A mixed method study to evaluate the effectiveness of researcher developed training programme on assertive communication for staff nurses

Abstract

This research explores the effectiveness of a researcher-developed training program aimed at enhancing assertive communication among staff nurses in India. Recognizing communication as a fundamental skill in nursing practice, the study addresses the observed gap in assertive communication skills among Indian nurses, which has been linked to cultural, hierarchical, and educational barriers. The research employs a mixed-method, sequential exploratory design, the research is conducted in two phases. In Phase 1, qualitative data is gathered through in-depth interviews with nurses and other healthcare stakeholders to understand their perceptions, experiences, and challenges associated with assertive communication within the Indian healthcare setting. Findings reveal widespread unawareness of assertive communication, substantial influence of workplace hierarchy and culture, and a strong desire among nurses for targeted training. newline newlineBuilding on these insights, Phase 2 involves the development of a six-day, twelve-hour assertive communication training program, designed using the ADDIE instructional model and validated by both an expert panel and representatives of the target population using the Delphi technique. The program covers key concepts, skill-building exercises, role-plays, and strategies for overcoming hierarchical and cultural obstacles. Its effectiveness is measured in a quasi-experimental study involving 100 staff nurses assigned to experimental and control groups. Assessment using a modified Functional Assertiveness Scale reveals statistically significant improvements in assertive communication scores among nurses who received the intervention, while the control group shows minimal change. newlineThe findings underscore the critical role of assertive communication in improving patient safety, self-esteem of practicing nurses, and professional relationships, and demonstrate that a structured training program can meaningfully enhance these skills among Indian nurses. The thesis advocates for the incorporation of asser