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DISCUSSIONThe present study is an attempt to understand the relationship of assertive behavior with interpersonalcommunication satisfaction among nurses. Result revealed that there is large positive significant relationshipbetween assertive behaviour and interpersonal communication satisfaction and non-assertive nurses had poorcommunication satisfaction. This is in consistent with previous research which reports that interpersonalcommunication satisfaction results in assertive behaviour. Areti Klisiari & Alexia Gaki (2012) reported that agood communication provides satisfaction to the health care professional who influences and is influenced by hisrelationship with the patient.Siamian Hasan et al (2014) evaluated the interpersonal communication skills among the health carecenters staff and indicated that public relation skill, listening, reward and punishment in good scope and otherskills were in the average scope. Ross Linda et al (2014) suggested that student paramedics self-report theirinterpersonal communication skills highly apart from areas related to assertiveness and listening skills.Abdollah et al (2012) reported that interpersonal communication skills training program increased thejob satisfaction among the working nurses. Yen-Ru Lin et al (2004) studied the effect of an assertivenesstraining program on nursing and medical student’s assertiveness, self-esteem, and interpersonal communicationsatisfaction and found that assertiveness and communication satisfaction of the experimental group weresignificantly improved in nursing and medical students after assertiveness training.The possible reason for positive relationship between assertive behavior and interpersonalcommunication satisfaction may be that assertive persons are likely to experience a higher level of psychologicalwell being and a lower level of emotional deficit. Assertive persons are able to maintain positive mental statesdue to their capability to efficiently manage their situations and ability to say ‘no’ to undesired work (Jaime et al1998). When a person accepts his/ her faults and simultaneously recognizes his/ her strengths and positivequalities, the person will experience strong self worth and satisfactory communication.Present study revealed that older nurses who are on regular job, studied from Govt. nursing institutionsand working in Govt. hospitals were more assertive where as gender, marital status, religion, residence, type of Journal of Health, Medicine and Nursing www.iiste.orgISSN 2422-8419 An International Peer-reviewed JournalVol.14, 201575family and present staying with has no relationship with assertive behavior. On the contrary, Kilkus (1993)reported younger nurses as the most assertive.Nurse who were in older age group had more interpersonal communication satisfaction score ascompared to subjects who were younger (p<.002). Nurses who took training from Govt. nursing schools/collegeshad more score on interpersonal communication satisfaction score as compared to private schools/colleges(p<.03). Nursing sister/ward in-charges had more score on Interpersonal communication satisfaction score ascompared to staff nurses (p<.049). These findings are in consistent with the other available literatures.IMPLICATIONS AND RECOMMENDATIONSNurses should regular use assertive behaviour which results in communication satisfaction. Assertiveness and itstraining program can be included in graduate nursing program and in nursing curriculum, so that sufficientemphasis can be given to understanding of assertiveness. Findings of the study will act as a catalyst to carry outmore extensive research in a large sample and in other settings and such research work enforces evidence basedpractice.Study recommends that assertiveness training or other such techniques may be given to the nonassertivenurses to build their communication satisfaction, self concept and self esteem. Similar study can bereplicated on larger sample size using a combined quantitative and qualitative research approach to betterunderstand assertive behaviour and interpersonal communication satisfaction among nurses. A longitudinal studymay be conducted on large sample to assess the effects of assertive training on assertive behaviour andinterpersonal communication satisfaction with comparison of the different interventional strategies.CONCLUSIONFindings of this study give an overview of assertive behaviour and interpersonal communication among nurses.The findings suggested that assertive behaviour results in high level of interpersonal communication satisfaction.Nurses should be regularly assessed for their assertive behaviour as it affects the communication, self esteem,burden, coping and other variables of individual. Assertiveness training may be included in curriculum tomanage non assertive behaviour nurses.Further researches can be done to investigate the socio-cultural circumstances that may hinder orenhance the individual to be assertive. Also similar study can be planned to assess the effectiveness of selectedintervention on assertive behaviour and interpersonal communication satisfaction among nurses.LIMITATIONSLack of large sample size may result in lack of representativeness and generalizability to the whole population,however data were collected from selected hospitals of four districts of Punjab. The data in the present studymay subject to selection bias as the nurses were conveniently selected. In order to make findings generalizable, alarge geographical area based study based on random sampling technique is recommended. Finally, researcheracknowledges the limitation of cross sectional design with respect to temporal relationship and imputation ofcausality of study findings.FINANCIAL AND MATERIAL SUPPORT: This research received no specific grant from any fundingagency in the public, commercial, or not-for-profit sectors.CONFLICTS OF INTEREST: The authors declare that they have no conflict of interests with any organizationregarding the materials discussed in this manuscript.ACKNOWLEDGEMENT: The authors would like to extend their thanks and appreciations to all participantswho voluntarily participated in the study and shared their experience.First Author (S K Maheshwari): He is masters in psychiatric nursing from AIIMS, New Delhi and perusingPhD in Nursing from Indian Nursing Council, WHO and RGUHS consortium. He is presently working as AsstProfessor in University College of Nursing, Baba Farid University of Health Sciences, Faridkot, Punjab, India.He has fifteen national and international publications in various journals. His area of interest is de-addictionpsychiatry nursing and nursing research. He is members of several nursing and health organizations. He isexaminer in several universities of India and guide for master in nursing.Second Author (Kanwaljit Kaur Gill): She is masters in psychiatric nursing and PhD. She is presentlyworking as Professor and Principal in SKSS college of Nursing, Sarabha, Ludhiana, Punjab, India. She has morethan fifty national and international publications in various journals. Her area of interest is clinical psychiatrynursing. She is members of several nursing and health organizations including TNAI. She has been associatedwith several universities of Indi and abroad. She has been recipient of WHO fellowship. She is guide for masters
and PhD nursing program.
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