The Effectiveness of Mindfulness-Based Emotional Intelligence Training on Resilience, Self-Efficacy, and Work Stress among Nurses
Keywords:
emotional intelligence, mindfulness;, nurse, resilience, self-efficacy, work stressAbstract
The high workload demands on nurses have an impact on increased work stress, as well as decreased resilience and self-efficacy. This condition poses a serious threat to the quality of nursing services and patient safety. Mindfulness-based Emotional Intelligence (EI) training has emerged as an innovative intervention to strengthen nurses' emotional capacity. This study aims to analyze the effectiveness of mindfulness-based Emotional Intelligence training in increasing resilience and self-efficacy and reducing work stress among nurses. The study design uses a quasi-experimental approach with a pretest-posttest with control group. The study was conducted at Hospital X (intervention group) and Hospital Y (control group) in November–December 2025 with quesioners bye Emotional Intelligence, Mindfulness, Resilience, Self-Efficacy, Work Stress. Data analysis used bivariate statistical tests and multivariate linear regression using the backward method. The majority of respondents were women (aged 25–34 years), educated at the DIII Nursing level, with Clinical Nurse (PK) II level. The results showed a significant increase in resilience (from 62.0% moderate to 60.0% high; p=0.000) and self-efficacy (from 70.0% moderate to 62.0% high; p=0.000). Work stress experienced a significant decrease in frequency distribution (p=0.000). Multivariate analysis confirmed that the training intervention was the most significant predictor of resilience and self-efficacy. PK level was found to be the most influential factor on nurses' work stress (p=0.016). Mindfulness-based Emotional Intelligence training was effective in strengthening nurses' resilience and self-efficacy, but work stress was also significantly influenced by PK level.
References
Al Fatihah, R. R., Yusnilawati, Y. & Mawarti, I., 2023. The Relationship of Emotional Intelligence with Nurses' Work Stress in the Acacia, Cemara and Sandalwood Inpatient Room, Dr. Bratanata Hospital, Jambi City. Journal of Health and Nursing Sciences, 1(3), pp. 163-181.
Alameddine, M., Clinton, M., Bou‐Karroum, K., Richa, N., & Doumit, M. A. A. (2021). Factors Associated With the Resilience of Nurses During the COVID‐19 Pandemic. Worldviews on EvidenceBased Nursing, 112. HYPERLINK "https://doi.org/10.1111/wvn.12544" https://doi.org/10.1111/wvn.12544
Alsufyani, A. M., Almalki, M. S., Khader, K. A., Satnford, P., Freeman, S., & Alsufyani, Y. M. (2024). The Impact of Perceived Emotional intelligence on Occupational Stress Among Nurses: Empirical Evidence From a Saudi Health Cluster. Journal of Nursing Management, 1-11.
Ang, W. H., & Lau, Y. (2024). Trait emotional intelligence as a predictor of resilience among undergraduate nursing students: A structural equation modelling approach. Nurse Education Today, 136.
Athifahsari, H., Ardani, M. H., Mu'in, M., Warsito, B. E., & Sulisno, M. 2022. Resilience in Nurses during the Covid-19 Pandemic. Journal of Nursing Care Management, 6(2), 68–75.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: W. H. Freeman & Company.
Cabrera-Aguilar, E. et al., 2023. Resilience and stress as predictors of work engagement: the mediating role of self-efficacy in nurses. Original Research, Volume 14, pp. 1-11.
Chikobvu, P. & Harunavamwe, M., 2022. The role of emotional intelligence and work engagement on nurses’ resilience in public hospital. SA Journal of Human Resource Management, pp. 1-9.
Cohen, S. & Williamson, G., 1988. Perceived Stress in a Probability Sample of the United States. Spacapan, S. and Oskamp, S. (Eds.) The Social Psychology of Health. Newbury Park, CA: Sage.
Crawford, J. R. & Henry, J. D., 2023. The Depression Anxiety Stress Scales (DASS): Normative Data and Latent Structure in a Large Non-Clinical Sample. Br J Clin Psychol, Volume 1, pp. 11-31.
Foji, S., Vejdani, M., Salehiniya, H. & Khosrorad, R., 2020. The effect of emotional intelligence training on general health promotion among nurse. Journal of Education and Health Promotion, Volume 9, pp. 1-5.
Guillaumie, L., Boiral, O., & Champagne, J. (2017). A mixed-methods systematic review of the effects of mindfulness on nurses. Journal of Advanced Nursing, 73(5), 1017–1034.
Hartiti, T. & Wulandari, D., 2018. Characteristics of Nursing Professionals in Nursing Study Students of the University of Muhammadiyah Semarang. Journal of Nursing and Scientific Thought, 4(3), pp. 72-79.
Irman, O., Wijayanti, A. R. & Rangga, Y. P., 2021. Emotional Intelligence Training on Self-Efficacy of Emergency Nursing Clinic Practice Students. Journal of Health Sciences, 2(6), pp. 829-837.
Jiménez-Picón, N., Romero-Martín, M., Ponce-Blandón, J. A. & Ramirez-Baena, L., 2021. The Relationship between Mindfulness and Emotional Intelligence as a Protective Factor for Healthcare Professionals: Systematic Review. Int J Environ Res Public Health, 18(10), pp. 1-14.
Khorasani, E. C. et al., 2023. The infuence of emotional intelligence on academic stress among medical students in Neyshabur, Iran. BMC Psychiatry, Volume 23, pp. 1-11.
Llorens, S., Schaufeli, W. B., Bakker, A. B., & Salanova, M. (2007). Does a positive gain spiral of resources, efficacy beliefs and engagement exist? Computers in Human Behavior, 23(1), 825–841.
Mahlithosikha, L. M., & Wahyuningsih, A. S. (2021). Nurse Work Stress in the Psychiatric Care Unit of the Regional Psychiatric Hospital. Indonesian Journal of Public Health and Nutrition, 1(3), 638 – 648.
Mao, L., Huang, L. & Chen, Q., 2021. Promoting resilience and lower stress in nurses and improving inpatient experience through emotional intelligence training in China: A randomized controlled trial. Nurse Education Today, Volume 107.
Montano, A. R., 2021. Neuman Systems Model With Nurse-Led Interprofessional Collaborative Practice. Nurs Sci Q, 34(1), pp. 45-53.
Musenze, I. A. et al., 2020. Mechanism between perceived organizational support and work engagement: explanatory role of self-efficacy. Journal of Economic and Administrative Sciences.
Novianty, L., Utami, R. N., Ahmad, G., & Pusparini, D. (2022). The Relationship between Self-Efficacy and Emotional Intelligence with Academic Stress of Undergraduate Nursing Students at STIKES Sukabumi. Journal of Health, 11(2), 148-155.
Penque, S., 2019. Mindfulness to promote nurses' well-being. Nurs Manage, 50(5), pp. 38-44.
Pérez-Fuentes, M. del C., Molero Jurado, M. del M., Gázquez Linares, J. J., & Oropesa Ruiz, N. F. (2019). The role of emotional intelligence in engagement, burnout and self-efficacy in nurses. International Journal of Environmental Research and Public Health, 16(15), 1–13
Pujiyanto, T. I., Elliya, N. P., & Kusyati, E. (2022). Emotional Intelligence on Resilience Level in Nurses.Journal of Nursing Leadership and Management, 5(2).
Rahmah, D. D. N., Purnomo, R. J. Z., Thessalonica, C., Khairiah, A., & Firjatullah. 2025. Mindfulness-Based Stress Management Training to Enhance Teacher Professionalism in the Teaching Process. Your Service: Scientific Journal of Community Service, 10(2), 406 – 414.
Rahmawati, W. & Retnaningrum, D. N., 2022. Emotional intelligence and self-efficacy affect work stress in health workers. Journal of Health Vocational, 8(2), pp. 101-107.
Ren, Y., Zhou, Y., Wang, S., Luo, T., Huang, M., & Zeng, Y. 2018. Exploratory study on resilience and its influencing factors among hospital nurses in Guangzhou, China. International Journal of Nursing Sciences, 5, 57 – 62.
Ruotsalainen, J. H., Verbeek, J. H., Mariné, A., & Serra, C. (2015). Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews, (4), CD002892.
Schwarzer, R. & Jerusalem, M., 1995. General Self-Efficacy scale. s.l.:s.n.
Sciencedaily, 2025. Nursing 2025: No relief in sight as burnout, stress and short staffing persist. [Online] Available at: https://www.sciencedaily.com/releases/2025/04/250430143048.htm
[Diakses Mei 2025].
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12(2), 164–176
Siallagan, A. D., Setiadi, D. D., & Lindasari, S. W. (2024). Emotional Intelligence as a Booster of Nursing Students' Self Efficacy in Preparing Final Projects. Journal of Voice Health Research Forikes -, 15(2), 214-217.
Simamora, M. R., 2024. Validity of theIndonesian Version of the 10-Item Connor-Davidson Resilience Scale (CD-RISC) among First-Year Theological Students. Jurnal Konseling Pastoral, 2(1), pp. 11-19.
Suhendra, F. & Ermanto, R., 2023. The Influence of Teachers' Emotional Intelligence on the Quality of Interaction in the Classroom. Journal of Independent Learning Education, 1(1), pp. 19-24.
Sumarni, F. T. & Rimba Putri, I. R., 2021. The Effect of Work Stress on Nurse Performance in the Hemodialysis Room of Panembahan Senopati Hospital Bantul during the Covid-19 Pandemic in 2021. Indonesian Journal of Hosital Administration, 4(2), pp. 63-68.
University of Tulsa, 2024. Mental Health for Nurses: Statistics and Resources. [Online] Available at: https://online.utulsa.edu/blog/mental-health-for-nurses/#:~:text=indicate%20that%20nurses%20face%20pressing,support%2C%20and%2056%25%20of%20nurses
[Diakses Mei 2025].
Wijaya, R. S., Putri, G. S. & Pandjaitan, L. N., 2020. The Effectiveness of Emotional Intelligence Training to Improve the Psychological Well-Being of Orphanage Adolescents. Journal of Psychohumanities, 12(1), pp. 60-78.




