With accumulated nursing research results from older adults, refined middle range nursing theories are evolving in gerontological nursing area. Three middle range nursing theories and framework were reviewed and described. Life transition framework for older adults were developed through research related to relocation and other transitions taken place in later life. Self-efficacy exercise model was developed by extensive research related to rehabilitation of older adults based on self efficacy expectations and outcome expectations concept from social cognition theory. Need-Driven dementia-compromised Behavior (NDB) model was developed by a group of nursing scholars studying dysfunctional behaviors of demented older adults. All of these theories are approaching to practice theory by developing interventions and nursing therapeutics. There are more needs to develop theories for specific gerontological nursing phenomena such as delirium, end of life and self integrity.