"Are you still driving?" Metasynthesis of patient preferences for communication with health care providers
"Are you still driving?" Metasynthesis of patient preferences for communication with health care providers
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DOI：
10.1080/15389588.2015.1101078
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发表时间：
2016-01-01
影响因子：
2
通讯作者：
Diguiseppi, Carolyn
中科院分区：
文献类型：
--
作者：
Betz, Marian E.;Scott, Kenneth;Diguiseppi, Carolyn
目的：本研究的目的是综合已发表的定性研究，以确定老年人的偏好与医疗保健providers.Background沟通驾驶：医疗保健提供者在解决驾驶安全和驾驶退休与老年人的关键作用，但有关驾驶的对话可能是困难的。指南存在的家庭成员和供应商，但到目前为止，更少的是知道的类型的沟通和信息的老年司机希望从他们的医疗保健提供者。设计：一个定性的元分析论文的研究发表在2014年10月10日或之前，在数据库中（PubMed、CINAHL、PsycINFO和Web of Science）和灰色文献进行。代表518名老年驾驶员的22项已发表的研究符合以下纳入标准：研究（1）是关于驾驶的;（2）涉及老年驾驶员;（3）是定性的（而不是定量或混合方法）;（4）包含关于老年驾驶员与医疗保健提供者沟通的观点的信息。我们确定了关于老年人沟通偏好的5个主要主题：（1）驾驶讨论充满情感;（2）背景问题;（3）提供者被信任并被视为权威人物;（4）沟通应该在一段时间内发生，而不是突然发生;（5）老年人在决定停止驾驶时希望代理。结论：参与老年驾驶员安全的各个利益相关者应该考虑老年驾驶员关于驾驶的讨论的观点。医疗保健提供者可以尊重和授权老年驾驶员，并通过在生命过程中有关驾驶安全和移动性过渡的巧妙沟通来支持他们的家庭成员。
Aim: The aim of this study was to synthesize published qualitative studies to identify older adults' preferences for communication about driving with health care providers.Background: Health care providers play a key role in addressing driving safety and driving retirement with older adults, but conversations about driving can be difficult. Guides exist for family members and providers, but to date less is known about the types of communication and messages older drivers want from their health care providers.Design: A qualitative metasynthesis of studies published on or before October 10, 2014, in databases (PubMed, CINAHL, PsycINFO, and Web of Science) and grey literature was performed.Review Methods: Twenty-two published studies representing 518 older adult drivers met the following inclusion criteria: the study (1) was about driving; (2) involved older drivers; (3) was qualitative (rather than quantitative or mixed methods); and (4) contained information on older drivers' perspectives about communication with health care providers.Results: We identified 5 major themes regarding older adults' communication preferences: (1) driving discussions are emotionally charged; (2) context matters; (3) providers are trusted and viewed as authority figures; (4) communication should occur over a period of time rather than suddenly; and (5) older adults desire agency in the decision to stop driving.Conclusion: Various stakeholders involved in older driver safety should consider older drivers' perspectives regarding discussions about driving. Health care providers can respect and empower older drivers and support their family members through tactful communication about driving safety and mobility transitions during the life course.