• Journal of Korean Biological Nursing Science
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• v.18 no.1
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• pp.27-35
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• 2016

Purpose: The purpose of this study was to identify the assertive behavior of asking smokers not to smoke and investigate the factors related to assertive behavior in patients with vascular diseases. Methods: Participants were 203 adult Korean patients with vascular diseases such as cerebral infarction and myocardial infarction. Data were collected using questionnaires that included the characteristics of secondhand smoke (SHS), secondhand smoke-related variables (Health belief model factors, health promotion model factors) and level of assertive behavior. Descriptive statistics, t-test, ANOVA and multiple regression using SPSS/WIN 18.0 were performed. Results: Participants who never ask smokers not to smoke was 39.9%, whereas participants who always ask was 7.4%. There was a weak positive relationship between assertive behavior and susceptibility to disease (r=.18), severity of disease (r=.19), benefit of assertive behavior to SHS exposure (r=.10), barrier of assertive behavior to SHS exposure (r=.24), and self-rated health (r=.21) respectively. There was a moderate positive relationship between assertive behavior and self-efficacy of assertive behavior to SHS exposure (r=.49). Health belief model factors explained 15.7% variance and health promotion model factors explained 27.0% of assertive behavior. Conclusion: The findings of this study suggest that self-efficacy of assertive behavior to SHS exposure is a very important factor. Therefore the development of a program to foster self-efficacy of assertive behavior regarding SHS exposure in patients with vascular diseases is needed.

• Research in Community and Public Health Nursing
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• v.22 no.1
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• pp.1-10
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• 2011

Purpose:The present study was to apply the Attitudes-Social influence-Efficacy (ASE) model in order to identify factors associated with the assertive behavior of non-smoking college students when they are exposed to secondhand smokes in Korea. Methods: Data were collected from non-smoking college students (N=1,656, 76.6% female) at two universities in Seoul and Gyeonggi-do. The main outcome measure was the assertive behavior. ASE factors such as attitudes toward being assertive, social influences, and self-efficacy as well as socio-demographic, health-related, and smoking-related factors were self-administrated. Results: The mean of the assertive behavior (range 1~5 points) was 2.23;37.6% was not at all assertive, while 4.3% was always assertive. Higher assertiveness was significantly correlated with a higher level of positive attitude, social influence and self-efficacy (p<.05 for all). Stepwise multiple regression analyses showed that the social influence was the strongest factor associated with the assertive behavior (${\beta}=0.430$, p<.001, $R^2$=.246), followed by self-efficacy, motive to assertiveness, having any family member who had diseases, and male gender. These factors explained the assertive behavior by 39.7%. Conclusion: The ASE model may explain the assertive behavior of non-smoking college students under secondhand smoke exposure. Social influence and self-efficacy were significant factors associated with their assertive behavior.

• The Journal of Korean Academic Society of Nursing Education
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• v.7 no.1
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• pp.54-67
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• 2001

This study was tried to investigate the effectiveness of assertive training on the state anxiety and assertive behavior which nursing students had experienced during clinical practice training from April 29, to June 5, 2000. Subjects for this study were thirty-six nursing students of practicing in a general hospital. Eighteen nursing students were assigned for the experimental group and trained by assertive training program during 4 weeks and eighteen nursing students were assigned for the control group. The assertive training program was composed of cognitive, behavioral and emotional assertive training. Post- test assessment was administrated to all subjects on a week later after the last session. The data were analyzed with SPSS PC programs. The results of this study were summarized as follows: 1) There were no significant differences between the experimental group and the control group on post- intervention comparisons of the state anxiety score (p=0.230), but in the experimental group, the anxiety score more decreased after the assertive training than that in the control group with significant differences(p=0.019). 2) There were no significant differences between the experimental group and the control group on post- intervention comparisons of assertive behavior (p=0.530). However, after the assertive training, the experimental group became more assertive than the control group with no significant differences(p=0.721). 3) The hypothesis that the more the assertive behavior, the less the state anxiety experienced by nursing students of clinical practice training was supported(r=-0.397, p=0.017). On the basis of this study results, the assertive training is effective for the reduction of the state anxiety experienced by nursing students of clinical practice training.

• Research in Community and Public Health Nursing
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• v.21 no.1
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• pp.1-11
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• 2010

Purpose: The purposes of this study were to compare the degree of anger expression, assertive behavior, and self-esteem between a nursing student group and an educational student group, and to identify factors affecting their self-esteem. Methods: This study adopted the descriptive comparative design. Data were collected by interviewing 97 nursing students and 89 educational students from three nursing schools and one educational school in Daegu, Korea from November to December, 2008. Results: Major findings of this study were as follows. 1) The educational student group had a higher self-esteem score than the nursing student group. 2) There were significant correlations among anger expression, assertive behavior, and self-esteem. 3) Self-esteem was significantly associated with Grade Point Average (GPA) and assertive behavior in the nursing student group with 17.2% variance, and with assertive behavior and anger-out in the educational student group with 24.1% variance. Conclusion: These results may contribute to better understanding of hurt, anger expression, assertive behavior, and self-esteem in nursing students and educational students. Based on the results, there, it is required to develop programs that prompt students' self-esteem.

• Journal of Korean Clinical Nursing Research
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• v.19 no.2
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• pp.255-264
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• 2013

Purpose: This study was done to examine the effects of assertiveness training on Intensive Care Unit (ICU) nurses' assertive behavior, job stress, communication conflict, and self-esteem toward improving their communication skills and coping. Methods: The assertiveness training program was developed to a 10-hour program consisting of 3 sessions. The goals were to understand assertive behavior and learn how to practice assertive communication in general conflict situations and/or a difficult conflict situation in the ICU. Participants were 65 nurses recruited from a tertiary teaching hospital and of these, 27 nurses completed the program. Data were collected from Jan. 30th to Mar. 28th, 2009 using a questionnaire which included demographic characteristics, assertive behaviour scale, job stress scale, communication conflict inventory-specific, and self-esteem scale. Data were analyzed using SPSS v. 14.0 for $x^2$ test and t-test. Results: ICU nurses in the experimental group had a significant increase in aspects of assertive behavior and a decrease in job stress. Conclusion: The results of the study indicate that assertiveness training is effective in increasing ICU nurses' assertive behavior and decreasing job stress through reinforcement of assertiveness behavior.

• Korean Journal of Child Studies
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• v.32 no.6
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• pp.15-32
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• 2011

The purpose of the present study was to examine mechanisms by which the characteristics of child temperament influences academic achievement in late childhood. It was hypothesized that the effects of child temperament on achievement would be mediated by assertive behavior on the part of children and maternal parenting behavior. Data for this study came from self-report questionnaires completed by 657 elementary school children (343 boys, 314 girls). The results of structural equation modeling demonstrated that child temperament affected academic achievement through both assertive behavior and maternal parenting behavior; this was evidenced across the entire sample. Child temperament (approach-withdrawal, mood quality, persistence) also had a number of positive effects on assertive behavior (directiveness, social assertiveness, defense of rights and interests) and maternal parental behavior (warmth-acceptance, guidance). These results were found to be the case for both boys and girls. The results of this study further revealed that maternal parenting behavior mediated the relationship between child temperament and achievement for boys, whereas assertive behavior played the same role for girls. These findings suggest the need for different approaches in developing programs to improve levels of academic achievement which give due consideration to child temperament and social behavior as well as parenting, based on child gender.

• Research in Community and Public Health Nursing
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• v.20 no.3
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• pp.351-360
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• 2009

Purpose: The purpose of this study was to develop a lecture on oral presentation and to evaluate changes in anger expression, assertive behavior, and self-esteem after lecture on oral presentation. Methods: The design was a nonequivalent control group pretest-posttest design. The participants were university students in nursing, of which 17 were assigned to the experimental group and 15 to the control group. The education was carried out for 2 hours, once a week for 14 weeks. Data was analyzed with SPSS/WIN 14 program, and included chi-square test, independent t-test, and repeated measure ANOVA. Results: Lecture on oral presentation showed significant differences in the changes of anger expression (F=10.122, p=.003) and assertive behavior (F=8.498, p=.007). Conclusion: Findings suggest that this lecture on oral presentation was effective in changing students' anger expression and assertive behavior. Therefore this lecture on oral presentation is recommended for inclusion in education for university students in nursing.

• Strategy21
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• s.33
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• pp.37-64
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• 2014

The year 2010 has been regarded as a year of China's assertive diplomacy. A series of China's behavior--including China's critical reaction to the U.S. for its sales of weapons to Taiwan, the Dalai Lama's visit to President Obama, China's arbitrary designation of 'core interests' over the South China Sea, China's inordinate reactions to the sinking of the Cheonan and Yeonpyeong bombardment, and China's activities in the Senkaku/Diaoyu island areas--has served as the witnesses to China's assertive diplomacy in 2010. The major causes of China's assertive diplomacy can be summed up by three factors: potential power transition from U.S. to China; emerging China's nationalism; and the recession of the Tao Guang Yang Hui as a diplomatic principle. But a majority of Western sinologists claim that China's assertive diplomacy is defensive in terms of its character. China's neighboring states, however, perceive its assertive diplomacy as diplomatic threat. Due to these states' geographical proximity and capability gaps with China, these neighbors experience difficulties in coping with China's behavior. In particular, China's coercive economic diplomacy, in which China tends to manipulate the neighbors' economic dependency on China for its diplomatic leverage, is a case in point for China's assertive diplomacy. China's assertiveness seems to be continued even after the inauguration of Xi Jinping government. Although the Xi government's diplomatic rhetorics in "New Type of Great Power Relationship" and the "Convention for Neighboring States Policy" sound friendly and cooperative, its subsequent behavior, like unilateral announcement of Chinese Air Defense Identification Zone (CADIZ), does not conform with its rhetoric. Overall, China's assertiveness has been consolidated as a fashion of its diplomacy, and it is likely to continue in its relations with neighbors. As a neighboring state, the ROK should approach to it with more balanced attitude. In addition, it needs to find out a new diplomatic leverage to deal with China in accordance with its security environment, in which China plays a growing role.

• Journal of the Korean Home Economics Association
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• v.41 no.5
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• pp.165-178
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• 2003

The purpose of this study was to understand the consumer non-ethical behavior and the interaction with salespersons and their relationships. For this purpose, adults in Chunlabuk-do were surveyed and 675 questionnaires were analyzed using SPSS statistical program. The results of the analysis were as follows: 1. Three dimensions of the consumer non-ethical behaviors were the unconscience, the illegality, and the deception. Two dimensions of the interaction with salespersons were the passive and the assertive interactions. 2. There were two clusters respectively; ethical and non-ethical groups for the consumer non-ethical behavior/ passive and assertive groups for the interaction with salespersons. 3. Generally, the more educated and the older persons were, the less they tended to be ethical and the more passively they tended to interact with the salespersons. 4. There were significant differences between the clusters of consumer non-ethical behavior and those of interaction. The non-assertive interaction group were found more in the non-ethical group and the assertive interaction group more in the ethical groups.

• Research in Community and Public Health Nursing
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• v.13 no.3
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• pp.493-502
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• 2002

Purpose: This study was conducted to measure the levels of Health status, perceived stress, self-esteem, and achievement motivation and assertive behavior of adolescents. The relationships among these variables as well as predictors of health status were examined. Method: The sample was composed of 496 students (male: 195. female: 301) from 3 high schools in Seoul and Kyunggi-Do regions. The instruments used in this study were as follows: health status scale developed by Noh (1991), perceived stress scale developed by Park(1996), self-esteem scale developed by Rosenberg (1965), achievement motivation scale developed by Park(1986) and assertive behavior scale developed by Kim(1982). The reliability of the five instruments were examined using Chronbachs' a that ranged from, .63 to .90 in this study. The data were analyzed with the SAS program using descriptive statistics, t-test, ANOVA, Duncan multiple comparison, Pearson correlation coefficients, and stepwise multiple regression. Results: The results were as follows: 1. The mean score .of health status was 3.1, which was higher than the median of the instrument. 2. There were significant correlations of health status with self-esteem (r=.381. p=.0001), assertive behavior (r=.503. p=.0001), and perceived stress (r=-.352. p=.0001). 3. Stepwise multiple regression analysis showed that 34% of health status was affected by the level of assertive behavior (25%), self-esteem (7%), and perceived stress (2%). Conclusion: Based on these findings, assertive behavior and self-esteem appear to be specific important areas of future research as to better understand the health status of adolescents, and to develop health status-related interventions for them.