Faculté des Sciences Infirmières, Université Laval, Quebec City, Quebec, Canada.
Département des Sciences de la Santé, Université du Québec à Chicoutimi, Chicoutimi, Quebec, Canada.
Int J Older People Nurs. 2022 Jul;17(4):e12452. doi: 10.1111/opn.12452. Epub 2022 Feb 14.
Population ageing will lead to an increase in the number of older drivers. The ageing process can affect older adults' driving ability. Nurses can play a major role in identifying potentially at-risk drivers and providing guidance about driving safety and cessation, but their role remains somewhat unknown.
This scoping review aims to present the scientific literature in relation to the nursing profession in the field of road safety.
CINAHL and PubMed databases were used to identify quantitative, qualitative, mixed methods or clinical practice guideline articles that referred to the role of nurses in older people's road safety and were published in English or French languages between January 1990 and August 2020. Ten (10) articles met the inclusion criteria and were analysed.
Analysis of included articles revealed one main theme: Nurses' and NPs' roles in the mobility continuum. Results showed that nurses and nurse practitioners (NPs) often see older drivers in their clinical practice and that they have the competencies to screen and assess their fitness to drive. They are well positioned to discuss age-related changes, fitness to drive and a driving retirement plan with their older patients, but they are not confident when addressing this issue. Few older adults have discussed their driving abilities with healthcare professionals, but they would be willing to discuss this if the subject were brought up.
This scoping review highlighted the paucity of research addressing the role of the nurse in road safety. More research is needed to adequately document this role.
人口老龄化将导致老年司机数量增加。衰老过程会影响老年人的驾驶能力。护士在识别潜在高危驾驶员并提供驾驶安全和停止驾驶方面可以发挥重要作用,但他们的角色仍然有些未知。
本范围综述旨在介绍与护理专业在道路安全领域相关的科学文献。
使用 CINAHL 和 PubMed 数据库,确定了 1990 年 1 月至 2020 年 8 月期间以英文或法文发表的、提到护士在老年人道路安全中作用的定量、定性、混合方法或临床实践指南文章,包括护士和执业护师(NPs)在老年人驾驶能力方面的作用。
对纳入文章的分析揭示了一个主要主题:护士和 NPs 在移动连续性中的作用。结果表明,护士和执业护师经常在临床实践中看到老年司机,并且具备筛查和评估其驾驶能力的能力。他们非常适合与老年患者讨论与年龄相关的变化、驾驶能力和驾驶退休计划,但在解决这个问题时他们缺乏信心。很少有老年人与医疗保健专业人员讨论过他们的驾驶能力,但如果提出这个问题,他们愿意讨论。
本范围综述强调了研究护士在道路安全中的作用的研究不足。需要更多的研究来充分记录这一角色。