Negotiating Sexuality and Intimacy of Older Adults in Assisted Living

描述（由申请人提供）：这项为期两年的定性研究的目的是研究在辅助生活设施（ALFs）中性和亲密关系是如何协商的。具体目的是：1)了解AL行政和护理人员、住院医师和住院医师家属对住院医师性行为和亲密行为的认知和认知；2)了解个体、设施和社区因素如何影响个体对居民性行为和亲密行为的认知和认识；3)了解住院医师、家庭成员、医疗机构管理和护理人员如何协商和管理住院医师的性和亲密行为；4)了解个体、设施和社区因素如何影响居民的性和亲密行为协商策略。该项目将加深对老年人性行为的认知和知识的理解，以及如何在人工智能环境中管理性行为。这将有助于对长期护理中的性行为进行更广泛的研究。最后，我们希望利用本研究的结果，在未来为员工设计有效的培训计划，并提出实践建议。这些研究工作也将有助于通过信息会议或其他培训为居民及其家属提供干预措施。我们将使用定性方法研究10个alf（2个16-25张床的小型家庭，3个26-50张床的中型家庭，5个超过50张床的大型家庭）中性行为和亲密关系的谈判。120名受访者将参加焦点小组或深度访谈。我们将采用有目的、最大变异抽样的方法，在8个焦点小组中选择48名参与者，其中有AL工作人员在大中型家庭中进行调查。我们将与每个机构的管理人员、12名工作人员、25名家属和25名住院医生进行访谈。所有访谈和焦点小组都将进行数字记录和转录。数据将使用扎根理论方法进行分析（Charmaz, 2006; Strauss & Corbin, 1998）。这项拟议的研究侧重于辅助生活，一种老年人的支持性住房，旨在防止或延迟养老院安置快速增长的体弱老年人口。本研究旨在探讨AL居民性与亲密需求与行为敏感区域的协商与冲突。此外，这项研究将为未来的项目提供信息，例如对人工智能工作人员的有效培训计划和对住院医生及其家属的信息会议。公共卫生相关性：这项拟议的研究侧重于辅助生活，这是一种老年人的支持性住房，旨在防止或延迟为快速增长的体弱老年人口安置养老院。本研究旨在探讨AL居民性与亲密需求与行为敏感区域的协商与冲突。此外，这项研究将为未来的项目提供信息，例如对人工智能工作人员的有效培训计划和对住院医生及其家属的信息会议。

DESCRIPTION (provided by applicant): The purpose of this two-year qualitative study is to examine how sexuality and intimacy are negotiated in assisted living facilities (ALFs). The specific aims are: 1) to gain understanding of perceptions and knowledge of AL administrative and care staff, residents, and residents' family members regarding residents' sexuality and intimacy; 2) To gain understanding of how individual, facility, and community factors influence individuals' perceptions and knowledge of residents' sexuality and intimacy; 3) To gain understanding of how residents, family members, and facility administrative and care staff negotiate and manage sexual and intimate behaviors of residents; and 4) to gain understanding of how individual, facility, and community factors influence strategies for negotiation of sexual and intimate behaviors of residents. This project will provide an increased understanding of perceptions and knowledge regarding older adult sexuality and how sexuality is managed in AL settings. It will contribute to the larger body of research on sexuality in long term care. Finally, we hope to use the findings of this research in the future to design effective training programs for staff, as well as develop recommendations for practice. These research efforts also will contribute to interventions for residents and their families through information sessions or other training. We will use qualitative methods to study the negotiation of sexuality and intimacy in 10 ALFs (2 small homes with 16-25 beds, 3 medium homes with 26-50 beds, 5 large homes with over 50 beds). One hundred and twenty respondents will participate in focus groups or in-depth interviews. We will use purposive, maximum variation sampling to select 48 participants in 8 focus groups with AL staff in medium and large homes. We will conduct interviews with administrators in each facility, 12 staff members 25 family members and 25 residents. All interviews and focus groups will be digitally recorded and transcribed. Data will be analyzed using a grounded theory approach (Charmaz, 2006; Strauss & Corbin, 1998). This proposed research focuses on assisted living, a type of supportive housing for older adults, intended to prevent or delay nursing home placement for a rapidly growing frail elderly population. This study is concerned with the negotiation and conflict surrounding the sensitive area of AL residents' sexual and intimate needs and behaviors. Moreover, this research will inform future projects, such as effective training programs for AL staff and informational sessions for residents and their families. PUBLIC HEALTH RELEVANCE: This proposed research focuses on assisted living, a type of supportive housing for older adults, intended to prevent or delay nursing home placement for a rapidly growing frail elderly population. This study is concerned with the negotiation and conflict surrounding the sensitive area of AL residents' sexual and intimate needs and behaviors. Moreover, this research will inform future projects, such as effective training programs for AL staff and informational sessions for residents and their families.