Sexuality continues to be an essential part of our lives into old age. Problematic sexual behaviour of nursing home residents is not uncommon, and this may cause the staff considerable distress. The present study describes the staff’s attitudes towards and knowledge about old age sexuality in nursing homes, as well as their experiences with feeling violated by abusive sexual behaviour. Data were collected through questionnaires and semi-structured interviews covering the previous 6 months. 51 % answered the questionnaire; the respondents were considered to be representative of the entire sample. 30 % had experienced abusive sexual behaviour, but in most cases of a mild character, and only one had needed psychological intervention while most of the respondents sought support from their colleagues. A correlation between the experience of feeling violated and a more restrictive attitude towards sexual activity among the elderly was found.