Introduction

Sexuality and intimacy in residential aged care (RAC) are receiving increased research attention. In this article, porneia refers to access to sex workers, as well as online pornography, and masturbation by residents in RAC. Sex work is legal and regulated in Aotearoa New Zealand.

Methods

The present study was a two-arm mixed-method cross-sectional study using a concurrent triangulation design. A validated survey tool was developed. Data were collected in 2018–2019: 433 staff surveys were collected from 35 RAC across the country; 61 interviews were carried out with 77 staff, residents, and family members.

Results

Staff opinions about sex work and pornography were inconclusive. Nevertheless, access to sex workers occurs in many RAC facilities across the country. Interviews demonstrated a diversity of responses among the three groups; staff attitudes are paramount.

Conclusions

Some staff are prepared for resident requests for sex workers; others continue to look to policies and management for guidance, but such policies are often lacking. Most staff have adopted the language of needs vs. rights which dominates the literature.

Policy Implications

Staff education on sexuality and facility policy is essential; education for residents and their families is also desirable. Facilities often over-notify third parties. Discourse about sexuality needs to move towards a person-centred, salutogenic approach.

中文翻译：

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手册中没有：Porneia 和住宅老年护理

介绍

住宅老年护理（RAC）中的性和亲密关系正在受到越来越多的研究关注。在本文中，porneia指的是 RAC 居民接触性工作者、网络色情和手淫。性工作在新西兰 Aotearoa 是合法且受监管的。

方法

本研究是一项采用并行三角测量设计的双臂混合方法横断面研究。开发了一种经过验证的调查工具。数据收集于 2018-2019 年：从全国 35 个 RAC 收集了 433 份员工调查；对 77 名工作人员、居民和家庭成员进行了 61 次访谈。

结果

工作人员对性工作和色情的意见没有定论。尽管如此，在全国许多 RAC 设施中都可以接触到性工作者。访谈显示了三个群体的不同反应；员工的态度是最重要的。

结论

一些工作人员已准备好接受居民对性工作者的要求；其他人继续向政策和管理寻求指导，但往往缺乏此类政策。大多数工作人员采用了主导文献的需求与权利的语言。

政策影响

员工对性行为和设施政策的教育至关重要；居民及其家人的教育也是可取的。设施经常过度通知第三方。关于性的讨论需要转向以人为本、有益健康的方法。