Reforms in higher nursing education in High Medical School of Bitola by Bologna declaration

theoretical and practical courses were included. We made the evaluation before and after two months of the education. The analyses of the responses in the questionnaire showed a significant increase of the theoretical (p<0.05) and practical knowledge (p<0.01). In order to evaluate the effectiveness of the education, it is necessary to choose an educational model that will offer reflexive information from the students. Choosing current medical topic and following the standards of prevention in treatment is one important segment of the health system in every country.