Longitudinal study on factors affecting assertiveness among preceptors of novice nurses

Abstract

Purpose: This study aims to understand the assertiveness of preceptors of novice nurses and factors affecting the assertiveness through a longitudinal perspective. Methods: Anonymous self-rating questionnaire surveys were administered to 1292 preceptors working in participating city and university hospitals across Japan (August, 2013 (baseline) and March, 2014 (second survey)). The surveys had question items from the Japanese version of the Rathus Assertiveness Schedule (J-RAS, 30 items), demographic details of the participants, evaluation of novice nurses by preceptors, instruction framework, selfevaluation of preceptors, working environment, and a burnout inventory (Japanese version of the Maslach Burnout Inventory-Human Services Survey, 22 items). Bivariate analyses (T-tests and one-way analysis of variance) were conducted using assertiveness of the second survey as the objective variable, and other items of the baseline survey as explanatory variables. Selecting variables with p values smaller than 0.2 obtained in the bivariate analysis as explanatory variables, a multiple linear regression analysis (Stepwise method) was conducted. For the analyses, we used a statistics analysis software, SPSS Statistic 22. Results: Choosing 836 valid respondents of the baseline survey as a cohort group, we repeated the survey 8 months after the baseline survey to identify the factors affecting the assertiveness of preceptors of novice nurses. Excluding 62 who had missing values in the question items for assertiveness, 472 participants who were followed were included in analyses. As the results, following factors were found to affect the assertiveness: thinking that 'they make rapid decisions', and that 'they are valuable as others'. Further, participants who have higher total burnout scores had lower assertiveness. Adjusted coefficient of determination was 0.153. Discussion: It can be inferred that the assertiveness of preceptors is higher than that of novice nurses measured by the J-RAS used in this study, and lower than that of administrative nurses. The assertiveness of preceptors was higher among participants who evaluated themselves positively, thinking that 'they make rapid decisions', and that 'they are valuable as others'. It was also found that higher 'total burnout scores' was a factor that lowers the assertiveness. These findings suggest that a positive self-evaluation improves assertiveness and helps to prevent burnout.

Factor Structure and Psychometric Properties of the Stressor Scale in Inclusive Education in Nursery School Teachers of Children With Special Needs in Japan: The Relationship Between Assertiveness and Stress

“…Suzuki et al (2004) studied nursing students and found that the total score of J-RAS ranged from -90 to + 90 (M = -12, SD = 20.2). Subsequently, the reliability and validity of J-RAS have been demonstrated in previous studies with nurses (see Nakamura et al, 2017;Tomita et al, 2020). Although nurses and nursery school teachers have different national qualifications, they were chosen as the comparison participants for this study because they are professionals in interpersonal care and have in common the fact that they are mostly female.…”