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Navigating Tensions About Resident Sexual Expression in Alberta’s Continuing Care Homes

A Qualitative Study of Leaders’ Experiences

Bibliographic Data

ID12801902
AuthorsLisa Howard (0009-0002-5409-8106, University of Lethbridge, corresponding author), Julia Brassolotto (0000-0001-8086-8536, University of Lethbridge), Alessandro Manduca-Barone (University of Lethbridge)
Year2019
Volume17
Issue4
Pages632-642
Publication date2019-12-13
Open AccessYes
TypeARTICLE
VenueSexuality Research and Social Policy (JOURNAL)
Journal identifiersISSN: 1553-6610 • E-ISSN: 1868-9884
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s13178-019-00421-0
OpenAlexW2996217315
LanguageEN
Citations received7
References cited32

Introduction In continuing care homes, resident sexual expression is complicated by interpersonal, physical, and social features that are part of congregate living. Little is known about how managers navigate the complexities of these features. Methods We undertook a descriptive, exploratory study to pursue this line of inquiry. We conducted in-depth interviews with 28 participants from a network of managers, clinical ethicists, geriatric specialists, and social workers in Alberta, Canada. Results We present our findings as three dynamic tensions: 1) the tension between how sexual expression should be supported and how it is addressed in care homes; 2) the tension between private and public space in the care home; and 3) the tension between a medical model of care and a conceptualization of sexual expression as an activity of daily living. Conclusions These tensions are connected with sexual rights – specifically, with the rights to equality and non-discrimination, privacy, and autonomy and bodily integrity. Sexual expression can also have physical, social, and emotional benefits for continuing care residents. Thus, the tensions surrounding resident sexual expression ought to be navigated with an approach that acknowledges sexual rights and best upholds them. Policy Implications We suggest that in order to realize the benefits and prevent the harms associated with resident sexual expression, there is both need and opportunity for a coordinated, multi-level approach

Autonomy · Conceptualization · Expression (computer science · Political science · Public relations · Qualitative research · Sociology · Grief, Bereavement, and Mental Health · Law · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Sexual function and dysfunction studies · Social Psychology

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Citations per year1.17
Citation span2020 - 2026 (7)
Highly citedNo

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