000			02905nam a22003137a 4500
999			_c8786 _d8786
005			20250625151705.0
008			240716s2017 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aCook, Catherine _99512
245			_aEthics, intimacy and sexuality in aged care _cCatherine Cook, Vanessa Schouten, Mark Henrickson and Sandra McDonald
260			_bWiley, _c2017
500			_aJournal of Advanced Nursing, 2017; 73: 3017–3027
520			_aAim To analyse the accounts of staff, family and residents to advance ethical insights into intimacy and sexuality in residential care. Background 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. Design 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. Methods Semi-structured interviews were conducted with four participants in 2015 as part of a mixed-methods study. This article reports on the qualitative data. Results 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. Conclusions 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
650			_aATTITUDES _970
650			_aETHICS _95807
650		4	_9325 _aINTERPERSONAL RELATIONSHIPS
650		0	_aOLDER PEOPLE _9414
650		4	_aRESIDENTIAL CARE _9500
650		4	_aSEXUALITY _9537
650		4	_aWORKPLACE _9652
651		4	_aNEW ZEALAND _92588
700			_aSchouten, Vanessa _99513
700			_aHenrickson, Mark _96794
700			_aMcDonald, Sandra _99514
773	0		_tJournal of Advanced Nursing, 2017; 73: 3017–3027
830			_aJournal of Advanced Nursing _913169
856			_zDOI: 10.1111/jan.13361 _uhttps://doi.org/10.1111/jan.13361
942			_2ddc _cARTICLE _hnews128