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    Exposure of nursing trainees to aggressive behavior and influence on health outcomes and their choice of work environment
    (Maltepe Üniversitesi, 2020) Ilieva, Joana; Ilieva, Vyara; Valchanova, Radka Dolova
    Introduction: Nurses in their daily work are subjected to insults, threats, verbal or physical aggression. Aggressive behaviour in the workplace is a prerequisite for creating adverse working conditions that affect the health and well-being of workers. In healthcare settings, the aggressor may be external or internal, a patient or a relative. The working trainees, as part of the medical team, are also in direct contact with the patients and daily witnesses to aggressive behaviour. They face not only verbal aggression but also the imminent threat of physical abuse, a prerequisite for the development of emotional reactions such as anger, anxiety, helplessness, sadness and depression. Exposing nurse trainees to aggressive behaviour, tension, and anxiety is essential to their choice of workplace. Objective: The purpose of this project is to investigate the frequency and nature of violence and aggression in the work process and their impact on the trainees’assessment of starting work for a medical structure. Material and Methods: The opinion of trainees in the speciality “nurse” from MU-Varna was examined through a direct anonymous survey. The questionnaire contains 12 questions. The data was processed by statistical and graphical analysis. Results and Discussion: The results of the analyzes show that 40% of the respondents witnessed aggressive behaviour in the hospital environment, with approximately 30% referring to them. As a consequence of the aggressive behaviour, the choice of the work environment for students are also affected, with 25% preferring to work in a department where communication is not a priority concern, and approximately 17% do not want to work with elderly patients -prefer to work with children . Conclusions: A significant part of the respondents is regularly in an aggressive working environment. Aggression can be the result of various causes such as personality traits, incorrect assessment of the situation, various objective and subjective reasons. No matter who the aggressor is and what the behaviour is (physical or verbal aggression), it is a prerequisite for creating adverse working conditions. Part of the students regularly encounters aggression, which is a factor in the choice of the work environment.