OBJECTIVES Interprofessional teamwork is best attained through education that promotes mutual trust and effective communication. The primary aim of the study was to evaluate the impact of interprofessional learning on knowledge about diabetes. METHODS The cross-sectional study included students of medicine, dentistry and nursing at the Faculty of Medicine Foča, Bosnia and Herzegovina. The students were randomly allocated into one of two groups. Group 1 attended an interprofessional course on diabetes while group 2 was divided into three subgroups and each of the subgroups attended an uniprofessional diabetes course. The measuring instrument used in the course in order to assess the participants' knowledge about diabetic care was a test containing multiple-choice questions about diabetes. The Interprofessional Questionnaire was used to explore the attitudes, views, values and beliefs of students regarding interprofessional education (IPE). RESULTS No statistically significant difference in total score on the test was found between the groups at baseline, but at follow-up the difference was highly statistically significant (F=10.87; p=0.002). The students from Group 1 had better results (21.82 points), compared to Group 2 (18.77 points). The statistically significant difference was observed in mean values (t=-3.997; p=0.001), between Groups 1 and 2; the students from Group 1 obtained 20.42 points, which is considered to indicate a respectively positive self-assessment of communication and teamwork skills. However, Group 2 indicated a negative self-assessment of communication and teamwork skills. CONCLUSION The findings suggest that IPE activities may provide health profession students with valuable collaborative learning opportunities.

Introduction. Satisfaction with work and experiencing positive emotions at work is considered to be an important part of nursing professional life, and has a significant impact on patient safety, the quality of services provided, commitment and stay in the organization and profession. The aim of this paper was to examine the level of satisfaction with the work of nurses. Material and methods. The research is designed according to the type of cross section study. The research sample consisted of 200 nurses working at the University Hospital Foca, the Health Center Zvornik and the Health Center Istocno Sarajevo. The instruments used in this in research are: sociodemographic questionnaire and the Job Satisfaction Survey (JSS). Statistical analysis of data was made using the SPSS software statistical package. Of the statistical tests was used χ2-square test. As a level of statistical significance, the difference was taken as the usual value of p <0.05. Results. Statistically significant negative correlation was established between satisfaction with the work and socio-demographic characteristics of the respondents (r = -0,252; p = 0,017). The prospects for improvement are satisfied with 25% of the respondents, 37% had an ambivalent attitude, while 38% of respondents expressed dissatisfaction. Twenty-three percent of respondents are satisfied with communication in the organization of work, 35% are ambivalent, while 42% of respondents are dissatisfied. 21% of the respondents expressed satisfaction with the benefits and on the rewards for a well-done job, 45% were ambivalent, while 34% of the respondents were dissatisfied. Conclusion. The lowest ratings of our respondents in wage domains, rewards for well-designed work and working conditions are probably the result of the economic climate in which lives and works, fixed and inadequate wages and minimum benefits combined with the nature of the work.

Nursing by nature is a profession with high level of stress. As a profession it is considered to be one of more difficult jobswhich requires physical, mental and emotional engagement of nurses and technicians. Determine stress levels and working conditions of nurses in primary and secondary health care. The research was conducted at the General Hospital in Trebinje (secondary health care) and the Medical Center of Foca (primary health care). The study included 90 nurses and technicians.The study lasted for a period from10/02/2017 to 28/02/2017. The data were collected by anonymous questionnaire to identify stress at work which is adapted to protect workers’ health by the WHO. The health center in Foca(primary health care) tested 47.8% of respondents, and the rest are respondents who are employed at the General Hospital in Trebinje (secondary health care) (52.2%). Of the total number of nurses / technicians, 61.1% believe that there is enough time to adequately carry out their work. More than a half of the respondents (51.1%) believe that the work in their institutionis stressful. Twenty percent of the medicine nurses / technicians is exposed to unfavourable physical conditions at work. Highly statistically significant is higher number of nurses / technicians from the primary health care who consider to have good prospects for career development in comparison to nurses / technicians from secondary health care (χ2 = 15.563, p = 0.001). The highest percentage of nurses / technicians, 65.6% believe that their incomesare not sufficient to meet their own needs and those of their families. The results analysis showed that the stress of nurses / technicians at both levelsof thehealth care is equally present, as well as that nurses in secondary health care encounter more difficultworking conditions. Besides that financial compensation for the work of nurses / technicians is not enough to satisfy their own needs and those of their families.

Introduction: Lung cancer is often a malignant disease and one of the leading causes of death. It hes been the most common malignant disease in male population for years and has also become more frequent in fe male population. Health care and emotional support to these patients is of considerable inportance. If one of the family members is diagnosed with this disease, the family often experience problems overcomeing and understanding their own reactions in that situation. The aim of this study was to investigate to which extend the patients are informed about their disease.the awareness of patients about their disease, as well as to examine how wich family members are willing to support a sick member of their family. Methods: The study included patients suffering from lung cancer who were admitted to the Oncology Department of the University Clinical Centre in Foca for chemotherapy. After the end of the treatment patients were discharged to home health care treatment. During the home visits, patients and familiy members were interviewed. The sample consisted of N = 18 patients, and N = 18 their family members who cared for the patient at home. Patients were interviewed by means of anonymous questionnaire, and the results are displayed graphically. Results: The results showed that the respondents were quite well informed about their disease, although it sometimes happened that they did not sufficiently understand well enough given information. Half of the respondents (50% of them) were not adequately informed about the side effects of chemotherapy. Two-thirds (78%) of the family members were willing to support a sick family member, and even up to 34% of them where reluctant to seek help from health professionals. Conclusion: It is believed that knowledge and information on the character and severity of the disease significantly contribute to easier acceptance of the diagnosis and encourage the patient to active participation in their own treatment. Since the health care of lung cancer sufferers is complex , nurses should be educated enough keeping pace with technological development (diagnostics, therapy, emotional support, health education, work integration and reintegration of the patient in the corresponding group and environment).

Health-Related Quality Of Life (HRQOL) of oncology contains subjective experience of the positive and negative aspects of disease on the physical, emotional, social and cognitive function, and the frequency of the symptoms and side effects of the treatment. The patient is the best source for information about the quality of life and it is necessary that the patient’s value system evaluates and qualitative terms. The effect of chemotherapy is the system, which means that the blood is transported to where the whole body where reacted to the malignant cells in the process of cell division and a variety of other normal tissues. Thus become supporting undesirable advent such as fatigue, which is almost always present, loss of appetite, reduced resistance to infection, and the most common and best known, nausea, vomiting, and hair loss. All of these complications affect the reduction in quality of life, and this applies to all aspects of life: emotional status, social life, physical limitations in daily performance of physiological actions. The role of nurses in the application of chemotherapy is extremely important. From the beginning, the patient and the nurse gain a relationship of trust and security to the patient feel comfortable and safe.

Introduction: Sexually transmitted infections represent a public health problem of great importance in most parts of the world. Research goal: The primary aim is determine the sexual activity, attitudes and knowledge of high school students about sexually transmitted diseases. Method: The research conducted is the type of study section. In December, 113 students from first to fourth grade from High School Center Foca were surveyed. In the study used an anonymous questionnaire character. The questionnaire in this research was anonymous. Results: 35.4% of respondents were sexually active. The young men were sexually much more active than girls (χ2 = 30,447; p = 0.001). Most sexually active students said that they had their first sexual intercourse at age 15 (50%%). The boys and girls have diametrically opposed attitudes regarding age in which they find it is the optimal time for their sexual activities (χ2 = 20,252; p = 0.001). Students of the third and fourth grade have a much higher level of knowledge compared to the students of the first and second grade (χ2 = 31,791; p = 0.001). Most students would continue to associate with a person even if that person has one of the sexually transmitted diseases (64.6%). Conclusion: The results of this study show that sexual activity of adolescents surveyed is not a mass phenomenon, but that knowledge of students of first and second grades was insufficient, and that there is a need for education of this target group, considering the importance of preserving reproductive health of adolescents, who are the future of preserving population.

Surgical intervention usually leads to fear. The operation has always been emphasized emotional entry into the sphere of the unknown and there is no man with normal psychological defenses that do not feel any discomfort when visiting any operation. The aim of this study is to examine the existence of psychological reactions of patients who were admitted to the surgical treatment, the possibility of exploring measures to overcome possible preoperative and postoperative fear, development of a plan to introduce changes and strategies to overcome the preoperative and postoperative fear and monitoring its implementation. The research was conducted in the surgical unit for anesthesia and resuscitation at University Hospital in Foca during the period from 01.05.2013. until 31.05.2013. year. The study used a descriptive short questionnaire with information on the subject and self-assessment questionnaire for depression. The majority of patients a few days before the operation had diminished interest in the events around them, a feeling of emptiness, indisposition, sleep problems, fatigue. The majority of patients had decreased appetite, weakness of concentration, slow, suicidal ideas. From all examined patients 15% of them showed no physical symptoms, while 85% were showed greater number of physical symptoms in the field of all organ systems. Twenty percent of all examined patients has no signs of depression, a mild form of depression was found in 55% of patients, while the moderately mild form of depression was found in 25% of patients. A well-designed and conducted psychological preoperative preparation is not only an important factor for positive operational outcomes and successful post-operative recovery of patients, but also more durable pledge its rational relationship to health and disease.

Demencija je progresivna bolest koja dovodi do gubitka mentalnih sposobnosti, što rezultira promjenom memorije, te gubitka socijalnih sposobnosti. Demencija nastaje zbog stanja koja izazivaju promjenu mišljenja, pamćenje, zaključivanje i govor. Demencija je postala sve učestalija, a može se otkriti već u srednjim godinama iako je u starosti mnogo češća. Pozitivna veza između ishrane i nastanka mentalnih poremećaja ogleda se i u jakoj korelaciji između unosa rafinisanog šećera i smanjenja stava svijesti oboljelih od šizofrenije i nastanka depresije. Mentalne promjene u toku starenja i postepeno odvajanje od aktivnog društvenog života, obično se emotivno odražavaju u prvoj fazi starenja bjekstvom u hranu, a u drugoj fazi poslije 75. godine apatijom, kada i hrana gubi svoju privlačnost. Demencije predstavljaju jedan od najznačajnijih savremenih javnozdravstvenih problema. Dugotrajan nutritivni deficit u ishrani povezuje se sa depresivnim raspoloženjem, anksioznošću i kongnitivnim propadanjem.

Young people, according to UN defiiniciji, represent the future of every society and they are the most profitable long-term investmentEach year, approximately 1 million teenage girls become pregnant in the world, and every 67 seconds a baby teenager In the adolescent period a large number of young people start with alcohol, coffee, psychotropic substances and smoking. The reasons are most often the desire to prove, identification, affirmation sekusalnog identity, curiosity for the new and unknown. The aim of the study was to examine the knowledge, attitudes and knowledge of adolescents about the use of psychoactive substances, alcohol and tobacco, as well as to identify ways in which young people use their free time.  The survey was conducted in April 2015, in primary and Secondary School in Foca. The survey included 212 respondents, of different genders and different age groups. Data were collected original survey questionnaire, anonymous character, which contains 14 questions. Both groups of patients in a large percentage stated that they did not try psychoactive substances, as the most common reason for drug use both cited as the main reason for the influence of society. Although sexual activity is still taboo in the RS, alarming data that 19% of ninth grade students sexually active, and to limit entry into sexual relations increasingly lowered. Young in primary and secondary school state that they are sufficiently informed of psychoactive substances, as the most frequent source of information for high school state TV and the Internet, and ninth grade students report that they are parents. In this time of adventure and immature display of defiance social and social norms, young people are very vulnerable group subject to acceptance of various forms of risk behavior.

Introduction: It is very difficult to describe how the patient feels at first contact with the hospital environment, medical personnel and medical diagnostic and therapeutic procedures. He was usually upset at first contact since carries with it suspense and feers, due to illnes, but also because of the new situation. Will the first meeting to encourage patients and create confidence and sureness or, derogate and hurt his personality, depends on these first impressions. The aim: The aim is to exemine react to hospitalization, analyze what is to attitude of hospital personnel towards patients, and investigate which patients are proposals to improve the conditions and procedure for hospitalization. Methods: The study was conducted at University Hospital in Foca, period October-November, 2014. The study included 50patients who are being treated at the University Hospital in Foca, in the section of Internal Medicine. The research used an anonymous questionnaire, and the results are graphically presented. Results: Two-thirds of respondents reacted very well to the hospitalization. Asked about their impressions on the first meeting with the medical personnel, 94% of respondents expressed a positive opinion, while 6% of respondents characterized their first meeting as negative. Conclusion: Generally, this study yilded the following results which can be characterized as positive, but we must strive to be better and try to patients satisfaction with the services and attitude of health worker, made at the highest level.