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assertive communication the constant state of change of the last decade has made it necessary for nurses to become

more forceful, and on some occasion to function as the patient's advocate. these roles require the ability to tackle confidently issues which have the potential for disagreement. some understanding of human behaviour, in this type of comunication, is necessary before studying confrontation.

komunikasi asertif negara selalu berubah dari dekade terakhir telah membuat perlu bagi perawat untuk menjadi lebih kuat, dan pada beberapa kesempatan untuk berfungsisebagai advokat pasien. peran-peran ini membutuhkan kemampuan untukmengatasi masalah-masalah yang percaya diri memiliki potensi untukketidaksetujuan. beberapa pemahaman tentang perilaku manusia, dalam jeniscomunication, diperlukan sebelum belajar konfrontasi.
communicating assertively means speaking out about ones thoughts and meanings in a clear direct manner which does not cause offence. This approach builds selfconfidence and promotes respect. In contrast unassertiveness is a failure to stand up for ones rights, and possibly those of other. It means communicating in an unsure, uncomfortable, manner which encourages others to disregard the content of the communication, and lowers self-esteem.
berkomunikasi asertif berarti berbicara tentang pikiran seseorang dan maknasecara langsung jelas yang tidak menyebabkan pelanggaran. Pendekatan inimembangun kepercayaan diri dan mempromosikan rasa hormat. Dalamunassertiveness Sebaliknya adalah kegagalan untuk membela hakhakseseorang, dan mungkin orang lain. Ini berarti berkomunikasi dengan cara, yakintidak nyaman, yang mendorong orang lain untuk mengabaikan isi dari komunikasi,dan menurunkan harga diri. Communicating aggressively means acting in a manner which is load and forcefully, by the individual determined to win, even at the expense of others. This form of communicating is embarrassing, hurtful and usually unproductive. Berkomunikasi agresif berarti bertindak dengan cara yang adalah beban dan tegas, oleh individu bertekad untuk menang, bahkan dengan mengorbankan orang lain. Ini bentuk komunikasi yang memalukan, menyakitkan dan biasanya tidak produktif. Characteristics indicating assertive, non-assertive and aggressive behaviour

the unassertive voice is weak, wavering, apologizing, failing to say what is meant.

The aggressive voice is tense, shrill, loud and authoritarian, with superior haughty words and accusation. Non-assertive messages are incongruent, that is, not meaning what is signaled. The eyes are averted, downcast, and the stance is stooped, uncomfortable and fidgety. Aggressive messages are flippant, superior, sarcastic. Eyes are could, narrowed and staring. Stance is tense and rigid, and may have hands on hips. Assertive behaviour means making ones own decisions, being direct and fair in confrontation, and creating a good impression without putting others down. Non-assertive behaviour means letting others make ones decisions, on facing up to confrontation, and putting oneself down. Aggressive behaviour means making decisions for others as well as self, assaultive in confrontation, and putting others down. In a very busy ward, student nurse fox is determinedly struggling to meet her patients need. Staff nurse asks her to run to pharmacy to collect non-urgent drugs. She wants to refuse without causing offence. Non-Assertive refusal: Um well okay if you say so. (Nurse Fox feels cross, frustrated, and put upon.) Aggressive refusal: In a load cross voice, why do you always pick on me, you allocate me the most difficult patients, and now you want me to go on an errand, to stop getting on with my work. (nurse fox thinks well thats done it, just when I need a good assessment) Assertive refusal: Using a firm pleasant voice and good eye contact, No, I cant go just now, my patients are needing a lot of help, it must be important of your wouldnt have asked, Ill go later if that woud help. (Nurse Fox is pleased as staff nurse understands)