Community Nurses’ Role in Promoting the Wellness among the Community-Dwelling Older Adults under the Self-Determination Theory Concept

Abstract

     Currently, the world is facing an aging society, with Thailand being no exception. Preparing individuals for the challenges associated with aging has become an urgent and complex issue within public health systems. Older adults are considered a vulnerable population, often facing multiple life crises such as declining health, financial instability, social isolation, bereavement, and unemployment. Therefore, the ability to adapt and cope with these life transitions is essential for maintaining overall well-being. This article explores the application of Self-Determination Theory (SDT) as a framework for community nurses to promote wellness among community-dwelling older adults. In the context of a rapidly evolving digital era, community nurses play a pivotal role in supporting older individuals to engage in health-promoting behaviors through various health activities that enhance intrinsic motivation. By fostering a sense of competence (feeling capable and confident), autonomy (the ability to make independent health-related decisions), and relatedness (establishing meaningful social connections), community nurses can empower older adults to take ownership of their health. The expected outcome is that older individuals will adopt sustainable health behaviors, improve their capacity for self-care, reduce dependence on others, and ultimately experience an enhanced and enduring quality of life.