School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Int J Older People Nurs. 2022 Nov;17(6):e12473. doi: 10.1111/opn.12473. Epub 2022 May 23.
Ceasing driving for older people is a life transition and can be associated with a sense of loss and decreased wellbeing. Nurses can play a key role in supporting the older person to manage the transitions, especially as the work involved in ceasing driving is often hidden. For example, finding alternative and accessible means of travel and maintaining mobility. Travel itself can be viewed as essential, for example attending health appointments and shopping. Discretionary travel may not be viewed as essential, but provides an important means of maintaining activity and social connection.
A case study is presented of Mike's journey in ceasing driving. The concept of transition helps in co-creating with Mike his journey of discovery. Semi-structured interviews took place with Mike over a six-month period and a journey pathway created, which was subject to further iterations during subsequent interviews.
Ceasing driving involves a number of transitions encompassing a series of losses, managing uncertainty, problem-solving and learning new skills. Being able to access and adapt to maintain mobility and travel are influenced by structural and environmental barriers.
The World Health Organization's strategy to create age-friendly cities and communities is admirable. Like any other strategy this is a long-term plan, and in meantime action needs to happen to support older people in ceasing driving and creating a non-driving life and limit a decrease in well-being. Starting conversations on transitional travel planning is proposed, with nurses playing a central role in making this process happen.
老年人停止驾驶是一个生活转变,可能会导致失落感和幸福感下降。护士可以在支持老年人管理过渡方面发挥关键作用,尤其是因为与停止驾驶相关的工作通常是隐藏的。例如,寻找替代的、可及的交通方式并保持机动性。出行本身可以被视为必要的,例如参加健康预约和购物。而任意出行可能不被视为必要,但提供了维持活动和社交联系的重要手段。
呈现了迈克停止驾驶之旅的案例研究。过渡的概念有助于与迈克共同创造他的发现之旅。对迈克进行了为期六个月的半结构化访谈,并创建了一个旅程路径,在随后的访谈中进行了进一步的迭代。
停止驾驶涉及到一系列的转变,包括一系列的损失、管理不确定性、解决问题和学习新技能。能够获得并适应这些以保持机动性和出行,受到结构和环境障碍的影响。
世界卫生组织创建适合老年人居住的城市和社区的战略令人钦佩。像任何其他战略一样,这是一个长期计划,在此期间,需要采取行动来支持老年人停止驾驶,创造无驾驶的生活,并限制幸福感的下降。建议开始讨论过渡性旅行规划,护士在实现这一过程中发挥核心作用。