Fears and freedoms: A qualitative analysis of older adults' basic psychological needs for autonomy, competence, relatedness and beneficence

Work Preferences, Control, and Independence among Midlife and Older Adults in Aotearoa/New Zealand

In 2023, current life expectancy for adults aged 65 and over in Aotearoa/New Zealand ranged from 84.6 to 89.2 years. Mandatory retirement has been abolished, but pension age eligibility remains at age 65. However, some older adults prefer to continue working, often experiencing a mismatch between current and preferred work statuses. The current study used data drawn from the 2020 wave of the New Zealand Health, Work and Retirement study (HWR; N  =  3,916; Mage  =  66.84) to examine associations between work preferences and perceptions of control and independence. We found that those not working but who preferred to work reported the lowest levels of perceived control and independence. Conversely, work preference match and higher levels of perceived control and independence were positively related to life satisfaction. The current study adds to our understanding of the centrality of work status, perceived control, and perceived independence among midlife and older adults, particularly in Aotearoa/New Zealand.

Older adults' experiences of self-determination when needing homecare services-an interview study

BACKGROUND

Self-determination has been shown to be an important factor in mental health and wellbeing, but from the homecare recipients' point of view, autonomy and self-determination is not fully integrated into homecare services. The aim of this study was to explore older adults' experiences of self-determination when needing homecare services.

METHODS

In 2018, a qualitative descriptive study was conducted and a convenience sample of 15 older adults from 3 homecare service facilities were invited to participate in individual interviews. Data were analysed using qualitative content analyse.

RESULTS

The theme Transitioning from self-determination as independence towards self-determination as shared decision-making emerged through the older adults' narratives. This 'transition' is one in which older adult's understanding of self-determination and self-esteem was transitioning towards the acceptance of shared decision-making. The person's inner strength and willingness to make decisions was promoting to enact and preserve independence. Accepting one's dependence on others and being in a positive atmosphere were described as promoting self-determination and shared decision-making, and vice versa. The above overarching theme permeated all subthemes, which included: mobilising inner strength to enact independence; accepting increasing dependence on others; and being influenced by the atmosphere.

CONCLUSIONS

The study contributes increased understanding of older adults' experiences of self-determination. The results can act as a guide when planning future person-centred care interventions in the context of homecare services and help improve homecare services' ability to meet the needs of older adults. To summarise, older adults' reflections on their own self-determination highlighted relationships with other people as important for shared decision-making, which could help preserve older adults' autonomy and self-esteem.