Development of an Instrument to Assess Health and Social Care Professionals' Knowledge and Attitudes Towards Later-Life Intimacy and Sexuality (HSCP-KALLIS): A Delphi Study

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2024-07-08 DOI:10.1111/opn.12629

Yung-Hui Chen, Cindy Jones, Amy Bannatyne, Maria Horne

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Abstract

Aims

We aimed to ascertain the content validity of an instrument to assess health and social care professionals' knowledge and attitudes towards later-life intimacy and sexuality (HSCP-KALLIS).

Background

For older adults, intimacy and sexuality are important in maintaining their quality of life and well-being. However, addressing these needs remains challenging for health and social care professionals, particularly for nursing staff providing 24-h direct care to older people with dementia or those identified as lesbian, gay, bisexual, transgender, intersex or queer/questioning individuals. Existing instruments assessing knowledge and attitudes towards later-life intimacy and sexuality are dated and fail to adequately address dementia and sexual diversity.

Design

A two-round modified Delphi study was conducted.

Methods

Initially, 79 knowledge and attitude items were generated through an integrative review. Panellists rated each item's clarity and importance using online questionnaires. The content validity index for the individual and overall items was calculated. The panellists' written feedback—along with their knowledge level of later-life intimacy and sexuality—was obtained.

Results

Panellists included health and social care professionals (n = 9); healthcare-related educators (n = 2); researchers specialising in later-life intimacy, sexuality, dementia care and sexual diversity support (n = 7); and family carers of older people with dementia (n = 2). The instrument was revised based on the feedback received. The components of dementia, LGBTIQ+ and the provision of sex worker services in healthcare settings were highlighted by the panellists. Notably, 46 knowledge and 40 attitude items fulfilled the consensus criteria for clarity and importance.

Conclusions

Acceptable content validity was established for the knowledge and attitude items. Further research is required to establish the psychometric properties of the HSCP-KALLIS. This instrument has implications for clinical practice—specifically, in nursing care—by addressing issues to improve awareness regarding later-life intimacy and sexuality in healthcare settings.

Implications for Practice

The HSCP-KALLIS has the potential to inform the educational needs regarding knowledge and attitudes towards later-life intimacy and sexuality for health and social care professionals, specifically nursing staff. The findings of the HSCP-KALLIS can be used for the development of competencies for later-life intimacy and sexuality, establishing policies and guidelines to support older adults’ intimacy and sexuality needs in health care settings.

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开发一种工具来评估卫生和社会护理专业人员对晚年亲密关系和性的认识和态度（HSCP-KALLIS）：德尔菲研究。

目的：我们旨在确定一种工具（HSCP-KALLIS）的内容有效性，以评估医疗和社会护理专业人员对晚年亲密关系和性行为的认识和态度：背景：对于老年人来说，亲密关系和性行为对于维持他们的生活质量和幸福感非常重要。然而，对于医疗和社会护理专业人员来说，满足这些需求仍具有挑战性，尤其是对于那些为患有痴呆症的老年人或那些被认定为女同性恋、男同性恋、双性恋、变性人、双性人或同性恋/疑问者的老年人提供 24 小时直接护理的护理人员来说。现有的评估晚年亲密关系和性行为的知识和态度的工具已经过时，未能充分解决痴呆症和性取向多样性的问题：设计：进行了两轮改良德尔菲研究：方法：最初，通过综合审查产生了 79 个知识和态度项目。小组成员通过在线问卷对每个项目的清晰度和重要性进行评分。计算了单个和整体项目的内容效度指数。同时还获得了小组成员的书面反馈以及他们对晚年亲密关系和性行为的了解程度：小组成员包括医疗和社会护理专业人士（9 人）；医疗相关教育工作者（2 人）；专门从事晚年亲密关系、性行为、痴呆症护理和性多样性支持的研究人员（7 人）；以及痴呆症老年人的家庭照顾者（2 人）。根据收到的反馈意见对该工具进行了修订。小组成员强调了痴呆症、LGBTIQ+ 以及在医疗机构中提供性工作者服务等内容。值得注意的是，46 个知识项目和 40 个态度项目在清晰度和重要性方面达到了共识标准：结论：知识和态度项目的内容有效性可以接受。还需要进一步的研究来确定 HSCP-KALLIS 的心理测量特性。该工具对临床实践--特别是护理工作--有一定的指导意义，它能解决在医疗机构中提高对晚年亲密关系和性行为认识的问题：HSCP-KALLIS 有可能为医疗和社会护理专业人员，特别是护理人员提供有关晚年亲密关系和性行为的知识和态度的教育需求信息。HSCP-KALLIS的研究结果可用于发展晚年亲密关系和性行为的能力，制定相关政策和指导方针，以支持医疗机构中老年人的亲密关系和性行为需求。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.