Sexual Situations in Spanish Long-Term Care Facilities: Which Ones Cause the Most Discomfort to Staff?
This study aimed to explore which kinds of residents’ sexual expressions cause the most discomfort to staff and to determine the situational circumstances that might be related to this perception of discomfort. The sample was made up of 1895 front-line care staff employed at 152 Spanish long-term care facilities. Participants’ answers to an open-ended question regarding the sexual situation that caused them the most discomfort were content-analyzed. Results showed that most participants were able to mention at least one sexual situation that had caused them discomfort. Moreover, the range of sexual situations mentioned by our participants clearly goes beyond the typical behaviors associated with inappropriate sexual behaviors in dementia. Situational circumstances were related to participants’ perception of discomfort. Our results suggest the importance of including sexual issues on the formal training of staff and developing explicit guidelines and institutional policies regarding sexual expression in long-term care facilities.
KeywordsSexuality Long-term care facilities Inappropriate sexual behaviors Staff development Institutional policies
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the ethical committees of the institutions participating in the study and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Alagiakrishnan, K., Lim, D., Brahim, A., Wong, A., Wood, A., Senthilselvan A., … Kagan, L. (2005). Sexually inappropriate behaviour in demented elderly people. Postgraduate Medical Journal, 81(957), 463–466.Google Scholar
- Bauer, M., Featherstonhaugh, D., Tarzia, L., Nay, R., Wellman, D., & Beattie, E. (2013). ‘I always look under the bed for a man’. Needs and barriers to the expression of sexuality in residential aged care: The views of residents with and without dementia. Psychology and Sexuality, 4(3), 296–309.CrossRefGoogle Scholar
- Krippendorff, K. (2013). Content analysis: An introduction to its methodology (3th ed.). Thousand Oaks: Sage.Google Scholar
- Palacios-Ceña, D., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Jiménez-García, R., & Fernández-de-las-Peñas, C. (2012). Sexual behaviors among older adults in Spain: Results from a population-based national sexual health survey. The Journal of Sexual Medicine, 9(1), 121–129.CrossRefPubMedGoogle Scholar
- Tobaruela, J. L. (2003). Residencias: Perfil del usuario e impacto del ingreso [nursing homes: User’s profile and impact of admission], Universidad Complutense de Madrid: Non-published doctoral dissertation. Retrieved on 01 February 2018 from http://eprints.ucm.es/7358
- Wiskerke, E., & Manthorpe, J. (2018). Intimacy between care home residents with dementia: Findings from a review of the literature. Dementia. https://doi.org/10.1177/1471301216659771.