Smith Daisy E, Wright Meghan T, Pham Tony H, Ibrahim Joseph E
Health Law & Aging Unit, Department of Forensic Medicine, Monash University, Southbank, Australia, Australia.
Int J Older People Nurs. 2022 Jan;17(1):e12412. doi: 10.1111/opn.12412. Epub 2021 Aug 16.
Residential aged care services (RACS) staff have substantial gaps in knowledge to prevent and manage unwanted sexual behaviour (USB) in RACS.
This study aimed to explore the feasibility of a pilot online course (intervention) addressing USB in RACS.
Development of a self-guided e-learning educational course was based on existing research, national and international approaches to human rights approaches to sexual assault and underwent internal and external peer review. An anonymous, online, cross-sectional survey was conducted post-intervention completion. RAC-Communiqué subscribers were recruited via an e-invitation. English speaking enrolled or registered nurses, employed in an Australian RACS, were eligible. From the 167 participants who expressed interest to enrol, 129 were eligible and 45 returned completed consent forms. Fifteen survey items regarding perceived competence and intervention satisfaction were analysed.
The intervention addressed content pertaining to staffs' legal and regulatory requirements, managing incidents and awareness of key services. Thirty-eight of 45 eligible participants responded (84.4%). Participants reported they would recommend the intervention to a colleague (n = 36, 97.3%). Participants self-reported (i) advanced learning post-completion; (ii) raised awareness (n = 29, 78.4%) (iii) prompted current practice reflection (n = 35, 94.6%) and (iv) prompted improving USB workplace management (n = 34, 91.9%). Results are subjected to social desirability bias.
The intervention was relevant, engaging and practical. The findings contribute to a more comprehensive understanding of the specific training topics relevant and useful to RACS staff.
E-learning tools could be an effective teaching method for USB in RACS. The intervention may be a useful tool to encourage staff to reflect and change current practice.
老年护理院服务（RACS）工作人员在预防和管理老年护理院不必要的性行为（USB）方面知识存在很大差距。
本研究旨在探讨针对老年护理院不必要的性行为开展在线试点课程（干预措施）的可行性。
基于现有研究、国内外性侵犯人权方法开发了一门自主学习的电子学习教育课程，并进行了内部和外部同行评审。干预措施完成后进行了一项匿名的在线横断面调查。通过电子邀请招募《RAC公报》的订阅者。受雇于澳大利亚老年护理院的会说英语的注册护士或登记护士符合条件。在167名表示有兴趣报名的参与者中，129名符合条件，45名返回了填写完整的同意书。分析了15项关于感知能力和干预满意度的调查项目。
该干预措施涉及与工作人员的法律法规要求、事件管理以及关键服务意识相关的内容。45名符合条件的参与者中有38名做出了回应（84.4%）。参与者表示他们会向同事推荐该干预措施（n = 36，97.3%）。参与者自我报告（i）完成后有进一步学习；（ii）提高了认识（n = 29，78.4%）；（iii）促使对当前实践进行反思（n = 35，94.6%）；（iv）促使改善不必要的性行为工作场所管理（n = 34，91.9%）。结果存在社会期望偏差。
该干预措施具有相关性、吸引力且实用。这些发现有助于更全面地了解与老年护理院工作人员相关且有用的特定培训主题。
电子学习工具可能是老年护理院不必要的性行为的一种有效教学方法。该干预措施可能是鼓励工作人员反思并改变当前实践的有用工具。
