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Student nurses often feel that their training leaves them unprepared to deal with the realities of work as a nurse. Education has certainly made great progress, but by doing so seems to have moved away from the realities of nursing. This has left many nurses feeling very negative, and has contributed to the high numbers leaving the profession. It is now time for nurse tutors and lecturers to take more responsibility for skills acquisition.

Policy-makers, educationalist and practitioners must try to involve the service users in healthcare education. Involving service users in education increases students understanding of individual' experiences, as service users can give useful feedback regarding services available to them and they can help student feel confident of promoting good practices.

This article examines patient aggression and violence in the health care industry, focusing on the therapeutic relationship between patient and medical personnel. Topics include the causes of patient violence, preventive measures, and medical personnel training.