Background: Assertiveness is a particular mode of communication. It occupies the
healthy middle ground between aggressiveness and submissiveness and helps to identify
problems and facilitate decision making. Aim of the study: this study aimed to assess
assertiveness among nurses in ELFayoum University Hospitals. Design: A descriptive design
used in this study. Setting: This study carried out at EL Fayoum University Hospitals. These
hospitals namely, Surgical University Hospital and Medical University Hospital. Subjects: Study
subjects included staff nurses, head nurse and assistant head nurses who were working in
aforementioned two hospitals. Their total number was (200) staff nurse and (42) head nurse and
assistants .Data collection tools: two tools were used to collect data. First tool Self-administer
questionnaire consisted of two parts, the first part is socio-demographic data Sheet and the second
part is an assertiveness assessment scale. Second tool assertive behavior inventory. Results: the
highest mean score of assertiveness dimensions was negotiating the system& active orientation
while the lowest mean score was work habits. The majority of nurses were assertive. Also, the
highest mean score of factors affecting assertive behavior was human relation factors while the
lowest assertive factors score nurse's belief factors. Conclusion: there was a highly statistically
significant positive correlation between assertiveness and factors affecting assertive behavior.
Recommendation: Maintain periodical meeting for nurses from different hospitals by
seeking their opinions, and exchanging their experiences. Enhance critical thinking abilities
& assertive skills through training programs and workshops.