Article

PURPOSE: To explore occupational therapists' perspectives on addressing sexuality
in the context of rehabilitation services for older people. METHOD: A qualitative
exploratory design was used. Data were collected using a series of focus groups
(n = 5) among occupational therapists (n = 22) working with older people. Data
were analysed using content analysis. RESULTS: Occupational therapists in this
study rarely addressed sexuality in the context of rehabilitation services for
older people. Three major categories emerged in relation to barriers which
influence therapists' practice in this area: (i) the influence of culture on
decisions regarding whether or not to address sexuality, (ii) perceived
competence and confidence to address sexuality and (iii) the impact of resources
regarding the inclusion or exclusion of sexuality from rehabilitation.
CONCLUSIONS: Although sexuality is increasingly considered an important and
relevant aspect of successful ageing the extent to which healthcare professionals
are prepared to address sexual concerns identified by older people is less clear.
If new expectations of healthy ageing are to be met, healthcare professionals
must acknowledge the importance of sexuality and be prepared to be involved in
sexual health management. Implications for Rehabilitation Healthcare
professionals continue to be reluctant to respond to older peoples' concerns
relating to sexuality. Occupational therapists in Ireland identified
socio-cultural norms relating to sexuality, perceived professional competence and
confidence and prioritization of resources as key barriers. Education is needed
to improve therapists' perceived competence and confidence in addressing
sexuality with older adults. Policy change is required to consider the underlying
assumptions about sexuality, ageing and disability.

Langue : ANGLAIS