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Background: Long-term care development has become a global demand. Nurse directors play a crucial role in managing a long-term care facility's quality and costs. In terms of health self-management, they face many challenges. Health self- management of nursing service quality managers, however, is relatively unknown. Methods: An interview outline were developed based on the framework of theoretical domains. 17 managers were selected for semistructured interviews using purposeful sampling and the snowball method. Nurses, nursing managers, and nursing directors participated in this study. Content analysis was conducted using transcripts of interview recordings, interview notes, reflection diaries, and other materials. Results: Data saturation was reached after the 17th face-to-face interview. Five barriers topics and related sub-topics were categorised in ten domains of the Theoretical Domains Framework. The main barriers to healthy self-management were: (1)Negative emotional influence, (2) Limited time resources, (3) Fetters from professional roles, (4) Lack of positive reinforcement, (5) Concerns about physical red flags. In the ten TDF domains, six facilitators topics and related sub-themes were also identified. These key facilitators included: (1) Highlight the benefits of good habits, (2) Intention to balance life and work, (3) The impact of being considered a benchmark, (4) Fragmented exercise management, (5) Find the team, (6)Wear sports electronic equipment. Conclusion: This study identified a wide range of barriers and facilitators of self-healthy behaviors in long-term care facilities. Managers may consider whether these barriers and facilitators operate in their work. To promote health self-management, provide ideas and references for future research.

The study aimed to determine the willingness of medical staff to have their children vaccinated with a COVID-19 booster in Taizhou, China. From March 21 to April 19, 2022, an online questionnaire survey was conducted to assess the willingness of medical staff to vaccinate their children with a booster dose of the COVID-19 vaccine. Of the 1,252 medical staff in a tertiary grade hospital in Taizhou who were invited to answer the structured questionnaire, 514 (41.1%) samples had valid information for further data analysis. Four hundred thirty-seven medical staff (85.0%) were willing to have their children receive vaccine boosters. After adjustments for confounding factors, the opinion (‘Do you think your child needs a booster vaccination against COVID-19?’) (yes vs. no, OR = 6.91, 95% CI: 3.29–14.54), the viewpoint (‘What are your thoughts the effectiveness of COVID-19 vaccine boosters for children?’ (≥12 vs. <12, OR = 13.81, 95% CI: 4.03-), and the attitude (‘Your attitude to whether your child is boosting the Covid-19 vaccine?’) (yes vs. no, OR = 4.66, 95% CI: 2.30–9.44) were significantly associated with their willingness to have their children receive a COVID-19 vaccine booster. A moderate percentage of the respondents expressed willingness to have their children receive booster vaccines. The findings implied that factors affecting medical staffs’ willingness to vaccinate their children with a COVID-19 vaccine booster included viewpoint, opinion, and attitudes.

Objective. This research mainly discusses the influence of prehospital emergency care (PHEC) on the rescue success rate and complication rate of senile patients with acute myocardial infarction (AMI). Methods. We selected 200 senile AMI patients who visited between January 2019 and January 2021, and retrospectively analyzed their clinical data. According to the differences in nursing methods, the patients were assigned to control group ( n = 90 ) and observation group ( n = 110 ), which were treated with routine nursing and PHEC, respectively. Intergroup comparisons were made in terms of rescue success rate, nursing efficacy, clinical parameters and complication rate. Results. After investigation, the nursing efficacy was higher in the observation group compared with the control group. Additionally, the observation group was observed with statistically shorter time to thrombolysis and hospital stay, as well as evidently lower mortality and complication rates. Conclusion. The above demonstrates that PHEC can effectively improve the rescue success rate and rescue efficacy, and facilitate the recovery of senile AMI patients, with a low complication rate compared with the routine care, which plays an important role in ensuring patients’ life safety and is worth popularizing clinically.