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Abstract 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. This study aims at examining the relationship between assertiveness and decision making abilities among nurse managers working at University hospitals. The study was carried out on 100 nurse managers working at Ain Shams University Hospitals. Two tools were used to collect data. The first tool consisted of two parts, the first part is socio-demographic data Sheet and the second part is an assertiveness assessment scale. The second tool is decision making abilities scale. The results of the study revealed that the highest mean score of assertiveness dimensions was negotiating the system while the lowest mean score was control of anxiety and fear. The majority of nurse managers were assertive. Also, the highest mean score of decision making abilities’ dimensions was checking the decision while the lowest mean score was choosing the best alternative and the majority of nurse managers had the ability to make decisions. Furthermore, nurse managers working at an obstetric hospital had got the highest percentage of assertiveness level while nurse managers of pediatric hospital had got the lowest percentage. Nurse managers of pediatric hospital had got the highest percentage of decision making abilities while nurse managers of Ain Shams University hospital had got the lowest percentage. In conclusion, there was a statistically high significant positive correlation between assertiveness and decision making abilities. It is recommended that further researches should be conducted regarding: a) finding the relationship between decision making abilities and job performance; b) assessing the quality of decisions and outcomes for patients and organizations. It is also recommended to Maintain periodical meeting for nurse managers from different hospitals by seeking their opinions, and exchanging their experiences during the different situations. Last but not least nurse managers should develop critical thinking abilities through training programs and workshops. |