The Future of Education

The socio-economic conditions, the widespread use of information technology, urbanization and stress in modern society are the determinants of the human  mental state. Problems related to the protection and restoration of mental health disorders are especially relevant in the modern world. The psychic phenomenon called emotion is related to the instincts, needs and motives of the person. These are experiences that occur at a given moment, which are defined as the subjective coloration of internal experiences of satisfaction or dissatisfaction. They are influenced by various factors such as age, gender, temperament, life experience, upbringing, environmental impact, health, irritants and others [1,2]. The reasons for a person's aggressive behavior are diverse - biological, psychological, ethological, social. According to the World Health Organization, aggression is based on individual, social, cultural and environmental factors [4]. Aggression and violence are among the most challenging aspects of clinical practice for nurses in all situations. Any act or behavior directed against another person or the person itself that causes physical, mental and emotional distress can be called violence. Violence is an anti-human act and is a type of crime and violates the dignity and interests of the individual [5]. The purpose of this study is to determine the awareness and ability of nurses to deal with aggressive behavior on the part of the patient during hospital treatment. Experts’ evaluation of the developed manual for professional behavior of nurses in the case of aggressive behavior by the patient was carried out. Material and methods. An anonymous survey was conducted among 200 nurses from 6 university hospitals in Sofia during 2018. Results and discussion. A leading factor in patients' aggressive behavior is the disease process and the discrepancy between patient expectations and hospital reality. The most common forms of aggression are non-verbal and indirect, which are aimed at hurting and degrading the nurse's personality. Conclusion. Experts estimate that the developed manual on the professional behavior of nurses in the face of aggressive patient behavior is sufficiently informative and specific for staff to make adequate decisions in such situations.

Keywords: nurses, aggression, patient, professional behaviour.

References
[1] Balkan P. Introduction to Psychology. Bulvest 2000, S., 2005, 89-91.
[2] Balkan P., J. Hristov. Professional communication and communication competence. In: Medical Pedagogy, EXPRESS, Gabrovo, 2010, pp. 203-215.
[3] Lyneham, J., 2000. Violence in New South Wales emergency departments. Australian Journal of Advanced Nursing 18 (2), 8–17.) – 6-18).
[4] Rippon T. Aggression and violence in health care professions. J Adv Nurs. 2000;31:452–60. doi: 10.1046/j.1365-2648.2000.01284.x. [PubMed] [Cross Ref].
[5] Townsend M C Psychiatric mental health nursing- concepts of care. 5 th edn. Philadelphia: F.A Dais company; 2005.