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An integrative review: understanding driving retirement decisions for individuals living with a dementia

Journal Article


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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.

Publication Date


  • 2015

Citation


  • Andrew, C., Traynor, V. & Iverson, D. (2015). An integrative review: understanding driving retirement decisions for individuals living with a dementia. Journal of Advanced Nursing, 71 (12), 2728-2740.

Scopus Eid


  • 2-s2.0-84954529867

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4360&context=smhpapers

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/3337

Has Global Citation Frequency


Number Of Pages


  • 12

Start Page


  • 2728

End Page


  • 2740

Volume


  • 71

Issue


  • 12

Place Of Publication


  • United Kingdom

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.

Publication Date


  • 2015

Citation


  • Andrew, C., Traynor, V. & Iverson, D. (2015). An integrative review: understanding driving retirement decisions for individuals living with a dementia. Journal of Advanced Nursing, 71 (12), 2728-2740.

Scopus Eid


  • 2-s2.0-84954529867

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=4360&context=smhpapers

Ro Metadata Url


  • http://ro.uow.edu.au/smhpapers/3337

Has Global Citation Frequency


Number Of Pages


  • 12

Start Page


  • 2728

End Page


  • 2740

Volume


  • 71

Issue


  • 12

Place Of Publication


  • United Kingdom