Assertiveness involves honestly expressing one's opinions, feelings, and rights without infringing on others. It promotes equality and self-esteem while enabling people to stand up for themselves. Effective assertiveness uses "I" statements to make direct requests and own one's thoughts and feelings without being aggressive. While some nurses demonstrate assertiveness, barriers like a lack of skills, fear, and work environments can inhibit its use. Training can help improve assertiveness, which is important for well-being, relationships, and advocating for patients.
Assertiveness is about standing up for yourself, but also wabout respecting the opinions and needs of others.
When e communicate assertively, we are clear about our opinions and wishes, but we are also open to others’.
Assertiveness is about standing up for yourself, but also wabout respecting the opinions and needs of others.
When e communicate assertively, we are clear about our opinions and wishes, but we are also open to others’.
Self-esteem is “the attitudinal, evaluative component of the self; the affective judgments placed on the self-concept consisting of feelings of worth and acceptance which are developed and maintained as a consequence of awareness of competence and feedback from the external world
Empathy has a profound impact on human connection and experience, and it can make or break many difficult interactions in our personal and professional lives. Join Dr. Tessa Misiaszek to understand the psychology of empathy and its clear path to customer loyalty, especially as it relates to the healthcare field.
The “Course Topics” series from Manage Train Learn and Slide Topics is a collection of over 4000 slides that will help you master a wide range of management and personal development skills. The 202 PowerPoints in this series offer you a complete and in-depth study of each topic. This presentation is on "Techniques of Assertiveness".
The “Course Topics” series from Manage Train Learn and Slide Topics is a collection of over 4000 slides that will help you master a wide range of management and personal development skills. The 202 PowerPoints in this series offer you a complete and in-depth study of each topic. This presentation is on "Assertiveness Training".
assertiveness is expressing your opinions, needs and feelings without ignoring or hurting the opinions, needs and feelings of others. Information taken from the bhp biliton career center
Self-esteem is “the attitudinal, evaluative component of the self; the affective judgments placed on the self-concept consisting of feelings of worth and acceptance which are developed and maintained as a consequence of awareness of competence and feedback from the external world
Empathy has a profound impact on human connection and experience, and it can make or break many difficult interactions in our personal and professional lives. Join Dr. Tessa Misiaszek to understand the psychology of empathy and its clear path to customer loyalty, especially as it relates to the healthcare field.
The “Course Topics” series from Manage Train Learn and Slide Topics is a collection of over 4000 slides that will help you master a wide range of management and personal development skills. The 202 PowerPoints in this series offer you a complete and in-depth study of each topic. This presentation is on "Techniques of Assertiveness".
The “Course Topics” series from Manage Train Learn and Slide Topics is a collection of over 4000 slides that will help you master a wide range of management and personal development skills. The 202 PowerPoints in this series offer you a complete and in-depth study of each topic. This presentation is on "Assertiveness Training".
assertiveness is expressing your opinions, needs and feelings without ignoring or hurting the opinions, needs and feelings of others. Information taken from the bhp biliton career center
ReadySetPresent (Assertiveness PowerPoint Presentation Content): 100+ PowerPoint presentation content slides. Assertiveness allows individuals to be aware of their aggressive, passive positive behaviors and develop confidence being assertive in today’s workplace. Assertiveness PowerPoint Presentation Content slides include topics such as: 16 slides helping you recognize and test and evaluate your own assertiveness, I statements, and assertive rights. 20 slides comparing passive, aggressive and assertive behaviors, 8 slides on the 6 personality types, 10 slides on assertive do's and don'ts, body language, and eye contact. Learn 9 types of assertive responses, 10 slides on dealing with conflict, overcoming fear, 4 steps to saying no, 20+ slides with tips on becoming more assertive, how to's and more
Being assertive is not necessarily easy, but it is a skill that can be learned.
* HOW TO GET WHAT DO YOU WANT TO GET?
* Working WITH People, Not AGAINST Them
I was going through my old CDs and encountered this PowerPoint which was obtained in 2005 whilst taking part in a Bachelor of Social Work Degree at Edith Cowan University. I discover this information to be really helpful and since learning this, I have applied it to my everyday life, and I thought I would share this information on.
Most of us have probably become angry on occasion. Let us hope the moment passed quickly, we apologized and moved on. However, anger that is not under control can be extremely harmful, even lethal. It is vital to learn early how to control this emotion.
Assertiveness: How to Stand-up for What You DeserveDan Beverly
Many of us shy away from developing our assertiveness as if it's somehow a negative. But in today's world, assertiveness is a very necessary skill. Learn how to enjoy the process of standing-up for what you deserve.
coaching of business leaders begins with assertiveness behavioral training The reason is simple if you don't manage people you can get work done. And ifyou cannot manage people unless you first manage your own behavior
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
4. What is Assertiveness?What is Assertiveness?
It’s the ability to
honestly express your
opinions, feelings,
attitudes, and rights --
without undue anxiety --
in a way that doesn’t
infringe on the rights of
others.
It’s not aggressiveness,
5. Assertiveness……………..Assertiveness……………..
A form of behavior characterized by aA form of behavior characterized by a
confident declaration or affirmation of aconfident declaration or affirmation of a
statement without need of proof; this affirmsstatement without need of proof; this affirms
the person's rights or point of view withoutthe person's rights or point of view without
either aggressively threatening the rights ofeither aggressively threatening the rights of
another or submissively permitting another toanother or submissively permitting another to
ignore or deny one's rights or point of view.ignore or deny one's rights or point of view.
6. ASSERTIVE BEHAVIOURASSERTIVE BEHAVIOUR
(ALBERTI & EMMONS, 2001)(ALBERTI & EMMONS, 2001)
PROMOTES EQUALITY INPROMOTES EQUALITY IN
RELATIONHIPSRELATIONHIPS
ENABLING US TO ACT IN OUR OWNENABLING US TO ACT IN OUR OWN
BEST INTERESTSBEST INTERESTS
STAND UP FOR OURSELFSTAND UP FOR OURSELF
TO EXPRESS HONEST FEELINGSTO EXPRESS HONEST FEELINGS
EO EXCERCISE PERSONAL RIGHTSEO EXCERCISE PERSONAL RIGHTS
WITHOUT DENYING THE RIGHTS OFWITHOUT DENYING THE RIGHTS OF
OTHERSOTHERS
7.
8. ASSERTIVE PEOPLE………..ASSERTIVE PEOPLE………..
They feel free to express their feelings, thoughts, andThey feel free to express their feelings, thoughts, and
desires.desires.
They are "also able to initiate and maintainThey are "also able to initiate and maintain
comfortable relationships with people"comfortable relationships with people"
They know their rights.They know their rights.
They have control over their anger.They have control over their anger.
““Willing to compromise with others ... and tend toWilling to compromise with others ... and tend to
have good self-esteem".have good self-esteem".
"Assertive people enter friendships from an 'I count"Assertive people enter friendships from an 'I count
my needs. I count your needs' position".my needs. I count your needs' position".
9. Why is Assertiveness Important?Why is Assertiveness Important?
If you don’t know howIf you don’t know how
to be assertive, youto be assertive, you
might experience themight experience the
following:following:
DepressionDepression. This comes. This comes
from anger turnedfrom anger turned
inward. It can give youinward. It can give you
a sense of beinga sense of being
helpless, hopeless, withhelpless, hopeless, with
no control over yourno control over your
life.life.
10. Resentment. Anger at
others for manipulating or
taking advantage of me.
Frustration. Why did I let
someone victimize me?
Temper/Violence. If you
can’t express anger
appropriately, it builds up
until it blows.
11. Anxiety. Which leads to avoidance. If
you begin to avoid situations or people
that you know will make you
uncomfortable, you may miss out on fun
activities, job opportunities, relationships,
and lots of other good stuff.
12. Poor relationships of all
kinds. Non-assertive
people are often unable
to express emotions,
positive or negative.
14. How to be Effectively AssertiveHow to be Effectively Assertive
Use “I” statements.Use “I” statements. ExampleExample: “I’d” like to be able to: “I’d” like to be able to
tell my stories without interruption.” instead oftell my stories without interruption.” instead of
“You’re always interrupting my stories!”“You’re always interrupting my stories!”
Use facts, not judgments.Use facts, not judgments. ExampleExample: “Your: “Your
punctuation needs work and your formatting ispunctuation needs work and your formatting is
inconsistent.” instead of “This is sloppy work.” orinconsistent.” instead of “This is sloppy work.” or
“Did you know that shirt has some spots?” instead of“Did you know that shirt has some spots?” instead of
“You’re not going out looking like THAT, are you?”“You’re not going out looking like THAT, are you?”
15. Express ownership of your thoughts, feeling,Express ownership of your thoughts, feeling,
and opinions.and opinions. ExampleExample: “I get angry when he: “I get angry when he
breaks his promises.” instead of “He makes mebreaks his promises.” instead of “He makes me
angry.” or “ I believe the best policy is to…”angry.” or “ I believe the best policy is to…”
instead of “The only sensible thing is to…”instead of “The only sensible thing is to…”
Make clear, direct, requests. Don’t invite theMake clear, direct, requests. Don’t invite the
person to say no. Example: “Will youperson to say no. Example: “Will you
please…? Instead of “Would you mind…?” orplease…? Instead of “Would you mind…?” or
“Why don’t you…?”“Why don’t you…?”
16. Assertiveness among professionalAssertiveness among professional
nurses (1993)nurses (1993)
determine assertiveness levels of a populationdetermine assertiveness levels of a population
of professional nurses. The results revealedof professional nurses. The results revealed
that this group of nurses was more assertive.that this group of nurses was more assertive.
The oldest group of nurses (60-76 years) wasThe oldest group of nurses (60-76 years) was
significantly less assertive than any of thesignificantly less assertive than any of the
younger groups of nurses. Nurses practisingyounger groups of nurses. Nurses practising
with a diploma as the highest level ofwith a diploma as the highest level of
education were significantly less assertive thaneducation were significantly less assertive than
nurses having a baccalaureate or above.nurses having a baccalaureate or above.
17. Nurses' and midwives' assertive behaviour in theNurses' and midwives' assertive behaviour in the
workplace.(2005)workplace.(2005)
they were less accomplished at expressingthey were less accomplished at expressing
their own opinions or making requests.their own opinions or making requests.
Assertive behaviours were used moreAssertive behaviours were used more
frequently with nursing/midwifery colleaguesfrequently with nursing/midwifery colleagues
than with management/medical colleagues.than with management/medical colleagues.
Most used assertiveness skills with otherMost used assertiveness skills with other
grades of staff in their own profession.grades of staff in their own profession.
Responsibility to patients/clients emerged as aResponsibility to patients/clients emerged as a
supporting factor for using assertivesupporting factor for using assertive
behaviour. Managers, the work atmospherebehaviour. Managers, the work atmosphere
and fear were viewed as obstacles.and fear were viewed as obstacles.
18. What are the assertive rightsWhat are the assertive rights
You have the right to...You have the right to...
1.1. be treated with respectbe treated with respect
2. express feelings, opinions2. express feelings, opinions
3. put yourself first , for sometime3. put yourself first , for sometime
4. determine your own priorities4. determine your own priorities
5. ask for what you want5. ask for what you want
19. 6. refuse without making excuses or6. refuse without making excuses or
feeling guiltyfeeling guilty
7. make mistakes and be responsible for7. make mistakes and be responsible for
them.them.
8. give and receive information as a8. give and receive information as a
professionalprofessional
9. act in the best interest of the patient9. act in the best interest of the patient
10. be human10. be human
20. Barriers to assertive skills inBarriers to assertive skills in
nurses (1995)nurses (1995)
The results indicated that the 152 nursesThe results indicated that the 152 nurses
sampled considered themselves to havesampled considered themselves to have
moderate to low assertiveness skills, and amoderate to low assertiveness skills, and a
significant negative correlation was foundsignificant negative correlation was found
between the level of assertiveness and thebetween the level of assertiveness and the
perception of barriers inhibiting assertiveperception of barriers inhibiting assertive
behaviour. The study concluded thatbehaviour. The study concluded that
assertiveness training is needed for qualifiedassertiveness training is needed for qualified
nursesnurses
21. RESPONSE PATTERNSRESPONSE PATTERNS
ROLE MODELINGROLE MODELING
REINFORCEMENTREINFORCEMENT
INVENTING A RESPONSEINVENTING A RESPONSE
NOT BEING ABLE TO THINKNOT BEING ABLE TO THINK
NO PROPER SKILLNO PROPER SKILL
CONSCIOUSLY CHOOSING RESPONSECONSCIOUSLY CHOOSING RESPONSE
STYLESTYLE
22. Three Patterns of CommunicationThree Patterns of Communication
AggressiveAggressive
Nonassertive (Passive)Nonassertive (Passive)
AssertiveAssertive
23. Aggressive BehaviorAggressive Behavior
Directly standing up for personal rights
and expressing thoughts and beliefs in a
way which is often dishonest, usually
inappropriate, and always violates the
rights of the other person
24. Aggressive BehaviorAggressive Behavior
Goals of Aggressive BehaviorGoals of Aggressive Behavior::
domination and winningdomination and winning
forcing the other to loseforcing the other to lose
Winning is insured by humiliating, degrading,Winning is insured by humiliating, degrading,
belittling, or overpowering other people so that theybelittling, or overpowering other people so that they
become weaker and less able to express and defendbecome weaker and less able to express and defend
their needs and rightstheir needs and rights
25. Aggressive BehaviorAggressive Behavior
Nonverbal intend to dominate other
Eye contact that tries to stare down,
dominate the other
Sarcastic, loud tone of voice
Parental body gestures such as excessive
finger pointing
26. Reasons People Act AggressivelyReasons People Act Aggressively
To get your point acrossTo get your point across
Don’t know another way to get your pointDon’t know another way to get your point
acrossacross
For personal gain, controlFor personal gain, control
To avoid your own personal responsibilityTo avoid your own personal responsibility
Low self esteemLow self esteem
Anger related to previous nonassertionAnger related to previous nonassertion
Don’t have other coping mechanismsDon’t have other coping mechanisms
Reacting to another’s aggressionReacting to another’s aggression
27. Consequences of AggressionConsequences of Aggression
The other person gets defensive
Get rid of anger or other emotions
Lose friendships, other intimate
relationships, damage relationships
Affect work, lose job
Lose respect
28. Nonassertive BehaviorNonassertive Behavior
Violating your own rights by failing
to express honest feelings, thoughts,
and beliefs and consequently
permitting others to violate you
29. Nonassertive BehaviorNonassertive Behavior
Goals of nonassertive behavior:Goals of nonassertive behavior:
to appease othersto appease others
to avoid conflict at any costto avoid conflict at any cost
Message communicated:Message communicated:
My thoughts aren’t important; I don’t countMy thoughts aren’t important; I don’t count
I’m nothing; you are superiorI’m nothing; you are superior
I don’t respect your ability to takeI don’t respect your ability to take
disappointments, handle your own problems. . .disappointments, handle your own problems. . .
30. Nonassertive BehaviorNonassertive Behavior
Evasive eye contact
Body gestures such as stepping back from the
other, hunching shoulders, covering the mouth,
nervous gestures
Voice tone may be singsong or overly soft
Hesitant speech pattern, nervous laughter
Gestures which convey weakness, anxiety
31. Reasons People Act NonassertivelyReasons People Act Nonassertively
Avoid confrontation
Personality
Fear of hurting the other person
Fear of rejection, losing the other person
Avoid aggression
Self esteem
Lack of skills
Cultural differences
32. Consequences of NonassertionConsequences of Nonassertion
Not getting your point across
Nothing changes, problems can get worse
Damages self esteem
Can lead to aggressive behavior
Other people can take advantage of you
33. Passiveness may involve…
• Flight
• Possibly respecting others’ rights
while ignoring your own rights.
• Not communicating directly when
the situation warrants it.
• Allowing others to “walk on” or
control you.
• Allowing your boundaries to be
violated.
34. Passive-Aggressiveness
• Fight-Flight pattern.
• Either respecting ONLY your rights
OR other’s rights.
• Not addressing the problem or
behavior.
• Talking about people behind their
back/Gossip
• Fluctuating between violating
others’ boundaries or having your
boundaries violated.
35. Assertive BehaviorAssertive Behavior
Standing up for personal rights and
expressing thoughts, feelings and beliefs
in direct, honest, and appropriate ways
which do not violate another person’s
rights
36. Assertive BehaviorAssertive Behavior
Goals of Assertive Behavior--
to get and give respect
to ask for fair play
to leave room for compromise when the
needs and rights of two people conflict
to communicate and develop mutuality
in relationships
37. Assertive BehaviorAssertive Behavior
Involves respect, not deference
Two types of respect:
respect for oneself
respect for the other person’s needs and
rights
38. Assertive BehaviorAssertive Behavior
Basic Message:
This is what I think
This is what I feel
This is how I see the situation
This message expresses who the person is
and is said without dominating,
humiliating, or degrading
40. Assertive BehaviorAssertive Behavior
Nonverbals are congruent with verbals
Voice is appropriately loud to the
situation
Eye contact is firm but not a stare down
Body gestures denote strength
Speech pattern is fluent, expressive, clear,
and emphasizes key words
43. Special Techniques for DifficultSpecial Techniques for Difficult
SituationsSituations
Broken recordBroken record. Keep repeating your. Keep repeating your
point, using a low-level, pleasantpoint, using a low-level, pleasant
voice. Don’t get pulled into arguingvoice. Don’t get pulled into arguing
or trying to explain yourself.or trying to explain yourself.
Eg: repeatingEg: repeating
44. Fogging. This is a way to deflect
negative criticism. You agree with
some of the fact, but you retain the
right to choose your behavior.
Eg: agreeing but not changing
45. Standing up for one’s basic human
right
Eg: I have the right
Assuming responsibility for one’s
own statements
Agreeing assertively
Enquiring assertively
46. Content to Process Shift. When someone
is trying to confuse the issue. Stop
talking about the problem and bring up
how the person is behaving right now.
Example: “You’re getting off the point.
I’m starting to feel frustrated because I
feel like you’re not listening.
47. Defusing. Letting someone cool down
before discussing an issue. Example: “I
can see that you’re upset. Let’s talk
about this later.” Also, if they try to stay
with it, you have the right to walk away..
48. Summarization. This helps to make sure
you’re understanding the other person.
Example: “So what you’re trying to tell
me is …”
Specificity. It’s really important to be
very clear about what you want done.
This helps prevent distractions
50. As people practice assertive communication,As people practice assertive communication,
you can almost see that little spark of self-you can almost see that little spark of self-
respect glimmer, flicker, take hold, and burstrespect glimmer, flicker, take hold, and burst
into flame.into flame.
People can sense it when you respect yourself,People can sense it when you respect yourself,
and they will treat you with respect. And thatand they will treat you with respect. And that
is the ultimate goal of assertiveis the ultimate goal of assertive
communication.communication.
51. What is the behavior of anWhat is the behavior of an
assertive nurseassertive nurse
-appears self-confident and composed
-maintains eye contact
-uses clear, concise speech
-speaks firmly and positively
-speaks genuinely, without sarcasm
-is non-apologetic
-takes initiative to guide situations
-gives the same message verbally and
nonverbally
52. What are the advantages ofWhat are the advantages of
assertive communication?assertive communication?
-get what you want when you clearly ask for it-get what you want when you clearly ask for it
-people respect clear, open, honest,-people respect clear, open, honest,
communicationcommunication
-stand up for your own rights and feel self--stand up for your own rights and feel self-
respectrespect
-avoid the invitation of aggression when the-avoid the invitation of aggression when the
rights of others are violated.rights of others are violated.
-more independent-more independent
-you become a decision-maker-you become a decision-maker
-you feel more peaceful and comfortable with-you feel more peaceful and comfortable with
53. What constitutes responsibleWhat constitutes responsible
communication for a nurse?communication for a nurse?
-focus on the nursing process and problem--focus on the nursing process and problem-
solving processsolving process
-considers the world of the client and the-considers the world of the client and the
client's familyclient's family
-is a client advocate-is a client advocate
-open to trusting intuition-open to trusting intuition
-treats each person as an individual-treats each person as an individual
54. APPLICATION…….APPLICATION…….
Several research studies have identified assertivenessSeveral research studies have identified assertiveness
training as a useful tool in the prevention of alcohol-usetraining as a useful tool in the prevention of alcohol-use
disorders.disorders.[16][16]
Psychological skills in general includingPsychological skills in general including
assertiveness and social skills have been posed asassertiveness and social skills have been posed as
intervention for a variety of disorders with someintervention for a variety of disorders with some
empirical support.empirical support.[17][17]
In connection with gender theory, "Tannen argues thatIn connection with gender theory, "Tannen argues that
men and women would both benefit from learning tomen and women would both benefit from learning to
use the others' style. ... So, women would benefit fromuse the others' style. ... So, women would benefit from
assertiveness training just as men might benefit fromassertiveness training just as men might benefit from
sensitivity training".sensitivity training".[18][18]
55. Evaluating the effect of self-awareness andEvaluating the effect of self-awareness and
communication techniques oncommunication techniques on
nurses'assertiveness and self-esteem (2012)nurses'assertiveness and self-esteem (2012)
A significant differenceA significant difference
between assertiveness and self-esteem scores.between assertiveness and self-esteem scores.
There was a positive relationship betweenThere was a positive relationship between
assertiveness and self-esteem. The courseassertiveness and self-esteem. The course
lasted 14 weeks for a total of 3 h per week.lasted 14 weeks for a total of 3 h per week.
The teaching methods focused mostly onThe teaching methods focused mostly on
active student participation, demonstration,active student participation, demonstration,
role play, experience and experience sharing,role play, experience and experience sharing,
homework, constructive feedback, andhomework, constructive feedback, and
watching films.watching films.
56. The effects of assertiveness training in patients withThe effects of assertiveness training in patients with
schizophrenia (2013)schizophrenia (2013)
(1) assertiveness significantly improved from(1) assertiveness significantly improved from
pre- to post intervention and was maintainedpre- to post intervention and was maintained
until the follow-up; (2) anxiety regardinguntil the follow-up; (2) anxiety regarding
social interactions significantly decreasedsocial interactions significantly decreased
after assertiveness training; and (3) satisfactionafter assertiveness training; and (3) satisfaction
with interpersonal communication slightlywith interpersonal communication slightly
improved after the 12-session intervention andimproved after the 12-session intervention and
at the 3-month follow-up.at the 3-month follow-up.
57. Criticism…………..Criticism…………..
Some authors stress that assertiveness is not alwaysSome authors stress that assertiveness is not always
practiced in a balanced way, especially by those new topracticed in a balanced way, especially by those new to
the process: "[One] problem with the concept ofthe process: "[One] problem with the concept of
assertiveness is that it is both complex and situation-assertiveness is that it is both complex and situation-
specific. ... Behaviors that are assertive in onespecific. ... Behaviors that are assertive in one
circumstance may not be so in another".circumstance may not be so in another".[19][19]
MoreMore
particularly, while "unassertiveness courts one set ofparticularly, while "unassertiveness courts one set of
problems, over-assertiveness createsproblems, over-assertiveness creates
another."another."[20][20]
Assertiveness manuals recognize that "manyAssertiveness manuals recognize that "many
people, when trying out assertive behaviour for the firstpeople, when trying out assertive behaviour for the first
time, find that they go too far and becometime, find that they go too far and become
aggressive."aggressive."[21][21]