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

Journal article


Andrew, Catherine, Traynor, Victoria and Iverson, Don. (2015). An integrative review: Understanding driving retirement decisions for individuals living with a dementia. Journal of Advanced Nursing. 71(12), pp. 2728 - 2740. https://doi.org/10.1111/jan.12727
AuthorsAndrew, Catherine, Traynor, Victoria and Iverson, Don
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.

Year2015
JournalJournal of Advanced Nursing
Journal citation71 (12), pp. 2728 - 2740
PublisherWiley-Blackwell Publishing Ltd.
ISSN0309-2402
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.12727
Scopus EID2-s2.0-84954529867
Open accessOpen access
Page range2728 - 2740
Research GroupSchool of Allied Health
Publisher's version
License
Place of publicationUnited Kingdom
Permalink -

https://acuresearchbank.acu.edu.au/item/867y5/an-integrative-review-understanding-driving-retirement-decisions-for-individuals-living-with-a-dementia

Download files

  • 7
    total views
  • 13
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

What is the impact of dementia on occupational competence, occupational participation and occupational identity for people who experience onset of symptoms while in paid employment? A scoping review
Andrew, Catherine, Phillipson, Lyn and Sheridan, Lynnaire. (2019). What is the impact of dementia on occupational competence, occupational participation and occupational identity for people who experience onset of symptoms while in paid employment? A scoping review. Australian Occupational Therapy Journal. 66(2), pp. 130-144. https://doi.org/10.1111/1440-1630.12535