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Nurse education
Assertiveness training during early undergraduate years has the potential to increase students’ confidence and ability to act as patient advocates
  1. Vania Rohsig1,
  2. Aline Brenner de Souza2
  1. 1 Chief Nursing and Patient Care Services Officer, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil
  2. 2 Quality and Safety, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil
  1. Correspondence to Ms Vania Rohsig, Nursing, Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul 90035-001, Brazil; vania.rohsig{at}

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Commentary on: Hanson J, Walsh S, Mason M, et al. Speaking up for safety’: a graded assertiveness intervention for first year nursing students in preparation for clinical placement: thematic analysis. Nurse Educ Today 2020;84:104252.

Implications for practice and research

  • Improvement of nurses’ confidence to act as patient advocates should begin during undergraduate training and may rely on structured tools to develop assertiveness.

  • Research should determine the best training framework for nursing curricula and evaluate the impact of assertiveness training on safety outcomes at the workplace.


The importance of patient safety as a healthcare priority and goal has grown steadily in the past years. Nevertheless, specific patient safety training provided to nurses and other healthcare professionals is still incipient—especially in terms of communication skills to challenge unsafe practice within multidisciplinary teams. In situations in which patient safety is endangered by the …

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  • Twitter @vaniarohsig1

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.