International Journal of Nurse Practitioner Educators

The Effect of Assertiveness Training Program on Jordanian Nursing students' Assertiveness and Self-Esteem

Amal Sobhy Mahmoud, Mahmoud Taher Al Kalaldeh, Mona Abed El-Rahman


Background: Assertiveness is a substantial communication style that enhances successful relationships with patients, families, and colleagues. Studies confirmed that assertive individuals show higher self-worth and self-esteem.

Aim: To assess the effectof assertiveness training program on Jordanian nursing students' level of assertivenessand self-esteem.

Method: A before-and-after design was employed through conducting three consecutive sessions that reinforce nursing students' assertiveness using different approaches.Rathus Assertiveness Schedule and Rosenberg self-esteem scale were used in the pre and post test.

Results: One hundred and twenty students joined all study stages. Although students were nonassertive before and after the program, they significantly scored higher after the program (mean difference: 4.182, t: 2.029, Sig. 0.045). The level of self-esteem did not significantly differ after delivering the training program (mean difference: 0.083, t: 0.213, Sig. 0.832). Assertiveness training has at least the effect to influence students' better self-esteem when they are being more assertive (R square 39.0, Beta 20.4, t 2.188, P=0.031).

Conclusion: It is acknowledged that assertiveness should be emphasized throughout nursing curriculum.


Assertiveness; self-esteem; nurse; students.

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