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Assertiveness: Your Responsibility
1
Explain why assertiveness is a nursing responsibility.
Differentiate among assertive, aggressive, and nonassertive (passive) behavior.
Describe three negative interactions in which nurses can get involved.
Maintain a daily journal that reflects your personal interactions and responses.
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 2
Helps nurse advocate for the patient Promotes honest, open communication and
behavior Considers others’ feelings and needs Benefits nurse, patient, and staff
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 3
Translate into behavior patternsNonassertive (passive)AggressiveAssertive
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 4
Automatic response not based on choice Emotional response based on fear Dishonest, self-defeating Overall message: “I do not count. You
count.” Consequence: nurse unable to recognize
and meet patient needs
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 5
Automatic response not based on choice Emotional behavior based in anger Violates the rights of others Attacks person instead of behavior Overall message: “You do not count. I
count.” Consequence: distances aggressor from
staff and patients
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 6
Assertiveness: current name for honesty Pro-active, not emotional response Positive, confident, open stand Overall message: “I count. You count.” Consequence: Nurse feels in control of
emotions and responses, and can be more effective patient advocate.
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 7
Nonassertive (passive) and aggressive behaviors are based on emotional hooks.
These styles are ultimately damaging to all parties.
Be alert to unresolved feelings that can lead to a cycle of:
worry > fear > anger > rage
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 8
Own your own feelings. Don’t blame others. Be direct. Use “I” statements to make your
feelings known. Make sure verbal and non-verbal
messages are consistent.
Elsevier items and derived items © 2009, 2005 Saunders, an imprint of Elsevier, Inc. All rights
reserved. 9