Skip to main content

Advertisement

Log in

Sexuality in Residential Aged Care: A Survey of Perceptions and Policies in Australian Nursing Homes

  • Original Paper
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

Semi-structured telephone interviews were conducted with nursing managers from 198 randomly selected residential aged care facilities (RACFs) in New South Wales, Victoria and Queensland, Australia to gather information about how they perceive and respond to the sexual expression of elderly residents, particularly in relation to policy and training. Participants expressed positive views about the rights of residents for sexual expression but few facilities had any formal policies or training programs in place. Managers identified a range of sexuality-related issues as sources of concern in their day to day operation, however, these tended to be dealt with in an informal and ad hoc way. The lack of policy guidelines and training in this area leads to inconsistent and uncertain practice, with negative implications for the sexual health of residents and the smooth functioning of facilities. A national level approach to policy development is indicated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. PAHO/WHO: Promotion of sexual health: recommendations for action. Proceedings of a regional consultation convened by PAHO, WHO, 2000. Available from URL http://www2.rz.hu-berlin.de/sexology/ (accessed 17 December 2008)

  2. Bretschneider, J., McCoy, N.: Sexual interest and behavior in healthy 82–102 year olds. Arch. Sex. Behav. 17, 109–129 (1988)

    Article  PubMed  Google Scholar 

  3. Ehrenfeld, M., Bronner, G., Tabak, N., Alpert, R., Bergman, R.: Sexuality among institutionalized elderly patients with dementia. Nurs. Ethics 6, 144–149 (1999)

    PubMed  Google Scholar 

  4. Gott, M., Hinchliff, S.: How important is sex in later life? The views of older people. Soc. Sci. Med. 56, 1617–1628 (2003)

    Article  PubMed  Google Scholar 

  5. Bouman, W., Arcelus, J., Benbow, S.: Nottingham study of sexuality & ageing (NoSSA I). Attitudes regarding sexuality and older people: a review of the literature. Sex. Relationsh. Ther. 21, 149–161 (2006)

    Article  Google Scholar 

  6. Lindau, S., Schumm, L., Laumann, E., Levinson, W., O’Muircheartaigh, C., Waite, L.: Study of sexuality and health among older adults in the United States. N. Engl. J. Med. 357, 762–774 (2007)

    Article  PubMed  Google Scholar 

  7. Minichiello, V., Plummer, D., Loxton, D.: Factors predicting sexual relationships in older people: an Australian study. Australas.J. Ageing 23, 125–130 (2004)

    Article  Google Scholar 

  8. Weg, R.: Introduction: beyond intercourse and orgasm. In: Weg, R. (ed.) Sexuality in the later years: roles and behavior, pp. 1–10. Academic Press, Sydney (1983)

    Google Scholar 

  9. Lichtenberg, P.: Clinical perspectives on sexual issues in nursing homes. Top. Geriatr. Rehabil. 12, 1–10 (1997)

    Google Scholar 

  10. Bouman, W., Arcelus, J., Benbow, S.: Nottingham study of sexuality and ageing (NoSSA II). Attitudes of care staff regarding sexuality and residents: A study in residential and nursing homes. Sex. Relationsh. Ther. 22(1), 45–61 (2007)

    Article  Google Scholar 

  11. Walker, B., Harrington, D.: Effects of staff training on staff knowledge and attitudes about sexuality. Educ. Gerontol. 28, 639–654 (2002)

    Article  Google Scholar 

  12. Hajjar, R., Kamel, H.: Sex and the nursing home. Clin. Geriatr. Med. 19, 575–586 (2003)

    Article  PubMed  Google Scholar 

  13. Kuhn, D.: Intimacy, sexuality, and residents with dementia. Alzheimer’s Care Q. 3, 165–176 (2002)

    Google Scholar 

  14. Ward, R., Andreas Vass, A., Garwal, N., Garfield, C., Cybyk, B.: A kiss is still a kiss? The construction of sexuality in dementia care. Dementia 4(1), 49–72 (2005)

    Article  Google Scholar 

  15. Nay, R.: Sexuality and older people. In: Nay, R., Garrat, S. (eds.) Nursing older people: issues and innovations, 2nd edn, pp. 276–288. Elsevier, Marrickville (2004)

    Google Scholar 

  16. Bauer, M., Nay, R., McAuliffe, L.: Catering to love, sex and intimacy in residential aged care: What information is provided to consumers? Sex. Disabil. 27, 3–9 (2009)

    Article  Google Scholar 

  17. Aged Care Standards and Accreditation Agency. Residential Aged Care Standards. Available from URL: http://www.accreditation.aust.com/accreditation/standards.html (accessed 5 March 2009)

  18. McAuliffe, L., Bauer, M., Nay, R.: Barriers to the expression of sexuality in the older person: the role of the health professional. Int. J. Older People Nurs. 2, 69–75 (2007)

    Article  Google Scholar 

  19. Australian Health Directory: Residential and Non-residential Aged Care Services. Available from URL: http://www.healthdirectory.com.au/Aged_care/ (accessed 9 October 2008)

  20. Tafe NSW: Aged Care Work Certificate III (NRT). Available from URL: https://www.tafensw.edu.au/howex/servlet/Course?pInternetFlag=Y&Command=GetCourse&CourseNo=4480 (accessed 29 April 2009)

  21. The Aged Care Channel. Available from URL: http://www.agedcarechannel.com.au/index.html (accessed on 29 April 2009)

  22. Pangman, V., Seguire, M.: Sexuality and the chronically ill older adult: a social justice issue. Sex. Disabil. 18, 49–59 (2009)

    Article  Google Scholar 

Download references

Acknowledgments

The research reported here was supported by a seeding grant from the Faculty of Health Sciences, The University of Sydney.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Russell Shuttleworth.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shuttleworth, R., Russell, C., Weerakoon, P. et al. Sexuality in Residential Aged Care: A Survey of Perceptions and Policies in Australian Nursing Homes. Sex Disabil 28, 187–194 (2010). https://doi.org/10.1007/s11195-010-9164-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11195-010-9164-6

Keywords

Navigation