Al-Hawaiti Maha R, Sharif Loujain, Elsayes Hala
Psychiatric and Mental Health Nursing Department, Faculty of Nursing, King Abdulaziz University, Jeddah 21551, Saudi Arabia.
Nursing Administration Services, Duba General Hospital, Ministry of Health (MOH), Tabuk Health Cluster, Tabuk 47717, Saudi Arabia.
Nurs Rep. 2025 Mar 15;15(3):102. doi: 10.3390/nursrep15030102.
Assertiveness in nursing is crucial to improving communication, reducing interpersonal tensions, and improving healthcare outcomes. The objective of this systematic review was to identify and synthesize the literature on assertiveness in nursing, focusing on nurses' perspectives regarding its role, influencing factors, challenges, and impact within complex healthcare settings. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. An integrated mixed methods approach was used to capture the multifaceted nature of assertiveness in nursing. The evaluation covered both qualitative and quantitative investigations, concentrating on quantitative publications between 2018 and 2024 and qualitative publications without a time limit. Diverse methodologies were incorporated using the SPIDER framework. A comprehensive electronic search was conducted across six databases: PubMed, Medline, CINAHL, PsychInfo, Wiley Online Library, and Web of Science. Ultimately, 15 research papers were included in the review out of 9490 publications that were initially identified. Included studies were critically appraised using the Critical Appraisal Skills Program (CASP) and the Joanna Briggs Institute Critical Appraisal checklists. A total of 9490 studies were identified, of which 15 (eight quantitative and seven qualitative) were included in this review. The review and subsequent analysis revealed five major themes: (1) facilitators of assertiveness; (2) barriers to assertiveness; (3) assertiveness training; (4) interaction with other staff; and (5) patient relationships. Assertiveness is essential for proficient nursing practice, especially in complex healthcare environments. It facilitates improved communication, alleviates stress, and augments patient care. Future research should explore the long-term benefits of assertiveness training and its influence across various cultural settings.
护理工作中的自信对于改善沟通、减少人际紧张关系以及提高医疗保健效果至关重要。本系统评价的目的是识别和综合有关护理工作中自信的文献，重点关注护士对其在复杂医疗环境中的作用、影响因素、挑战及影响的看法。本评价遵循系统评价和Meta分析的首选报告项目（PRISMA）指南。采用综合混合方法来捕捉护理工作中自信的多面性。评价涵盖定性和定量研究，重点关注2018年至2024年的定量出版物以及无时间限制的定性出版物。使用SPIDER框架纳入了多种方法。在六个数据库中进行了全面的电子搜索：PubMed、Medline、CINAHL、PsychInfo、Wiley Online Library和Web of Science。最终，在最初识别的9490篇出版物中，有15篇研究论文被纳入本评价。使用批判性评价技能计划（CASP）和乔安娜·布里格斯研究所批判性评价清单对纳入的研究进行了严格评价。共识别出9490项研究，其中15项（8项定量研究和7项定性研究）被纳入本评价。评价及后续分析揭示了五个主要主题：（1）自信的促进因素；（2）自信的障碍；（3）自信培训；（4）与其他工作人员的互动；（5）与患者的关系。自信对于熟练的护理实践至关重要，尤其是在复杂的医疗环境中。它有助于改善沟通、减轻压力并增强患者护理。未来的研究应探索自信培训的长期益处及其在不同文化背景下的影响。
