ISSN: 2320-5407 Int. J. Adv. Res. 6(2), 1660-1664 1660 Journal Homepage: -www.journalijar.com Article DOI:10.21474/IJAR01/6604 DOI URL: http://dx.doi.org/10.21474/IJAR01/6604 RESEARCH ARTICLE PROFESSIONAL STRESS AS A DETERMINING FACTOR FOR THE QUALITY OF NURSING CARE IN NEUROLOGICAL HOSPITAL CARE IN BULGARIA. Lidia Mladenova Georgieva 1 , Velichka Tsvetanova Atanasova 2 and Boryana Borisova 3 . 1. MD, MPhil, PhD, Faculty of Public Health, Medical University of Sofia, Bulgaria. 2. PhD student, Faculty of Public Health, Medical University of Sofia, Bulgaria. 3. PhD, Faculty of Public Health, Medical University of Sofia, Bulgaria. …………………………………………………………………………………………………….... Manuscript Info Abstract ……………………. ……………………………………………………………… Manuscript History Received: 21 December 2017 Final Accepted: 23 January 2018 Published: February 2018 Keywords:- Professional stress, nurses, quality, health care. Summary: The professional stress of the nurses is one of the main criteria in determining the quality of nursing care in neurological hospital care. Aim: The purpose of this study is to investigate the professional stress of nurses in neurological clinics and wards in Bulgaria. Methodology: The survey was conducted through a direct anonymous questionnaire during the period June 2016 - February 2017. The respondents are 100 nurses (out of 136) working in the neurological wards of nine hospitals in Bulgaria, selected on a lottery basis. Results: The results show staff shortages reported in 53,8%, psycho- emotional exhaustion among nurses in 64% and stress at work in (64,1%). More than one-third of respondents are reporting for a lacking willingness to work. Occupational exhaustion is presented as psycho- emotional exhaustion, accompanied by low professional motivation and dissatisfaction. Conclusions: The specific nature of the professional activity of the nurses in neurological hospital care provokes the development of the syndrome of professional exhaustion, which requires timely prevention. This help must be comprehensive, psychological and organizational. Copy Right, IJAR, 2018,. All rights reserved. …………………………………………………………………………………………………….... Introduction:- The occupational stress worldwide is a leading paradigm of psychological and psychiatric societies and is relevant and important for improving quality and efficiency of work and nursing care in neurological hospitals. [4][Borisov, V.] Occupational safety and health are defined as occupational stresses, "Emotional, cognitive, behavioral, and psychological responses to negative aspects that arise from inconsistencies between work requirements and the ability and needs of the worker. These negative reactions can become a lasting conditions characterized by suffering, apathy, indifference, and often with a sense of impasse. "[6,10,12][Savova, S. et all.] In 1974, Herbert Freydenberger, an American psychiatrist and psychologist, formulates the term "burnout" as a characteristic of a psychological state in healthy people who work in an emotionally tense work environment. He Corresponding Author:- Lidia Mladenova Georgieva. Address:- Faculty of Public Health, Medical University of Sofia, Bulgaria