Effect of web-based assertion training for stress management of Japanese nurses

Manaho Yamagishi, Toshio Kobayashi, Takemasa Kobayashi, Makiko Nagami, Akihito Shimazu, Takayuki Kageyama

Research output: Contribution to journalArticlepeer-review

42 Citations (Scopus)


Aim and Background The purpose of this study was to examine the effects of web-based assertion training programmes for Japanese hospital nurses based on their assertion knowledge, attitude and behaviour, job stress and depression. Job stress has been reported to be high among Japanese hospital nurses, and it is thought that assertion, one type of communication skill, could help nurses to better manage their job stress. Method Twenty-five nurses from an urban tertiary hospital in western Japan completed the 70-minute assertion programme during 3 weeks. The changes between pretraining and post-training and between pretraining and 1 month after the training were tested. Result Results showed that assertion knowledge and voluntary behaviour in assertive behaviour had increased at post-training and remained higher a month later. With regard to job stress, mental workload decreased. Conclusion The results show the effects of web-based assertion training on assertion skills and stress management for Japanese hospital nurses.

Original languageEnglish
Pages (from-to)603-607
Number of pages5
JournalJournal of nursing management
Issue number6
Publication statusPublished - 2007 Sept
Externally publishedYes


  • Assertion
  • Hospital nurses
  • Job stress
  • Web-based training

ASJC Scopus subject areas

  • Leadership and Management


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