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. 相似文献
Abstract: Debate on the values that underpin conservation science is rarely based on empirical analysis of the values conservation professionals actually hold. We used Q methodology to investigate the values held by international conservation professionals who attended the annual Student Conference in Conservation Science at the University of Cambridge (U.K.) in 2008 and 2009. The methodology offers a quantitative means of examining human subjectivity. It differs from standard opinion surveys in that individual respondents record the way they feel about statements relative to other statements, which forces them to focus their attention on the issues they believe are most important. The analysis extracts the diverse viewpoints of the respondents, and factor analysis is used to reduce the viewpoints to a smaller set of factors that reflect shared ways of thinking. The junior conservation professionals attending the conference did not share a unifying set of core values; rather, they held a complex series of ideas and a plurality of opinions about conservation and how it should be pursued. This diversity of values empirically challenges recent proposals for conservation professionals to unite behind a single philosophy. Attempts to forge an artificial consensus may be counterproductive to the overall goals conservation professionals are pursuing. 相似文献
The aims of this paper are to test mental images of risk and to present some results of a survey of safety climate, employee attitudes, risk perception and behaviour among employees within the industrial company Norsk Hydro. Two mental images were tested. They are both based on the assumption that it is possible to make a distinction between cognitive and affective processes involved in risk perception. The first model was the ‘rationalistic’ approach, which assumes that the affective component of risk perception is influenced by cognitive judgements. The justification for the second model is found in Zajonc's [Zajonc, R.B., 1980. Feeling and thinking. Preferences need no inferences. American Psychologist 35 (2), 151–175] conclusion that emotions are precognitive. In this model, entitled the ‘mental imagery’ approach, emotion is seen as the driving force affecting cognition of risk and safety. Employees at 13 plants have answered a self-completion questionnaire. The plants belonged to the agricultural, aluminium, magnesium and petrochemical divisions within Norsk Hydro. A total of 731 respondents replied to the questionnaire. The mental imagery approach was somewhat better fitted to the data than a rationalistic approach. Safety climate and employee attitudes towards safety and accident prevention contributed significantly to the variance in employee occupational risk behaviour. Worry and the extent to which the employee felt safe/unsafe was the most important predictor for the cognitive judgement of risk. Acceptability of rule violations seemed to be the most important predictor of behaviour, probably because acceptability also affected how often the respondents took chances and broke safety rules. 相似文献