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Journal of Advanced Nursing - 2015 - Andrew - An integrative review understanding driving retirement decisions for169.83 kB
Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
An integrative review: understanding driving retirement decisions for individuals living with a dementia
Journal of Advanced Nursing, Vol.71(12), pp.2728-2740
2015
PMID: 26224421
Abstract
Aim: To synthesise primary research exploring decision making practices used to determine the time to retire from driving for individuals living with a dementia.
Background: Driving requires complex cognitive and physical skills potentially compromised due to the progressive nature of dementia. Whilst on-road assessments are considered reliable indicators of driving capacity by clinicians, drivers with dementia disagree.
Design: Integrative literature review informed by Whittemore & Knafl (2005).
Data sources: Electronic database search of Medline, CINAHL, Web of Science, Google Scholar 1997-2012; and incremental hand search.
Review methods: Primary studies published in peer reviewed journals were appraised against quality assessment criteria using CASP methodological assessment tools.
Results: A total of 43 studies were retained for synthesis. Key findings were abstracted and a themes matrix was generated to identify patterns of meaning. Six themes emerged: (i) dementia may compromise the complex task of driving; (ii) defining onset and severity of dementia is problematic; (iii) symptom progression impacts on driving skills; (iv) assessment of fitness to drive remains subjective; (v) some drivers are reluctant to accept negative assessment outcomes; and (vi) the search for effective strategies to enhance acceptance of driver retirement continues.
Conclusion: This integrative literature review identified a large body of knowledge exploring the issues of driving cessation for drivers with dementia. However a challenge remains for practitioners, drivers and their family carers regarding how best to address this highly emotive issue. Findings could inform a structured approach to address this sensitive topic in a timely manner.
Details
- Title
- An integrative review: understanding driving retirement decisions for individuals living with a dementia
- Authors
- Catherine Andrew (Corresponding Author) - University of WollongongVictoria Traynor - University of WollongongDon Iverson - Swinburne University of Technology
- Publication details
- Journal of Advanced Nursing, Vol.71(12), pp.2728-2740
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2015
- DOI
- 10.1111/jan.12727
- ISSN
- 1365-2648; 0309-2402
- PMID
- 26224421
- Copyright note
- © 2015 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
- Grant note
- NSW/ACT Dementia Training and Study Centre, University of Wollongong
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health - Nursing
- Language
- English
- Record Identifier
- 991154838602621
- Output Type
- Journal article
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- Domestic collaboration
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- Nursing
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