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

Catherine Louise Andrew; Victoria Traynor; Don Iverson

doi:10.1111/jan.12727

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

Journal article

Open access

Peer reviewed

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

Catherine Louise Andrew, Victoria Traynor and Don Iverson

Journal of Advanced Nursing, Vol.71(12), pp.2728-2740

01/12/2015

DOI: https://doi.org/10.1111/jan.12727

PMID: 26224421

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Abstract

Dementia - psychology

Time Factors

Humans

Middle Aged

Aged, 80 and over

Adult

Female

Male

Aged

Automobile Driving - psychology

Decision Making

To synthesise primary research exploring decision making practices used to determine the time to retire from driving for individuals living with a dementia. 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. Integrative literature review informed by Whittemore & Knafl (2005). Electronic database search of Medline, CINAHL, Web of Science, Google Scholar 1997-2012; and incremental hand search. Primary studies published in peer reviewed journals were appraised against quality assessment criteria using CASP methodological assessment tools. 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. 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
Creators: Catherine Louise Andrew (Author) - University of Wollongong
Victoria Traynor (Author) - University of Wollongong
Don Iverson (Author) - Swinburne University of Technology
Publication Details: Journal of Advanced Nursing, Vol.71(12), pp.2728-2740
Identifiers: 991012936700402368
Academic Unit: Allied Health and Midwifery; Faculty of Health
Language: English
Resource Type: Journal article

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

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Metrics

UN Sustainable Development Goals (SDGs)

Abstract

Details

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