Consider your clinical area and regularly identify a problem you face, describing an emotional incompetence behavior. How can you manage this situation? How can you handle people with this behavior?
Consider your clinical area and regularly identify a problem you face, describing an emotional incompetence behavior. How can you manage this situation? How can you handle people with this behavior?
hat is a profound and important question that touches on the core of professional growth and team dynamics in a clinical setting.
Since I am an AI and do not have a physical "clinical area," I will take the persona of a Clinical Nurse Manager working in a busy Emergency Department (ED) for this reflection.
The most persistent problem in the ED is managing the high-pressure demands of unexpected surges in patient volume and acuity (often called "boarding" or "Code Red" situations), which often leads to staff burnout, communication breakdown, and errors in priority setting.
The specific emotional incompetence I regularly observe in stressed staff members (and have had to guard against myself) is "Emotional Hijacking leading to Defensive Communication."
Description of the Behavior: When a colleague is corrected, questioned, or asked to change a task priority during a stressful surge, they react with immediate, disproportionate defensiveness, hostility, or passive-aggressiveness. This is a classic sign of low Self-Regulation (the ability to manage internal states, impulses, and resources) and low Social Awareness (specifically, being unable to recognize the other person's good intent amidst the stress).
Clinical Manifestation: A charge nurse asks an ED physician to quickly review a patient who has been waiting:
Instead of: "I'll be right there, thanks for the heads-up."
The Incompetent Reaction is: "Are you telling me I haven't been fast enough? I'm already working on five people! Don't you think I know this patient is waiting?"
This response creates immediate tension, poisons the exchange, and halts effective collaboration.
As the Clinical Nurse Manager, my responsibility is to maintain emotional intelligence (EI) to de-escalate and model competence. I must manage my own reaction to the defensive communication.
| Emotional Competence | Management Strategy |
|---|---|
| 1. Self-Awareness | Acknowledge the Trigger: Internally recognize that the defensive tone is a result of stress, not a personal attack. I remind myself: "They are not angry at me; they are angry at the situation." |
| 2. Self-Regulation | Maintain a Neutral, Low Tone: Consciously slow down my speech. Avoid matching their heightened emotional state. Take a micro-pause (a deep breath) before responding. Do not get defensive back. |
| 3. Motivation/Empathy | Focus on the Goal (Not the Emotion): Immediately pivot the conversation back to the task and frame the instruction as a collaborative solution. |
| 4. Social Skill | Use Clear, Non-Confrontational Language: Use "I" statements or question-based framing to invite collaboration rather than issue a command. |