Due to the large number of laborers going out in the western region of China, the speed of aging is accelerating, showing four distinctive features: rapid development, lack of prosperity, empty nesting problems, and heavy burden of old-age pensions. There are problems such as low participation in social capital, insufficient propaganda, unequal distribution of resources, low number of medical personnel and low quality, and ethnic and traditional cultural influences in the medical and nursing care institutions in the western region. In response to these problems, relevant suggestions were put forward from the aspects of management system, publicity and promotion, personnel training, service forms, etc. to promote the long-term, healthy, and sustainable development of the western region's medical care and support pension service model.

Objective? To explore the status quo of creative self-efficacy and research performance in nursing undergraduates and to analyze the correlation between the two. Methods? Totally 190 senior nursing undergraduates who practiced in the Second Affiliated Hospital of Kunming Medical University were selected by convenient sampling and investigated with the Creative Self-Efficacy Scale and the Research Performance Self-Rating Scale for nursing staff. Results? The 190 nursing undergraduates' creative self-efficacy score totaled (65.31±9.51), and their total research performance score was (72.85±13.97). Univariate analysis revealed that there was statistically significant difference in creative self-efficacy scores between nursing undergraduates who were student leaders or not (P＜0.05); and there were statistically significant differences in research performance scores between nursing undergraduates with different English levels, computer skills and home address (P＜0.05). The scores of various dimensions creative self-efficacy were positively correlated with the scores of various dimensions of research performance (P＜ 0.01). Conclusions? Nursing undergraduates＇ creative self-efficacy and research performance need to be improved. Universities and colleges should actively launch activities which are beneficial to their research literacy and creative awareness and take scientific research activities as one of the most pathways to develop nursing students＇ research literacy and creativeness and entrepreneurship.