Assertiveness Training in Nursing Education

Assertiveness training in nursing education aims to equip practitioners with the confidence and communication skills required to express ideas, set boundaries and advocate effectively for patient safety. Rooted in principles of adult learning and social cognitive theory, these programmes typically combine theoretical input with experiential learning activities such as role-plays, simulation scenarios and reflective debriefing. By targeting both cognitive and behavioural components of communication, training seeks to reduce anxiety around conflict, foster self-efficacy and enhance interprofessional collaboration. Globally, nursing curricula are increasingly integrating structured assertiveness modules to address challenges such as hierarchical workplace cultures and cultural variations in communication styles. Outcomes reported include measurable improvements in self-reported assertiveness scores, higher intention to speak up in critical situations and positive shifts in workplace dynamics. Ongoing debates focus on optimal delivery formats, duration of intervention and long-term retention of skills.

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Assertiveness Training in Nursing Education publication trend

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Technical terms

Assertiveness: The capacity to communicate one’s opinions, needs and rights in a direct, honest and respectful manner while upholding others’ rights.

Cognitive-behavioural techniques: Structured exercises combining cognitive restructuring and behavioural rehearsal to challenge unhelpful thoughts and practice alternative responses.

Rathus Assertiveness Schedule: A widely used self-report questionnaire that quantifies assertive attitudes and behaviours across interpersonal contexts.

Theory of Planned Behaviour: A psychological framework positing that behavioural intention is determined by attitudes towards the behaviour, perceived social norms and perceived control over performance.

References

1. Development and evaluation of a modified brief assertiveness training for nurses in the workplace: a single-group feasibility study. BMC Nursing (2017).
2. Evaluating the impact of an assertiveness communication training programme for Japanese nursing students: A quasi‐experimental study. Nursing Open (2018).
3. Assertiveness in nursing-increasing the level of confidence among nursing professionals: A review. World Journal of Biology Pharmacy and Health Sciences (2023).