Transcript Chapter 14

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 patterns
Nonassertive (passive)
Aggressive
Assertive
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