Tranzo, Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands.
Tranzo, Scientific Center for Care and Welfare, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands; Archipel Landrijt, Expertise Center for Specialized Care, Eindhoven, the Netherlands.
Geriatr Nurs. 2024 Sep-Oct;59:312-320. doi: 10.1016/j.gerinurse.2024.07.025. Epub 2024 Aug 3.
Person-centered care emphasizes close care relations regardless of gender. However, when residents with dementia express intimate or sexual needs, nurses may struggle with their own emotions and need to include personal boundaries.
277 (vocational) nurses from 25 Dutch nursing homes completed a survey, including the Feeling Word Checklist for a resident with perceived sexual needs and another for a resident with perceived intimate needs.
Positive-nurturing sentiments towards residents prevail, yet residents expressing intimate needs elicit higher levels of positive-nurturing and lower levels of negative emotions than those with sexual needs. Male residents, who expressed more pronounced sexual needs, received less affection and interest from female nurses who felt especially close to female residents with intimate needs.
Close care relations established through nurses' personal emotions inadvertently introduce gender-sensitive and differing emotions towards residents. Nurses' capability to include personal boundaries benefits the relationship and well-being of both parties.
以患者为中心的护理强调密切的护理关系，无论患者的性别如何。然而，当患有痴呆症的患者表达亲密或性需求时，护士可能会感到自己的情绪困扰，并需要考虑个人边界。
来自 25 家荷兰养老院的 277 名（职业）护士完成了一项调查，包括对有感知性需求的患者和有感知性亲密需求的患者的感受词清单。
对患者的积极关怀情绪占主导地位，但表达亲密需求的患者引起的积极关怀情绪更高，而消极情绪更低。表达更明显性需求的男性患者，会从与有亲密需求的女性患者关系更密切的女性护士那里获得较少的关爱和兴趣。
护士通过个人情感建立的密切护理关系无意中引入了对患者的性别敏感和不同的情感。护士能够包括个人边界有利于双方的关系和福祉。
