Introduction: Job satisfaction of nurses is an important indicator of the safety and quality of healthcare and professional efficiency. Its level directly affects employee motivation and patient satisfaction. It is determined by financial and organizational factors, job content, and interpersonal relationships. The aim of this research is to assess the level of job satisfaction among nurses in public health institutions in Canton Sarajevo and to identify the factors that shape job satisfaction in this professional group to the greatest extent. Methods: A cross-sectional study was conducted from May to June 2025 on a sample of 504 nurses. The job satisfaction survey questionnaire was used to collect data. The overall score was classified into dissatisfaction, ambivalence, and satisfaction, and the associations with sociodemographic and work characteristics were assessed with the Chi-square test (p < 0.05). Results: Almost half of the respondents were dissatisfied with their job (47.6%), whereas 38.5% reported ambivalent attitudes and 13.9% were satisfied. Job satisfaction was significantly associated with length of service, compatibility of work with education, management function, working hours, type of institution, psychological job demands, and income level (p < 0.05). No statistically significant associations were found with gender, age, marital status, number of children, level of education, or job changes (p > 0.05). Conclusion: Job satisfaction among nurses stems from job content and relationships, and dissatisfaction from financial and organizational factors. Priority measures include fair valuation of work, clear reward systems, and development support to improve healthcare outcomes.

Introduction: Breast cancer represents a global public health challenge, often diagnosed at advanced stages due to a lack of awareness and insufficient practice of breast self-examination (BSE). This study aims to assess and compare the knowledge, attitudes, and practices of female students regarding BSE in the context of breast cancer prevention and early detection. Methods: The cross-sectional study was conducted from March to April 2023 and included 151 female students from the Faculty of Health Studies and the Faculty of Economics and Business University of Sarajevo. The research instrument was a modified questionnaire based on an existing questionnaire from previous research and adapted to the objectives of this study. Results: The results showed that almost all participants were familiar with BSE, with no significant differences between faculties. Students from the Faculty of Health Studies were more likely to report knowing the right time for BSE (45.1%), while students from the Faculty of Economics and Business were more uncertain and relied more on information from the internet. The main reason for not performing the BSE was a lack of knowledge about the correct technique, which was most frequently stated by economics students. Nevertheless, the majority of participants (91.4%) recognized BSE as an important method for early detection of breast tumors, highlighting the need for further education to strengthen practical skills. Conclusion: The study found that although most students are aware of the importance of BSE, regular practice is low, mainly due to uncertainty about the correct technique. The results of this study show that there is a need to integrate targeted educational programs into university curricula and health promotion campaigns to reinforce preventive behaviors.

Introduction: Social support is very important in the educational transition for the promotion of well-being and transition among students of all ages, cultural identities, and educational levels. Support from parents, friends, teachers, and other relevant persons contribute to the academic, social, and emotional development of 1st-year undergraduate students. Methods: A cross-sectional study was conducted. The convenience sampling method was used to determine the sample. The research included 148 students of the 1st year of the first cycle of studies at the Faculty of Health Studies. The instruments used in the research are the Multidimensional Scale of Perceived Social Support Questionnaire and the Mental Health Questionnaire-Short Form. Results: Out of the total number of respondents, n = 126 (85.10%) perceived a high level, n = 17 (11.50%) a moderate level, while n = 5 (3.40%) a low level of social support. Out of the total number of 148 respondents, n = 70 (47.30%) belonged to the category of high positive mental health, n = 67 (45.30%) belonged to the category of moderate positive mental health, while n = 11 (7.40%) of the respondents characterized their mental health as low positive mental health. It was established that there is a medium-strong relation, with a positive sign, in correlation between positive mental health and perceived social support. Conclusion: The research results indicate a direct connection between perceived social support and positive mental health in the 1st year of the first cycle of University of Sarajevo-Faculty of Health Studies students, which indicates the importance of providing social support as an important resource for preserving the mental health of students during their studies.

Aim. The aim of this study is to investigate the satisfactionof primary caregivers of children and adolescentswith type 1 diabetes mellitus regarding healthcareservices.Methods. The study was conducted within the Associationof Children and Youth with Diabetes in theSarajevo Canton from October 23, 2021, to February28, 2022. The study included 50 primary caregivers,49 mothers and one father, with an average age of41.28 ± 5.64. A generic questionnaire for assessingparental satisfaction with healthcare provided totheir children, the PedsQLTM Healthcare SatisfactionGeneric Module, was used. The statistical analysesused to analyze the data included multiple linear regression,ANOVA test, and t-test.Results. Satisfaction with healthcare services wasassessed with average ratings on a scale of 0 to 100but with wide ranges of scores (59.46±24.34, rangingfrom 16.67 to 98.96). The results showed thattwo variables play a crucial role in predicting satisfactionwith healthcare services: meeting emotionalneeds (relative contribution=29.8) and satisfactionwith information (relative contribution=27.3).Conclusion. An individualized approach and a collaborationwith parents of children and adolescentswith type 1 diabetes mellitus are necessary to improvethe parental experience and their satisfactionwith healthcare services.

Background: Health-related quality of life (HRQoL) evaluates the impact of health conditions on personal functioning. Type 1 diabetes mellitus (T1DM) in children and adolescents can significantly affect HRQoL due to the demands of daily disease management, psychological burden, and potential complications. The use of validated tools like Pediatric Quality of Life Inventory (PedsQL™) questionnaires is essential in assessing HRQoL. Combining generic and disease-specific scales offers a comprehensive evaluation. Aim: The aim of this study is to assess the extent to which the PedsQL 4.0 and PedsQL 3.0 questionnaires explain the overall quality of life of children and adolescents with type 1 diabetes when used separately and in combination. Additionally, the study aims to identify which specific domains within these questionnaires are most significant in explaining the variability in overall quality of life scores. Methods: A cross-sectional descriptive-analytical study was conducted from October 2021 to February 2022. The study assessed the quality of life of 50 children and adolescents (aged five to 18 years) diagnosed with type 1 diabetes mellitus, residing in Sarajevo Canton. Of these, 47 children/adolescents provided self-reports, while three children aged five to seven years were excluded from self-report analyses due to developmental limitations. However, parent proxy-reports were obtained for all 50 participants, including the three younger children. Accordingly, the final analysis included 47 child/adolescent self-reports and 50 parent proxy-reports. The study included children with a disease duration of >6 months and parental consent. The PedsQL™ 4.0 and PedsQL™ 3.0 Diabetes Module were used. Data analysis was performed using Statistical Package for Social Sciences (SPSS) version 26 (IBM Corp., Armonk, New York), including reliability testing, descriptive statistics, and multiple linear regression. Linear regression was selected to quantify the contribution of each questionnaire domain to overall HRQoL, offering an interpretable and robust method for assessing additive domain effects. Results: The combined use of generic and diabetes-specific measures provided the most accurate assessment of HRQoL, capturing both general well-being and disease-specific challenges. Diabetes symptoms and physical functioning were key explainors. Conclusion: The combined use of generic and diabetes-specific tools enables a more nuanced and comprehensive assessment of HRQoL in children and adolescents with T1DM. This study demonstrates that neither tool alone offers sufficient coverage, reinforcing the necessity of integrated assessment.

Background: Perspectives and views on addiction have changed throughout history, from moralistic interpretations to pharmacological, medical, social and cultural approaches. Research and thinking about the connection between social development and the use of psychoactive substances has broadened the perspective. Personal factors that contribute to the development of a tendency towards addiction are extremely important for understanding addictive behavior, but they are less the focus of researchers. This is one of the key reasons why the underlying causes of this disease are still under-researched. Objective: To discover how psychological profiles differ between those who have successfully completed treatment and those who have not, thereby providing deeper insight into traits that may be key to successful rehabilitation of addicts. Methods: The study involved drug addicts (N=368) who were undergoing residential treatment for a year at the Therapeutic Community Institution, Campus of Canton Sarajevo. The study used the MMPI 2 - Minnesota Multiphasic Personality Inventory, a broad-ranging test designed to identify a number of major personality and emotional disorders, and a standardized questionnaire with basic data on addicts in the treatment program, the Pompidou questionnaire, which is used in many European countries to determine: the prevalence of substance abuse, the modality of their use, and the associated harmful consequences. After the psychological profiles were formed, we investigated whether there was a difference between the groups of addicts who completed treatment and those who did not. The IBM SPSS (v23.0) software for statistical analysis was used to process the collected data. Results: AGE - statistically significant differences/borderline differences were found on the scale Psychopathic Deviation (F=7.501 p=0.001), Paranoia (F=3.025, p=0.056), Psychoasthenia (F=3.144, p=0.051) and Schizophrenia (F=4.383, p=0.017). Status of previous treatment - statistically significant differences were found on the scales Psychopathic Deviation (F=6.047 p=0.017) and Masculinity-Femininity (F=5.086, p=0.028). Conclusion: Understanding the personality psychological profiles, sociodemographic characteristics, history of the disease of addiction can improve the understanding of the personality of the addict and help to be more successful in the treatment. Previous research in this area shows that addicts have additional psychological difficulties that should be addressed and treated during addiction treatment.

Background: The role and influence of a positive psychotherapeutic relationship on the outcome of psychotherapy has been widely documented. Ruptures in the psychotherapeutic relationship are defined as a deterioration in the collaborative relationship between the psychotherapist and the client. Objective: The aim of the research is to shed light on the issue of subjective experiences of psychotherapists regarding the perception of the meaning and interpretation of rupture, to discover the unique ways in which psychotherapists work to identify, manage and overcome them during the psychotherapy relationship, and to discover the psychotherapist's strategies for dealing with successful or unsuccessful processes of resolving the process of rupture in the psychotherapy process. Methods: The sample of respondents consisted of a total of 6 qualified psychotherapists with different psychotherapy orientations, who have completed accredited psychotherapy training programs with at least two years of psychotherapy experience, and are actively conducting psychotherapy sessions. The research was conducted according to the Theoretical Domains Framework (TDF) methodology of qualitative studies. Semi-structured interview questionnaire - When conducting research in focus groups, a semi-structured interview questionnaire was used, which contains the domains provided by the Theoretical Domains Framework and open-ended questions related to the research objective. Results: The role of the therapeutic relationship in working with clients is assessed as the most important component without which there is no psychotherapy treatment, and a good therapeutic relationship as a predictor of psychotherapy success. The following indicators are crucial in the identification of psychotherapy rupture according to therapists: lack of mutual respect, feeling of being let down, presence of conscious or unconscious transference or countertransference, failure to meet expectations and compliance. On the emotional level, in the identification of psychotherapy rupture, the feeling of fatigue and anger, helplessness is identified. Conclusion: The results of the theoretical review and data analysis indicate the existence of several unique points for creating an integrative approach to the resolution of a psychotherapeutic rupture: Identification of the rupture, open discussion about the situation and relationship that has arisen, negotiation, and establishment of a new relationship. Further studies in this direction are needed.

Uvod: Pandemija COVID-19 pokazala je nedostatke zdravstvenih sustava na globalnoj razini, a najveći utjecaj pandemije doživjeli su zdravstveni profesionalci koji rade u izravnom kontaktu s oboljelim pacijentima. Cilj: Cilj je rada ispitati stavove i mišljenja zdravstvenih profesionalaca koji rade u ruralnim i urbanim područjima Kantona Sarajevo o mjerama zaštite na radnom mjestu, zdravstvenom kadru i organizaciji rada tijekom pandemije COVID-19 od strane nadležnih institucija. Metode: Ispitani su zdravstveni profesionalci koji rade u urbanim i ruralnim područjima u Kantonu Sarajevo koristeći anonimne anketne upitnike čija je osnova bila check lista za provjeru spremnosti zdravstvenih ustanova za pandemiju COVID-19 koju je kreirala Svjetska zdravstvena organizacija. Kriterij za uključivanje u studiju bio je dobrovoljni pristanak ispitanika da sudjeluju u istraživanju. Rezultati: Analiza ustanove i spremnosti sustava na COVID-19 pandemiju ukazala je na mnoge nedostatke zdravstvenog sustava u Kantonu Sarajevo. Utvrđen je umjeren rizik kod odgovora zdravstvenog sustava primarne zdravstvene zaštite na području cijelog Kantona, s tim da je značajno veći rizik utvrđen u urbanim dijelovima Kantona. Utvrđena je značajna statistička razlika u ukupnom riziku (p < 0,001). Na skali od 8 do 40, ukupan rizik u urbanim sredinama iznosio je 21,95 (19 – 25), dok je u ruralnim sredinama iznosio 19,3 (16 – 23). Zaključak: Uvažavanje stavova i mišljenja zdravstvenih profesionalaca koji rade u izravnom kontaktu s pacijentima trebalo bi biti temelj za donošenje odluka u javnoj zdravstvenoj politici. U našoj se studiji, ali i ranije opisanim studijama, uočava pojam adaptabilnosti koji ukazuje na to da se, prema prijašnjim iskustvima, trebaju napraviti korektivne mjere kako bi zdravstveni sustav bio spreman za moguće epidemije i pandemije u budućnosti.

Introduction: Falls in the elderly population are one of the main geriatric syndromes and a clear indicator of the fragility of the elderly population. Falls are a leading cause of death and injury in the elderly, resulting in disability and immobility requiring ongoing medical care and high treatment costs. Difficulties in performing daily life activities increase with age due to decline in physical and cognitive functioning. Research objectives: To assess the ability to perform daily life activities, to analyze the risks of falling in elderly people. Methods: 100 people over the age of 65 participated in the research. The research instruments were a questionnaire for the assessment of daily life activities - Barthel Scale / Index (BI) and a questionnaire on screening assessments for the evaluation of falls. Results: The Barthel index shows that the majority of respondents perform daily life activities without problems. Intrinsic factors prove that the median score was 12 with an interquartile range of 7 to 15, which represents the risk of falls in people of the third age. Extrinsic risk factors for falls in people of the third age indicate a median of 4 with an interquartile range of 2 to 5, which represents the risk for falls in older people. The most influential risk factors for falling in our survey are difficulty walking upstairs, incorrect or insufficient use of orthopedic aids, feeling of instability when standing up for the first time, complaining of weakness or reduced sensation in one or the other leg, feeling of low self-confidence, instability when walking and fear from falling. Conclusion: Analyzing the risk factors for a fall, we obtained the result that there is an evident risk for a fall. Based on the estimated risk of falling, the most influential risk factors that affect the performance of daily life activities of elderly people were singled out.

Introduction: Social support is not a one-way relationship but is based on the connections people have with other people, groups, and the wider community. This study aimed to assess the perception of social support by people in the third age and to investigate the correlation of social support with the sociodemographic characteristics of the respondents. Methods: A quantitative cross-sectional study was conducted with 147 elderly people who actively use the services of the Center for Health Promotion and Improvement “Generacija” in Sarajevo. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess social perceptions. Results: The results show a weak negative relationship between age and the total scale (r = −0.199, p = 0.05), with older people having lower scores on the total scale. A significant relationship was found between the subscale other factors and age (r = −0.202, p = 0.05). The evaluation of the performance of daily activities correlates weakly with the evaluation of the friend’s subscale (r = 0.186, p = 0.05). The friend’s subscale correlates significantly with the quality of social life (r = 0.227, p = 0.05). The subjective assessment of the quality of social life after arriving at the center showed a correlation with the overall scale score (r = 0.182, p = 0.05) and especially with the friend subscale (r = 0.219, p = 0.05), with the increase in social life and the subscales examined in both cases. Conclusion: Users of the “Generacija” center rate social support on the MSPSS with high scores, with users receiving the most support from family. The sociodemographic characteristics of the respondents have an impact on the perception of social support by the users of the Center for Health Promotion and Improvement “Generacija,” more specifically; they were statistically significantly influenced by age, the way of performing daily activities, the quality of social life and the quality of social life after arrival at the Center.