{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:18:54Z","timestamp":1790615934751,"version":"4.1.0"},"reference-count":53,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dignity is a core concept in geriatric care. However, current attention to dignity-related care issues faced by older adults in nursing homes remains insufficient. There is a notable lack of systematic and proactive support measures in both theoretical research and practical interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this scoping review was to describe literature focussing on older adults\u2019 dignity in the context of nursing homes, in order to identify research gaps in this field and provide evidence for developing interventions to preserve dignity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A scoping review was conducted following the Arksey and O\u2019Malley framework. Medline (via PubMed), Web of Science Core Collection (WoSCC), Embase, CINAHL Ultimate (via EBSCOhost) and PsycINFO (via EBSCOhost) were searched up to 1 August 2026. Two reviewers independently screened, extracted and synthesised the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 25 articles were selected from a pool of 1362 documents. The aspects addressed in the included literature covered the level of dignity, influencing factors, the adverse impact of dignity loss, assessment tools and intervention measures for older adults in nursing homes. Results showed that older adults in nursing homes were at a significantly higher risk of dignity loss than their community-dwelling counterparts. The influencing factors mainly included demographic characteristics, disease-related factors, psychological and cognitive factors, care service and environmental factors, and sociocultural factors. Dignity loss significantly increased the risk of emotional problems such as depression and despair. The assessment tools identified included patient dignity inventory (PDI), dignity in dying questionnaire-14 (DD-14) and measurement instrument for dignity Amsterdam-for long-term care facilities (MIDAM-LTC). Dignity care interventions can be divided into three major categories: psychological and communicative tools, daily humanistic care strategies, and self-initiated dignity-preserving strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nursing home residents often experience compromised dignity, influenced by multifaceted factors. Currently, there is a lack of universally applicable assessment tools, as well as a systematic framework for comprehensive interventions. Future research should standardise assessment tools and develop evidence-based, effective coping strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09697330261489535","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T07:44:39Z","timestamp":1790408679000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dignity of older adults among nursing homes: A scoping review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3392-5803","authenticated-orcid":false,"given":"Yujia","family":"Liu","sequence":"first","affiliation":[{"name":"China Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueying","family":"Li","sequence":"additional","affiliation":[{"name":"China Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanjie","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Liaoning University of Traditional Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,26]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"World Health Organization. Ageing and health. Ageing and Health [key fact]. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/ageing-and-health (2025) accessed on 23 May 2026."},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/09697330221095140"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969733018824763"},{"key":"e_1_3_4_5_2","first-page":"589","article-title":"Exploring the process of spiritual health of the elderly living in nursing homes: a grounded theory study","volume":"31","author":"Jadidi A","year":"2021","unstructured":"Jadidi A, Khodaveisi M, Sadeghian E, et al. Exploring the process of spiritual health of the elderly living in nursing homes: a grounded theory study. 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