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A. INTRODUCTION
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 Communication is a process of
exchanging ideas and feelings
 It occurs when meaning is conveyed
from one person to another verbally
and nonverbally
 (Peris Mary Hamilton)
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
Think about how you communicate
nonverbally in the following situation?
Eg: When you walk into a room and you are
distracted by the fact that you are behind
schedule, you walk directly to the IV and
never address the patient


Think about what you are communicating
verbally in the following situation:
VERBAL: You tell the pt you are going to
teach them (x, y, z) , but never assess their
readiness for teaching. They may be thinking
of their child at home who is sick, or about a
bill that they cannot pay, or of their job which
they may lose if they aren’t discharged soon
 DEFINITION: type of inter-personal
behavior which enables an
individual to act in his own best
interest, to stand up for himself
without anxiety, to exercise his
rights without denying the rights of
others.
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YES!!!!!!!!!!!!!!!!!!!!!!!
Even though there is no guarantee of getting
your way, this behavior may lead to a
compromise
Despite the end result:
 You will feel better about yourself
 You have an increased chance of getting your way
 You have treated others respectfully
 You have avoided a hostile situation
 IDENTIFY WHY NURSES AVOID
ASSERTIVE COMMUNICATION?
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Nurses see assertiveness as contrary to the
traditional characteristics of a nurse:
1.
2.
3.
nurturing,
other-centered,
self-denying
Assertive communication is misconceived to
be the same as aggressive behavior.
In reality assertive behavior maintains a
balance between which two types of
behavior?
 Between aggressive and passive behavior
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Assertiveness can be learned
It is risky and anxiety producing
It is not genetic
It is not just for extroverts.
It is a skill and as with all the complex
technical skills learned by nurses it takes
practice to perfect
CONCERNS BALANCE OF RIGHTS:
ASSERTIVE BEHAVIOR: your rights
other’s right
other’s rights
PASSIVE BEHAVIOR: YOUR RIGHTS
YOUR RIGHTS
AGGRESSIVE BEHAVIOR:
other’s rights
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 Unassertive, cooperative tactic used
when individuals neglect their own
concerns in favor of others’ concerns
 Frequently used to preserve
harmony
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