Tranzo, Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, The Netherlands.
Department of Psychology, Schakelring Nursing Care Organization, Waalwijk, The Netherlands.
Clin Gerontol. 2022 Jul-Sep;45(4):833-843. doi: 10.1080/07317115.2021.1928357. Epub 2021 Jun 3.
The Person-centered Care (PCC) philosophy emphasizes close care relationships to enable care professionals to recognize the needs of nursing home residents with dementia. This study explored how care professionals make sense of resident behavior with regard to intimacy and sexuality.
26 nursing home care professionals (15 Nurses, 9 Health Care Professionals and 2 Managers) completed in-depth interviews that were subjected to an Interpretative Phenomenological Analysis (IPA).
Three thematic layers were identified. 1. Care Professionals pursue a "true" understanding of intimate and sexual behavior that underpins a 's expression. 2. When care professionals feel the need to protect themselves, they can reframe a specific in order to continue care. 3. The around the resident, from family to professionals (i.e. peers), influences interpretation of behavior and, consequently, the provision of care.
Intimate and sexual expressions of residents can put care relations under pressure. Care relations that lack professional distance may compromise care professionals' judgments, impede their natural boundaries and decrease their well-being.
Along with implementing PCC principles, organizations should empower staff to develop, discuss and include self-reflection skills and personal boundaries within their work.
以患者为中心的护理（PCC）理念强调密切的护理关系，使护理专业人员能够识别痴呆患者的护理需求。本研究探讨了护理专业人员如何理解居民的亲密和性行为。
26 名养老院护理专业人员（15 名护士、9 名医疗保健专业人员和 2 名经理）完成了深入的访谈，这些访谈进行了解释现象学分析（IPA）。
确定了三个主题层。1. 护理专业人员追求对亲密和性行为的“真正”理解，这是“表达”的基础。2. 当护理专业人员感到需要保护自己时，他们可以重新构建特定的“行为”，以继续护理。3. 围绕居民的“行为”，从家人到专业人员（即同行），影响行为的解释，从而影响护理的提供。
居民的亲密和性行为表达会给护理关系带来压力。缺乏专业距离的护理关系可能会影响护理专业人员的判断，阻碍他们的自然界限，并降低他们的幸福感。
除了实施以患者为中心的护理原则外，组织还应赋予员工权力，以发展、讨论和包括自我反思技能和个人界限在内的工作。
