الفهرس 
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Abstract
Assertiveness is a communication style, which is the key to successful relationships with clients, the family, the nurses and colleagues (Krstić & Kekuš, 2023). Assertiveness is a key attribute for nurses without which true autonomy, professional status or empowerment cannot be achieved. Nursing involves fulfilling several roles, including interacting with clients, peers and other health professionals. These roles are enhanced and carried out with greater effectiveness when nurses are equipped with good communication skills and assertive behavior (Bannur, 2023).
Assertive nurses have high self-confidence, increases self-worth, decrease helplessness, hopelessness, resolve the conflict timing, improve nursing professional behaviors and patient care will be improved (Hopkins, 2016).
Aim of the Study:
The aim of the current study was to assess the effect of assertiveness behavior on nursing professional behaviors among nursing staff.
Research Questions:
1. What is the level of assertiveness behavior among nursing staff?
2. What is the level of nursing professional behaviors among nursing staff?
3. Is there a relation between assertiveness behavior and nursing professional behaviors among nursing staff?
4. Is there a relation between personal data, assertiveness behavior and nursing professional behavior among nursing staff?
Research Design
A descriptive correlational research design was used to achieve the aim of the current Study.
Setting
The study was conducted in critical areas at the health insurance hospital in Minia governorate.
Subjects
A Convenient sample included all nursing staff who working in critical areas at health insurance hospital during the period of data collection. Their total numbers were 85 nurses.
Data Collection Tools
Two tools were used for the data collection.
Tool I: Assertiveness behavior questionnaire
It was included two parts:
Part 1: Personal data
Part 2: Assertiveness behavior questionnaire. It developed by Rasetsoke, (2012) and modified by the researcher It consists of 56 items were grouped under four factors as follows: Communication skills factor (16 questions), Personal / Professional rights and responsibilities factor (12 questions), Conflict factor (14 questions) and Self –confidence factor (14 questions).
Tool II: Nursing professional behaviors observational checklist, this tool developed by Waston etal., (2002): Goze &Geckil,(2010) and modified by the researcher it consisted of 28 items were grouped under five factors as follows: General appearance and behavior (4 items), Documentation inside medical file (6 items), nursing practice(8items), cooperate with others and documentation (4 items) and following infection control standard precautions (6 items)
Data Collection Procedure
An official letter was granted from the dean of faculty of nursing. This letter was including a brief explanation of the objectives of the study. Written approval was obtained from director of the health insurance hospital. The tools were adopted and translated into Arabic by the researcher, then approved by the jury before utilizing to collect data for the study. Staff nurses was interviewed on group basis to explain the nature and purpose of the study.
The researcher distributed self-administered assertiveness behavior tool to the participants during the morning and evening shifts. Participants were given 20 to 25 minutes to answer the tool. They were allowed to discuss any item that needed more clarification with the researcher.
The nursing professional behaviors were observed three times in different shifts (morning, and evening, shifts for each of the studied nurses) according to observational checklist then calculated average observations for each item. The researcher collected data two days / week for six months, from September 2022 to the end of February 2023.
The main findings of the study
• More than one quarter (30.6%) of the studied nursing staff worked in oncology department, 58.8% ages between 22 – 25 years with mean age 25.8 ± 2.9, and 92.9% is female. Concerning marital status, 62.4% are married, 81.2% have technical diploma of nursing, 68.2% their years of experience between 1- 5 years and 65.9% lives in the urban area.
• Most (98.8%) of the studied have been high level in personal / professional rights and responsibilities factor, 90.6% have been high level in conflict factors, and 91.8% have been high level in assertiveness behaviors.
• Most of the studied nursing staff have high level regarding general appearance and behavior, documentation inside medical file, nursing practice, cooperate with others and development, following infection control standard precautions, and total nursing professional behaviors during three observations (98.8%, 100.0%, 88.2%, 100.0%, 100.0%, 100.0% respectively).
• There are not statistically significant differences between personal data of the nursing staff and their assertiveness behavior level.
• There are not statistically significant differences between personal data of the nursing staff and their professional behavior except nursing staff working in CCU have high mean scores regarding professional behavior than other department with P value < 0.001.
• There is a strong correlation between total nursing professional behaviors of the studied nursing staff and their nursing professional behaviors and communication skills, conflict, self-conflict factors and total assertiveness behaviors.
Conclusion
Based on the findings of the present study, it concluded that most studied nursing staff have been high level in assertiveness behaviors and nursing professional behaviors. There was no relation between personal data, assertiveness behavior and nursing professional behavior among nursing staff except nursing staff working in CCU have higher mean scores regarding professional behavior than other departments. There was a strong correlation between total nursing professional behaviors of the studied nursing staff and their nursing professional behaviors and communication skills.