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Comparing the Effect of Assertiveness Training through Face-to-Face and Multimedia Methods on Anxiety Levels of Nurses Working in a Psychiatric Hospital in Tehran
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Mahmood Imanpour *1    , Seyedeh Azam Sajjadi2 , Zahra Farsi3 |
1- Nursing School, Aja University of Medical Sciences, Tehran, Iran
2- Nursing Management Department, Nursing School, Aja University of Medical Sciences, Tehran, Iran
3- Ph.D. MMedEdu, Trauma and Surgery Research Center, Aja University of Medical Sciences, Tehran, Iran; Ph.D. Nursing Department, Nursing School, Aja University of Medical Sciences, Tehran, Iran |
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Abstract: (14 Views) |
Introduction: Assertiveness is one of the essential skills for nurses that can resolve many problems and alleviate psychological symptoms.
Objective: This study aimed to compare the effect of assertiveness training through two methods-face-to-face and multimedia-on the anxiety levels of nurses working in a psychiatric hospital.
Materials and Methods: The present study was a three-arm randomized controlled trial conducted in 2024. Seventy-two nurses from a selected Aja psychiatric hospital in Tehran were selected via purposive sampling and assigned to three groups of 24 individuals using random number generator software. In the multimedia group, assertiveness training was conducted via a virtual platform (Soroush) using narrated PowerPoint presentations accompanied by short videos over a 4-week period, with 10-minute sessions. The educational content for the face-to-face group was presented in four 60-minute sessions. No intervention was performed for the control group. Data were collected using a demographic characteristics form and the Beck Anxiety Inventory. Data were analyzed using SPSS statistical software version 21.
Results: The mean pre-intervention anxiety scores in the face-to-face, multimedia, and control groups were 30.62±3.54, 31.29±4.94, and 30.16±3.79, respectively (P=0.641). However, the differences were statistically significant immediately after (P< 0.001) and one month following the intervention (P<0.001). Repeated Measures ANOVA indicated that anxiety scores in the face-to-face training group (P<0.001), multimedia training group (P<0.001), and control group (P=0.041) decreased significantly. The effect size of these changes was greater in the face-to-face training group compared to the other groups (Eta = 0.912).
Conclusion: Despite the positive impact of both assertiveness training methods, and given the greater efficacy of the face-to-face method, it is recommended that face-to-face assertiveness training be prioritized. However, due to the significant changes observed in the control group, further studies are warranted. |
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| Keywords: Anxiety, Assertiveness, Education, Face-to-Face Method, Hospital, Multimedia, Nurse |
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Full-Text [PDF 932 kb]
(5 Downloads)
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Type of Study: Research |
Subject:
Nursing education
Received: 2025/02/5 | Revised: 2025/02/18 | Accepted: 2025/02/18 | Published: 2025/12/31
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