Ethics, intimacy and sexuality in aged care (Record no. 8786)

MARC details
000 -LEADER
fixed length control field 02905nam a22003137a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151705.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240716s2017 -nz|| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AFVC
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Cook, Catherine
9 (RLIN) 9512
245 ## - TITLE STATEMENT
Title Ethics, intimacy and sexuality in aged care
Statement of responsibility, etc Catherine Cook, Vanessa Schouten, Mark Henrickson and Sandra McDonald
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Name of publisher, distributor, etc Wiley,
Date of publication, distribution, etc 2017
500 ## - GENERAL NOTE
General note Journal of Advanced Nursing, 2017; 73: 3017–3027
520 ## - SUMMARY, ETC.
Summary, etc Aim<br/><br/>To analyse the accounts of staff, family and residents to advance ethical insights into intimacy and sexuality in residential care.<br/>Background<br/><br/>Discourses of ageing readily construct people in residential aged care as postsexual, vulnerable and at risk of sexual exploitation, and therefore, expressions of intimacy and sexuality may be responded to as deviant and inherently risky. Staff may manage decision-making tacitly, without recourse to policies and education.<br/>Design<br/><br/>The proof-of-concept study used a discursive methodology, identifying discourses that shape diverse meanings of intimacy, sexuality and ageing. Data analysis involved thematic analysis.<br/>Methods<br/><br/>Semi-structured interviews were conducted with four participants in 2015 as part of a mixed-methods study. This article reports on the qualitative data.<br/>Results<br/><br/>Four themes were identified in the data analysis: mediated intimate relationships and everyday ethics; self-referential morality; knowing the person then and now; and juggling ethical priorities. Data indicated that participants used their personal moral compass to inform their decision-making, without any related policies and applied ethics and communication education. As a result, staff described moral uncertainty and moral distress. Staff indicated that there were tensions in terms of the role of proxy decision-makers, as there were situations where staff believed they were more aware of residents’ current wishes and cognitive capabilities than family members.<br/>Conclusions<br/><br/>Staff, families and residents routinely address intimacy and sexuality in aged care. Ethically informed education and policies may enhance the role of staff as advocates, ensuring older people living in RAC are as at home and autonomous as possible. (Authors' abstract). Record #8786<br/>
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ATTITUDES
9 (RLIN) 70
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element ETHICS
9 (RLIN) 5807
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
9 (RLIN) 325
Topical term or geographic name as entry element INTERPERSONAL RELATIONSHIPS
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element OLDER PEOPLE
9 (RLIN) 414
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element RESIDENTIAL CARE
9 (RLIN) 500
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element SEXUALITY
9 (RLIN) 537
650 #4 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element WORKPLACE
9 (RLIN) 652
651 #4 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name NEW ZEALAND
9 (RLIN) 2588
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Schouten, Vanessa
9 (RLIN) 9513
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Henrickson, Mark
9 (RLIN) 6794
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name McDonald, Sandra
9 (RLIN) 9514
773 0# - HOST ITEM ENTRY
Title Journal of Advanced Nursing, 2017; 73: 3017–3027
830 ## - SERIES ADDED ENTRY--UNIFORM TITLE
Uniform title Journal of Advanced Nursing
9 (RLIN) 13169
856 ## - ELECTRONIC LOCATION AND ACCESS
Public note DOI: 10.1111/jan.13361
Uniform Resource Identifier <a href="https://doi.org/10.1111/jan.13361">https://doi.org/10.1111/jan.13361</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Journal article
Classification part news128

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