# Understanding how emotional-social intelligence influences voice behavior and satisfaction through self-efficacy in nursing students

**Authors:** Manal Saleh Moustafa Salehs, Azza Abdeldayem Ata, Sahar Rafdan Alshahrani, Sahar Hamdy El-Sayed, Reem Hashem Fathy, Hanan Awad M. Elmashad, Aisha Elsayed-El Araby Abdelwahid

PMC · DOI: 10.1186/s12912-026-04298-4 · BMC Nursing · 2026-02-19

## TL;DR

This study explores how emotional-social intelligence affects nursing students' communication and satisfaction through self-efficacy.

## Contribution

The study identifies self-efficacy as a mediator linking emotional-social intelligence to voice behavior and satisfaction in nursing students.

## Key findings

- Emotional-social intelligence significantly influences self-efficacy, voice behavior, and satisfaction in nursing students.
- Self-efficacy partially mediates the relationship between emotional-social intelligence and both voice behavior and satisfaction.
- Higher emotional-social intelligence leads to greater assertiveness and satisfaction in nursing students.

## Abstract

This study investigates the influence of emotional-social intelligence on nursing students’ voice behaviors and satisfaction, with self-efficacy serving as a mediating factor.

Nursing is inherently an emotionally and socially demanding profession that requires effective communication, emotional attunement, and proactive engagement. Emotional-social intelligence has been shown to significantly foster intrapersonal resources (e.g., emotion regulation, social confidence), strengthening interpersonal relationships, reducing stress, and improving professional satisfaction.

A descriptive correlational cross-sectional study was conducted among nursing students in the Faculty of Nursing, Zagazig University, Egypt. Four standardized questionnaires were used to examine nursing students’ emotional-social intelligence, voice behavior, satisfaction, and self-efficacy; 381 nursing students were surveyed. The study’s hypothetical model was examined using AMOS structural equation modeling (SEM).

Emotional-social intelligence had a significant direct effect on self-efficacy, voice behavior, and satisfaction among the studied students. Similarly, self-efficacy partially mediates the link between emotional-social intelligence and students’ voice behavior. Likewise, self-efficacy partially mediates the link between emotional-social intelligence and students’ satisfaction.

Students with greater emotional-social intelligence are more assertive in expressing ideas, which enriches their satisfaction with learning and clinical capabilities. These results highlight the significance of nurturing emotional-social intelligence in nursing education to improve their positive communication and professional growth.

Not applicable.

## Full-text entities

- **Diseases:** Stress (MESH:D000079225)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Cell lines:** H4 — Macaca fascicularis (Crab-eating macaque), Induced pluripotent stem cell (CVCL_JF98)

## Full text

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## Figures

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## References

4 references — full list in the complete paper: https://tomesphere.com/paper/PMC13020099/full.md

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Source: https://tomesphere.com/paper/PMC13020099