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Background <p>The global aging population has rendered dementia a critical public health challenge, with approximately 47 million people affected worldwide in 2015, a number projected to reach 132 million by 2050. Upholding dignity is widely recognized as a core ethical obligation in dementia care. However, the perspectives of healthcare professionals, who serve as the direct practitioners of dignity care, have not yet been systematically synthesized.</p> Aim <p>This study aims to systematically synthesize qualitative research on healthcare professionals' perspectives regarding dignity care for patients with dementia in order to inform clinical practice, care management, and policy development.</p> Methods <p>This study followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ). A systematic search was conducted across ten Chinese and English databases, including PubMed, from database inception to November 25, 2025. Two reviewers independently screened articles against eligibility criteria and assessed quality using the Critical Appraisal Skills Programme (CASP) checklist. A total of 13 studies were included, comprising qualitative studies and the qualitative components of mixed methods studies that explored healthcare professionals' perspectives on dignity care for patients with dementia. Data were synthesized using Thomas and Harden's thematic synthesis approach.</p> Results <p>The synthesis generated four analytical themes and twelve subthemes: (1) the ethical foundation of dignity care; (2) multidimensional practice strategies for dignity care; (3) dilemmas and adaptive strategies in dignity care; and (4) influencing factors of dignity care. Across these themes, healthcare professionals described central tensions involving the dynamic balance between authenticity and protection, autonomy support and necessary care, and professional boundaries and emotional connection.</p> Conclusion <p>Dignity care for patients with dementia is not a standardized technical procedure, but a dynamic, context-bound practice grounded in ethical relationships. Its realization requires not only individual ethical sensitivity and practical wisdom but also supportive organizational cultures, adequate institutional resources, and broader societal recognition of the value of elderly care.</p>

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The perspectives of healthcare professionals on dignity care for people with dementia: a qualitative meta-synthesis

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  • 发表日期：

    2026年5月26日

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  • Shanna Jin,
  • Chunxiao Feng,
  • Mengqi Zhang,
  • Yu Xin,
  • Ying Jin

摘要

Background

The global aging population has rendered dementia a critical public health challenge, with approximately 47 million people affected worldwide in 2015, a number projected to reach 132 million by 2050. Upholding dignity is widely recognized as a core ethical obligation in dementia care. However, the perspectives of healthcare professionals, who serve as the direct practitioners of dignity care, have not yet been systematically synthesized.

Aim

This study aims to systematically synthesize qualitative research on healthcare professionals' perspectives regarding dignity care for patients with dementia in order to inform clinical practice, care management, and policy development.

Methods

This study followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ). A systematic search was conducted across ten Chinese and English databases, including PubMed, from database inception to November 25, 2025. Two reviewers independently screened articles against eligibility criteria and assessed quality using the Critical Appraisal Skills Programme (CASP) checklist. A total of 13 studies were included, comprising qualitative studies and the qualitative components of mixed methods studies that explored healthcare professionals' perspectives on dignity care for patients with dementia. Data were synthesized using Thomas and Harden's thematic synthesis approach.

Results

The synthesis generated four analytical themes and twelve subthemes: (1) the ethical foundation of dignity care; (2) multidimensional practice strategies for dignity care; (3) dilemmas and adaptive strategies in dignity care; and (4) influencing factors of dignity care. Across these themes, healthcare professionals described central tensions involving the dynamic balance between authenticity and protection, autonomy support and necessary care, and professional boundaries and emotional connection.

Conclusion

Dignity care for patients with dementia is not a standardized technical procedure, but a dynamic, context-bound practice grounded in ethical relationships. Its realization requires not only individual ethical sensitivity and practical wisdom but also supportive organizational cultures, adequate institutional resources, and broader societal recognition of the value of elderly care.