The literature exploring the working environment of a learning disabilities nurse has suggested that the stress is an effect of challenging behaviour in the workplace. It was found that the stress of caring for people with intellectual disabilities who exhibit challenging behaviour has contributed to staff burnout, absenteeism, low morale and high turnover rates within the service (Sharp, 2002, p12). There seems be a large and growing literature that specifically addresses stress in professional carers of adults with intellectual disabilities (Hatton et al, 1999, p253)When reviewing the literature on the influence of work environment for experiences of stress it was found that violence is related to the caregivers’ experience of stress at work and that work-related stress has been shown to be associated with burnout (Needham et al 2005, p238). A similar study by Jackson et al (2002, p13) proposed that there might be a direct link between exposure to violence and burnout. The two articles considered violence against nurses functioning within a general hospital working environment. It is proposed that any violence against nurses might lead to stress, burn-out and possibly be a factor in recruitment and retention. However, debatably, within a learning disability setting faced by those who frequently exhibit challenging behaviours because of their disability, then arguably the working environment is more stressful resulting in an intensity of the ensuing factors. It is also important to note that these two articles relied on the work of others for their findings and not by undertaking their own primary research that it is suggested would have given more valid evidence.