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.