Evidence map›Paper›PMID 41703453›Full record

ArticleBMC geriatrics2026

Threats to dignified care for older people with mental illness: a qualitative analysis.

Nasrin Rezaee, Mohammad Abbasi, Sally Pezaro, Rabea Mohsen Ali, Marjan Mardani-Hamooleh, Zahra Salehi

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nasrin RezaeeDepartment of Nursing, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Mohammad AbbasiDepartment of Nursing, Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Vanak Sq., Zafar St., Tehran, 1996713883, Iran.
Sally PezaroResearch Centre for Healthcare and Communities, Coventry University, Coventry, UK.
Rabea Mohsen AliDepartment of Nursing, College of Nursing, University of Kut, Wasit, 52001, Iraq.
Marjan Mardani-HamoolehDepartment of Nursing, Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Vanak Sq., Zafar St., Tehran, 1996713883, Iran. mardanimarjan@gmail.com.
Zahra SalehiDepartment of Nursing, Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Vanak Sq., Zafar St., Tehran, 1996713883, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe dual vulnerability inherent in advanced age and mental illness makes the provision of dignified care critical. However, current literature has given limited attention to identifying the specific threats and compromises to dignity experienced by older adults living with mental health conditions. The aim of this study was to investigate nurses' perceptions of threats to dignified care for older people with mental illness.

methodsA qualitative interview study was conducted. Semi-structured and individual interviews with nurses (n = 27) were undertaken. Content analysis was used to make sense of the data collected.

resultsThreats to dignified care for older people included unavoidable personal context, inadequate organizational infrastructure, and sociocultural traumatic wounds. The first category included the traumatic nature of the illness and being a victim of ageism. The second category included lack of necessary physical space and absence of integrated end-of-life care. The third category included the dominance of culturally rooted explanatory models of illness, lack of family support, and living in an ignorant society. The reports of, and threats of, violence and abuse directed towards older people are particularly concerning.

conclusionsSociocultural dynamics pose a direct challenge to the dignity of older individuals, often culminating in the threat of undignified care. At the heart of this issue are several core influences: the effects of culturally rooted explanatory models of illness, the presence of insufficient family support, and the pervasive consequences of inhabiting a society marked by traumatic historical and cultural wounds. These components are critical determinants of the quality of dignified care received by older adults. Consequently, a focused combination of educational and sociocultural interventions is urgently needed to dismantle the cultural stigma and prejudice evident within this care context.

Indexed as

Attitude of Health PersonnelMental DisordersPersonhoodQualitative ResearchRespectAdultAgedAgeismFemaleHumansMaleMiddle AgedCaringDignityMental illnessOlder peopleQualitative research

Identifiers

PMID41703453
PMCPMC13014809

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.