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Staff's reactions towards partnered sexual expressions involving people with dementia living in long‐term care facilities
Author(s) -
Villar Feliciano,
Celdrán Montserrat,
Serrat Rodrigo,
Fabà Josep,
Martínez Teresa
Publication year - 2018
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13518
Subject(s) - vignette , dementia , long term care , psychology , qualitative research , medicine , clinical psychology , nursing , psychiatry , social psychology , social science , disease , pathology , sociology
Aims To explore staff responses, in terms of common practices, towards partnered sexual relationships in long‐term care facilities where one or both people involved have dementia. It also tries to determine personal and institutional factors influencing these responses. Background Although some studies, mostly qualitative, have focused on reactions to residents’ sexual expressions so far the issue has not been assessed in a study using large and diverse samples. Design Cross‐sectional quantitative study using vignette technique. Methods Participants were 2,295 staff members at 152 Spanish long‐term care facilities. Data were collected during 2016. A vignette describing sexual situations involving people with dementia was presented to participants. After the vignette, participants had to answer the question: “What do you think most of your colleagues would do in this situation?” with nine possible responses. Results Results showed that relationships involving persons with dementia were perceived as potentially problematic by staff. In both conditions, discussing the case with a colleague or supervisor was the most frequently chosen reaction. More restrictive reactions were mentioned when only one person with dementia was involved in the relationship. Factors such as participants” age and years of experience, professional post and commitment to person‐centred care practices were related with the frequency of common restriction practices. Conclusion Results highlight the importance of providing staff with clear guidelines regarding the management of specific sexual situations to avoid stereotyped restrictive reactions.