Yoshinaga Naoki, Nakamura Yohei, Tanoue Hiroki, MacLiam Fionnula, Aoishi Keiko, Shiraishi Yuko
Organisation for Promotion of Tenure Track, University of Miyazaki, Miyazaki, Japan.
Department of Psychiatric and Mental Health Nursing, Graduate School of Nursing Science, University of Miyazaki, Miyazaki, Japan.
J Nurs Manag. 2018 Jan;26(1):59-65. doi: 10.1111/jonm.12521. Epub 2017 Jul 25.
To evaluate the long-term effectiveness of modified brief assertiveness training (with cognitive techniques) for nurses.
Most assertiveness training takes a long time to conduct; thus, briefer training is required for universal on-the-job training in the workplace.
In this single-group study, nurses received two 90-min training sessions with a 1-month interval between sessions. The degree of assertiveness was assessed by using the Rathus Assertiveness Schedule as the primary outcome, at four time points: pre- and post-training, 3-month follow-up and 6-month follow-up.
A total of 33 nurses received the training, and the mean Rathus Assertiveness Schedule score improved from -14.2 (SD = 16.5) pre-training to -10.5 (SD = 18.0) post-training (p < .05). These improvements were maintained until the 6-month follow-up. The pre-post effect size of 0.22 (indicating small effect) was larger than the effect sizes ranging from -0.56 to 0.17 (no effect) reported in previous studies that used brief training.
Modified brief assertiveness training seems feasible and may achieve long-term favourable outcomes in improving assertiveness among nurses.
The ease of implementation of assertiveness training is important because creating an open environment for communication leads to improved job satisfaction, improved nursing care and increased patient safety.
评估改良的简短自信训练（结合认知技巧）对护士的长期效果。
大多数自信训练实施起来耗时较长；因此，工作场所的通用在职培训需要更简短的训练。
在这项单组研究中，护士接受了两次90分钟的训练课程，课程间隔为1个月。使用拉瑟斯自信量表作为主要结局指标，在四个时间点评估自信程度：训练前、训练后、3个月随访和6个月随访。
共有33名护士接受了训练，拉瑟斯自信量表的平均得分从训练前的-14.2（标准差=16.5）提高到训练后的-10.5（标准差=18.0）（p<0.05）。这些改善一直维持到6个月随访时。0.22的前后效应量（表明效应较小）大于先前使用简短训练的研究报告的-0.56至0.17（无效应）的效应量。
改良的简短自信训练似乎可行，在提高护士的自信方面可能会取得长期的良好效果。
自信训练易于实施很重要，因为营造开放的沟通环境会带来工作满意度提高、护理质量改善和患者安全增加。
