Employer's Toolkit: Sexual Abuse Prevention

  1. Introduction

    In Ontario, there is a zero-tolerance standard for patient sexual abuse by health care providers.

  2. What is sexual abuse?

    Patient sexual abuse is defined differently for healthcare providers under the RHPA than in criminal law.

  3. Definition of a "Patient"

    An individual is considered to be a nurse’s “patient” for a period of one year following the end of the professional nurse-patient relationship.

  4. The power imbalance

    In the nurse-patient relationship, nurses hold a position of power.

  5. Not me: Not my colleague

    While it may be hard to believe a nurse in your facility could sexually abuse patients, studies show that it can be anyone.

  6. One year rule

    The law states a person is still considered a “patient” for one year after the therapeutic nurse-patient relationship is over.

  7. Vulnerable patients

    Research shows the risk of a sexual relationship developing between a nurse and patient may be highest in settings where the nurse provides care and interacts with patients over an extended period of time.

  8. Myths about patient sexual abuse

    Myth: The one-year rule doesn’t apply if a nurse covers a colleague during break and provides patient care for 15 minutes.

  9. Informed Consent

    Depending on the nurse’s area of practice, clinical touching of patients may become routine for the nurse. However, it is never routine for the patient.

  10. Developing a safe organizational culture

    Creating a safe organizational culture in health care settings is important for both patients and employees.

  11. Supporting nurses in self-care

    A nurse’s health can affect the care they provide to patients. The Code of Conduct outlines that nurses have an obligation to maintain their health and seek help if their health affects their ability to practice safely.

  12. Patient initiating a relationship

    Finding a patient attractive is not a boundary violation. However, acting on feelings of attraction is not acceptable.

  13. Employer policies to prevent sexual abuse

    This section of the toolkit is intended to inform organizations of policy development to help prevent, detect and address sexual abuse of patients by nurses.