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Examining nurses’ willingness to facilitate sexual experiences in dementia nursing care using the theory of planned behavior
Waterschoot,Karien Roelofs,Tineke S.M. van Dam,Arno Luijkx,Katrien G.
Waterschoot,Karien
Roelofs,Tineke S.M.
van Dam,Arno
Luijkx,Katrien G.
Abstract
Person-centered care emphasizes recognizing and affirming the whole person with dementia, including their need for sexual experiences. For nursing home residents, this often requires facilitation by nurses. Yet, it is unknown which factors contribute to or diminish nurses’ willingness to facilitate such experiences. A survey was completed by 253 (vocational) nurses from 25 Dutch nursing homes. The survey included a newly developed sexual facilitation questionnaire based on the theory of planned behavior. Only one-third of the nurses were motivated to pre- and post-facilitate sexual experiences. Key predictors of the intention to facilitate were their attitude, social norms, and perceived controllability. Nurses’ confidence to include personal boundaries during care bolstered their attitude and perceived controllability. Additionally, nurses expressed interest in training and support options. The hesitancy among nurses to facilitate residents’ sexual expression was substantial. Supportive interventions that enhance nurses’ attitudes and capabilities seem essential for achieving a culture shift towards sexually inclusive person-centered care that also feels comfortable for the nurses themselves.
Description
Projectcode: 4200P203
Date
2025
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Journal ISSN
Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
Sexuality, Nurses, PCC, Dementia, Nursing home, The Netherlands
Citation
Waterschoot, K, Roelofs, T S M, van Dam, A & Luijkx, K G 2025, 'Examining nurses’ willingness to facilitate sexual experiences in dementia nursing care using the theory of planned behavior', Sexuality and Disability, vol. 43, no. 9. https://doi.org/10.1007/s11195-025-09887-w