The findings add to increasing international evidence that favourable nurse working conditions, low nurse-to-patient ratio and richer skill mix result in positive patient outcomes. Health systems can foster nurses to perform high-quality care by improving work conditions, and providing sufficient nurses and resources.

Introduction: Thai society is becoming an aging society due to the increase of the population aged 60 years or above. Developing the elderly care system in the community is important and needs cooperation from many sectors in order to provide care for the elderly effectively.   The objective of this research was to explore the meanings of the elderly care system in community in Thailand, using a qualitative research approach.Methods: This descriptive qualitative research design was conducted with 40 informants at a community in a province located at the lower northern region of Thailand. The informants were divided into two groups. 1) The main informants were the Chief Executive of the Local Administrative Organization (LAO). 2) The secondary informants were those who had been guided to help the elderly in the community and family.  The data were collected by observation, in-depth interviews, focus group discussions and document study. The reliability of the data was verified by triangulation. The data were analyzed by content analysis.Results: The results of  the meanings of the elderly care system in community was defined as five themes: providing help and support, having networks, volunteerism, having knowledge and knowledge management, and community solidarity.Conclusion: The elderly care system in the community is in line with the participation process of all parties, both inside and outside the area, to jointly conduct activities to deal with problems and develop various operations in the area to support the elderly care system in the community.

The purpose of this descriptive research was to study the factors that influence the quality of life (QOL) and longevity of the elderly in Thailand. The sample was made up of 280 elderly people in Phrae province, Thailand. The research found that (1) the QOL of the elderly in Phrae province was overall at a good level of 66.30%, (2) the factors that have significant influence on the QOL of the elderly at the p value = .01 are healing and exercise factors which are able to jointly predict the QOL of the elderly in Phrae Province by 12.2% (R2 = .122), and (3) from the structured interviews of 10 elderly people aged 80 years and older, it was found that diet, exercise, stress reduction, and healing are factors that allow the elderly to live for an average of 80 years which is above the average age of Thai people (the average age for men is 71.8 years old and for women is 78.6 years old).

Introduction: Self-efficacy is defined as a person’s own judgment of their capabilities to perform a specific activity to attain a particular outcome. The concept of self-efficacy of exercise in older adults with diabetes may still be unclear, so it is essential to elucidate its meaning for better understanding in this concept. This paper aims to explore the meaning of self-efficacy with regard to exercise in older adults with diabetes.Methods: Using the Walker and Avant concept analysis, it discusses cases showing diabetic Thai people and how they manage their health behavior changes, such as with exercise.Results: Analysis of the concept of self-efficacy in terms of its defining attributes, antecedents, consequences, and empirical referents provides information related to clinical usefulness. It helps healthcare professionals communicate the same notion when discussing self-efficacy and can distinguish this concept from other related concepts.Conclusion: Analysis of the concept of self-efficacy provides information related to exercise in older adults and can assist healthcare professionals in communicating the same notion when discussing the concept.