Graded assertiveness
Graded assertiveness
Graded assertiveness is a technique for managing conflict and preventing critical errors in a crisis. It allows all team members to feel empowered to voice their concerns over a planned action that risks patient safety in an assertive (not aggressive) manner. Probe, Alert, Challenge, Emergency (PACE) is a four-step technique of increasing urgency. It provides a graded assertiveness pathway for rapid, effective, but respectful, escalation of the response (Foot, Steel and Campher (2011).
A nurse is about to administer amoxicillin to a patient who is allergic to penicillin. Another nurse present uses PACE to advocate for the patient, escalating her response as is necessary.
Use the statements below to drag and drop the graded assertive responses the nurse uses.
References
Foot, Steel and Campher