Background Modern and active learning methods form an important part in the education of Nursing students. They encourage the development of communication and critical thinking skills, and ensure the safe health care of patients. Our aim was to obtain naturalistic data from nurse educators regarding want the use and effects of implementing active learning methods (Peyton’s Four-Step Approach, Mind Mapping, Debriefing and Objective Structured Clinical Examination methods) in the study process of students of Nursing after a completed education module, Clinical skills of mentors, as part of the Strengthening Nursing in Bosnia and Herzegovina Project. We wish to learn about the perception of nurse educators regarding the use of active learning methods in the study process of Nursing in the future. Methods Qualitative research was conducted and a group interview technique was used for data collection. Beforehand, research participants were included in a two-day education module, Clinical skills of mentors, as part of the Strengthening Nursing in Bosnia and Herzegovina Project. Content analysis of the discussion transcriptions was conducted. Results Fourteen nurse educators participated. Group interviews were conducted in September 2019. The obtained categories form four topics: (1) positive effect on the development of students’ communication skills (2) positive effect of learning methods on the development of students’ critical thinking skills (3) ensuring a safe learning environment (4) implementation of active learning methods. Conclusions The use of various active learning methods in simulation settings improves the Nursing students’ critical thinking and communication skills. Therefore, we believe that Peyton’s Four-Step Approach, Mind Mapping and Debriefing methods should be included as tools for effective student learning and as preparation for directly performing safe nursing interventions with a patient. Effective approaches to the assessment of Nursing students may ensure quality patient health care in accordance with the vision of the nursing profession.

Ovo je dovelo da nezvanična himna sestara bude ču-vena pjesma "I can't get no satisfaction" benda Rollingstones.Medicinske sestre predstavljaju temelj zdravstvenih ustanova, te je njihova svakodn.evna aktivnost veoma složena i zahtjevna što često na pravi pogled može i da zavara.U svakodnevnom radu pored stručnog znanja i vještina koje primjenjuju, bitan segment njihovog rada je i komunikacija. Komunkacija sa pacijentima i njihovom porodicom sa jedne strane, sa druge strane komunikacija sa ljekarima i drugim zdravstvenim radnicima i zaposlenima u zdravstvu. Komunikacija se odvija na relaciji sa osobljem istog, višeg ili nižeg nivoa obrazovanja, pa su često u situaciji da razgovor moraju prilagoditi sagovorniku na adekvatan način što nekad iziskuje dodatno vrijeme i napor. A da bi to mogle da sprovode, naravno moraju imati adekvatno znanje, obrazovanje i kulturološke vještine. Takođe su bitna spona u komunikaciji između pacijenta i doktora.Da bi medicinske sestre efi kasno obavljale svakodnevne zadatke, veoma je bitno da se očuva zadovoljstvo bavljenja sestrinstvom, kao profesijom što često bude stavljeno na zadnje mjesto ili potpuno zaboravljeno.Od 2008. godine i u Republici Srpskoj se promovišu diplomirane medicinske sestre koje još uvijek nisu involvirane u zdravstveni sistem. Položaj diplomiranih medicinskih sestara u sistemu zdravstva Republike Srpske odraz je stanja u zdravstvu, koje diplomirane medicinske sestre subjektivno doživljavaju frustrirajućim, bilo zbog odnosa sa drugim kolegama ili zbog vrednovanja sestrinstva u sistemu i društvu.Ukoliko ovo zanimanje ne bude dovoljno atraktivno, postavlja se pitanje kako zainteresovati mlade ljude da upisuju studij zdravstvene njege i kako će funkcionisati sistem koji će u skoroj budućnosti biti konfrontiran sa velikim defi citom diplomiranih medicinskih sestara. Do- Problemi diplomiranih medicinskih sestara u svakodnevnoj praksiDuška Jović 1 , Darija Knežević 1 , Nataša Egeljić-Mihailović 2 SAŽETAKZnačaj diplomirane medicinske sestre u Republici Srpskoj još uvijek nije dovoljno prepoznat i može se reći da je uloga medicinske sestre u regionu i kod nas, potcijenjena. U zdravstvenom sistemu Republike Srpske još ne postoji sistematizacija kojom bi se defi nisale uloge medicinskih sestara sa različitim nivoima obrazovanja. To dovodi do animoziteta između diplomiranih sestara i drugih članova tima zdravstvene njege, a najveću štetu trpe pacijenti. Cilj ove studije je sagledavanje objektivnih, svakodnevnih radnih problema diplomiranih medicinskih sestara u Republici Srpskoj i njihovo poređenje sa sličnim ili istim problemima sa kojima se susreću diplomirane medicinske sestre pri radu u drugim zemljama. Upotrijebljena je metodu pregleda literature u međunarodnim bazama podataka u periodu od 21.12.2014 do 31.12.2014. Glavni problema sa kojima se diplomirane medicinske sestre susreću u svakodnevnom radu su: povezanost medicinske sestre i pacijenta, odnos broja medicinskih sestara na broj pacijenata, komunikacija između medicinske sestre i ljekara, međusobni odnos između...

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Introduction: The level of education quality of medical health care graduates (Bachelors of Health care and Nursing) depends on curriculum quality. Knowing what motivates students to enroll medical health care studies and development of professional and academic career are of great importance for education as well as the practice. Aim of the study: To see if there is a difference in attitudes and opinions between 1st year students and 4th year students about health care study program and nursing as a profession, students motivations for enrolling the program and their expectations about possibilities to develop personally, professionally and scientifically after graduating. Patients and Methods: 55 Health care students of Medical Faculty University of Banja Luka (1st year 37 and 2nd year 18 students) were a sample. Research was conducted by using anonymous, original questionnaire which was written for the needs of this research. SPSS (Statistical Product and Service Solutions) version 20. was used for data processing, and Windows, operating system, for data analysis. Results: Conducted research shows that material component, with possibility of finding better job and willingness to care for other people are major criteria which motivate students to choose nursing study. Health care students of both generations graded study program with 3,22 ± 0,76, and there was statistically significant difference (p<0.001) concerning access to literature and companion paper. Both generations of students have positive attitudes about nursing as a profession. Majority of the students (1st year = 77,8%; 4th year = 75,7%) showed interest for further academic development after graduating the study of Health care. A large number of students chose going abroad (1st year 67,6% ; 4th year 77,8%), whereas minority of the students have desire to stay in their own country after graduating. Conclusion: Motives for enrolling the study of Health care in this country and in other countries have no significant differences, and the most frequently cited reasons are possibility of finding better job, and desire to help other people. Academic study program of Health care should be extremely high-quality and alluring enough to draw attention of young students as well as the older students.

Introduction. The aim of the study was to examine the correlation between subjective well-being and quality of life of the elderly in relation to their demographic characteristics, health, social and financial status. Methods. The study sample was comprised of 159 subjects of both sexes and of older age. The respondents underwent research in Banja Luka in the premises of the Association of Pensioners of the Republic of Srpska, senior citizens' clubs when coming to some of financial institutions to get help, to open bank accounts etc., as well as in the premises where pensioners gather to socialize and communicate. The survey questionnaire developed for the purpose of the paper and adapted to this population was used in the study. The survey questionnaire consisted of the following elements: sociodemographic data, self-assessment concerning the quality of life and Quality of Life Scale for the Elderly. Results. The study included a total of 159 subjects, 56.6% males and 43.4% females, of whom the majority were 65-75 years old (67.3%). The average health status (M = 2.17; SD = 0.68) was higher than the expected value, while the social status (M = 1.93; SD = 0.60) and the social needs (M = 1.91; SD = 0.72) were slightly lower compared to theoretical mean. Furthermore, the financial status had an average value (M = 2.08; SD = 0.59). The distribution of social needs was unsatisfactory. The obtained value of the Self-Perceived Quality of Life Scale was within the range of the theoretical mean values (M = 5.54, SD = 2.47), indicating that the distribution of the obtained quality of life values was symmetrical. Conclusion. Financial status significantly affects the quality of life of the elderly. The distribution of social needs is unsatisfactory. The level of education significantly affects the quality of life: highly educated respondents have a better health, social and financial status compared to the elderly with a lower level of education.