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3.2. ��It's Like a Horror Movie!�� The topic seemed to raise strong reactions from the participants. All of them expressed negative feelings, and one nurse said: ��I am sad and angry because it is so hard �� surely these things happen.�� ��I'm feeling sad�� said another. Anger, sadness, horror, feeling unwell, and nausea were emotions the participants expressed. ��It feels like a horror movie!�� said one nurse. ��It is taboo and difficult to talk about,�� said another. The participants reacted strongly to the fact that possible perpetrators often have free access to vulnerable older nursing home residents, and together with a huge lack of attention on the topic, this leads to lack of effort to protect and safeguard possible victims. One participant said: Selleckchem MS-275 ��I feel sick, and I feel emotionally bad talking about such a topic��. 3.3. ��Should Notify, but to Whom?�� The focus group discussed what actions they would have taken if a resident had been victim of sexual assault. All participants agreed that they would have reported the incident. There was however considerable uncertainty in the group about whom it should be reported to. One participant put it this way: ��Yes, this must be reported to the police! I would have called the police right away.�� Some would call the police, others were unsure about whether GDC-0449 concentration their immediate leader should be notified first. All participants would investigate who the perpetrator was and take action. However, there was great uncertainty about the procedures and what documentation should be given and which agencies should be notified in such a case. ��You should notify someone, but whom?�� asked one participant. The nurses also stated that the duty of client confidentiality could be challenging, ��Am I allowed to not go ahead with it?�� asked one nurse. If the resident does not wish to proceed with the case or suffer from dementia, it will, according to the participants, offer a greater challenge. One participant said: ��I would have to talk to someone about it �� but it's very difficult! I have a responsibility to stop it [the offence].�� Later in the discussion, the Quinapyramine participants agreed that even where there is a matter of confidentiality such cases must be reported. First, to the department head, but such cases must be taken further and not be left in the document pile and ��forgotten.�� The participants agreed that they themselves should follow up the case, if they did not it could just ��disappear�� in the system. The nurses also agreed that sexual abuse, due to its nature, should not be part of the standard reporting form for deviations from quality but that there ought to be a separate reporting system for abuse cases. The participants expressed scepticism to what extent such matters would be taken seriously by the police. ��I think that such matters will soon be dropped by the police,�� said one of the nurses. 3.4.