient satisfaction and

therefore staff nurses should be educated and trained more to have effective communication.

Dissatisfaction factors should also be identified to improve patient satisfaction.

There was another study done at a university hospital in the Mediterranean Region in

Turkey by Emine Kol et al. in 2018. They determined patient satisfaction levels as the

standard indicator in evaluating the nursing care in their hospital. When the constituents were

tested in both subscales, ‘the skillfulness of nurses’ and ‘the nurses’ respect for the patient’s

privacy’ were the ones which got the highest satisfaction rate. Lower satisfaction rates were

given to the nurse’ attempt at giving a homey vibe and in the way nurses comfort your

friends and family.

Synthesis

Nurses have a lot of roles to take and provide for a patient depending on the care

that one needs. Nurses need to know what these roles are to give the best care that they can

provide. Once a nurse knows what to do, patients will have been satisfied with the care that

was given. There can be factors that can hinder the best care a nurse can provide but nurses

should also be innovative to meet the care that is needed for clients.

Nurses nowadays have lots of extra responsibilities and autonomy, and revel in a

more collaborative work with physicians and different individuals of the healthcare team. 
Education as a critical function of nursing. Nurses need to recognize that education is a

pivotal part of our profession. As health workers we need to have health literacy, which is,

one’s capacity to recognize basic health information to make better health decisions. Adding

and widening a nurse’s education can also broaden our career paths. Through skilled and

responsible performance, nurses can secure their professional development, which

contributes to their socialization along with a sense of belonging and purpose. Accountability

is an obligation or willingness to uphold certain standards. Nurses who are accountable take

responsibility for their actions. The evolving function of expert nurses is tangled with

technology. Even though technology is vital to nursing, nurses provide the human touch and

are still at the forefront of patient care. They are capable of assisting their patients with the

help of technology.

Patients’ encounters of trust in nursing are dependent on the nurses’ information,

level of commitment within the discourse to making and creating the relationship, and

relevant issues. People need to guarantee that medical caretakers develop knowledge of how

to make a trusting patient-nurse relationship. For other patients, they trust nurses more than

doctors which is why the nurse is the vital link to the patient. Nurses spend more time with

patients compared to other health workers.

Health care systems need to be improved. One way to do that is for nurses to provide

quality care. Nursing is an essential part of a client’s recovery to an optimal health status. We

are serving the patients longer than any other health care members. Nurses need to be

competent when dealing with clients because their lives are in our hands.
 Emotional intelligence nowadays is slowly being accepted by society as a vital part of

a human being and can be a pivotal criteria in providing quality work. As human beings, we

need to socialize to understand the norm of the society and to build relationships with other

people. Communication is part of socialization. We communicate in order to share

information and share opinions. Emotional intelligence of a person comes in when one are

communicating with another person. A person needs to be emotionally aware to be able to

decipher the essence of the message that the speaker is trying to convey. You will also be

able to communicate better if you will incorporate your emotions into what you are speaking

about.

 Emotional intelligence could be a concept that will be central to nursing practice

because it has the potential to affect the quality of patient care and results, decision-making,

critical thinking and by large the well-being of registered nurses. With the new generation

quickly getting into the industry and driving it to continuously evolve and improve, a nurse’s

role is crucial than ever before.