Impact of Nurse-Led Assertiveness Tutelage on Raising Self-esteem among Adolescent Girls

Abstract

Background: Adolescence is a transition period where they are confused about what they need and experience dissatisfaction toward bodily changes, especially female adolescent girls. Self-esteem is evaluated by how one feels about one's self-concept. Low self-esteem constitutes negative outcomes such as hopelessness, uselessness, depression, and adjustment problems. Vulnerability stress model suggests that low self-esteem leads to depression. Self-esteem is acquired by undergoing specific training, such as “Assertiveness Tutelage” which fosters communication skill, assertive behavior, and assertiveness in raising self-esteem. Aim: The aim of the study was to evaluate the effectiveness of nurse lead assertiveness tutelage among adolescent girls. Methodology: Quantitative approach and quasi-experimental design was adopted. By nonprobability purposive sampling, 60 adolescent girls were included in the study from a selected school in Chennai. The level of self-esteem was measured by the State Self-Esteem Scale. After collecting the pretest data from experimental and control groups, assertiveness tutelage intervention was provided to the experimental group at 1st week, reinforced for the next 2 weeks, and posttest was collected at the end of 4th week from both the groups. Data Analysis: SPSS software was used for the data analysis. Results: In the experimental group at pretest level, the mean self-esteem score of adolescent girls was 60.40 and at posttest level, it was 83.47. This mean difference in gain of self-esteem was 23.07 which was statistically significant, with t = 10.40 (P = 0.001). Conclusion: This study has proven that nurse-led assertiveness tutelage raised the self-esteem among adolescent girls and strengthened their ability and helps them to develop coping and problem-solving skills, etc.