Long-term care (LTC) facilities, in which older adults are institutionalised, have the responsibility to address their residents’ rights, privacy and comfort in expressing themselves sexually in an acceptable manner. However, many older adults have reported barriers in their sexual expression, which is often a result of the care staff’s attitudes in the facilities. This review synthesis evidence from qualitative studies on the challenges faced by care staff when supporting sexual expression of older residents in LTC facilities. The systematic review and meta-synthesis is reported according to the Enhanced Transparency in Reporting the Synthesis of Qualitative Research Statement. A systematic literature search for peer-reviewed studies was conducted on PubMed, Cochrane Library, EMBASE, Scopus, Web of Science, PsycINFO, CINAHL and ProQuest Theses and Dissertations from inception until December 2020. Sandelowski and Barroso’s two-step approach was used to synthesise the evidence. Seventeen qualitative studies published between 2004 and 2020 were included. This review encapsulated the experiences and challenges of 4,387 care staff whose age ranged from 18 to 69 years. Through the meta-synthesis, four themes were identified: varying manifestations of sexual expression and situations encountered, a spectrum of care staff’s attitudes, setting boundaries in dementia care and workplace support. Managing sexual expression can be challenging for the care staff, given the complex interplay between personal beliefs, social contexts, moral dilemmas, practical barriers and the lack of clear policies. This review highlighted the need to equip them with knowledge, skills and confidence in managing sexuality in LTC facilities.

中文翻译：

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医疗保健专业人员和护理人员在长期护理机构中管理≥60 岁老年人性表达的挑战和经验：定性审查和综合综合

将老年人安置在机构中的长期护理 (LTC) 设施有责任解决其居民的权利、隐私和以可接受的方式表达自己的性行为的舒适度。然而，许多老年人报告了他们的性表达障碍，这通常是护理人员在设施中的态度造成的。本综述综合了关于护理人员在支持 LTC 设施中老年居民的性表达时所面临挑战的定性研究证据。系统评价和荟萃综合报告是根据《报告定性研究综合报告中的增强透明度声明》报告的。在 PubMed、Cochrane 图书馆、EMBASE、Scopus、Web of Science、PsycINFO、CINAHL 和 ProQuest 论文和论文从开始到 2020 年 12 月。 Sandelowski 和 Barroso 的两步法用于综合证据。纳入了 2004 年至 2020 年间发表的 17 项定性研究。这篇综述总结了 4,387 名年龄在 18 至 69 岁之间的护理人员的经历和挑战。通过综合综合，确定了四个主题：性表达的不同表现和遇到的情况、护理人员的态度范围、痴呆症护理的界限和工作场所的支持。鉴于个人信仰、社会背景、道德困境、实际障碍和缺乏明确政策之间的复杂相互作用，管理性表达对护理人员来说可能具有挑战性。这次审查强调了为他们提供知识的必要性，