Navigating Ethical Dilemmas: Experiences, Views and Attitudes of Informal Caregivers of Individuals With Dementia in Albania

Introduction: Caregiving for people with dementia poses emotional, social, and ethical challenges, which are intensified by socio-cultural factors and limited external support. Aim: This study explores the complex challenges, ethical dilemmas and socio-cultural factors, faced by informal caregivers of individuals with dementia in Albania, focusing on their experiences, views, and attitudes towards caregiving responsibilities and decision-making processes. Methods: Qualitative research using interpretative phenomenological analysis, was conducted through in-depth, semi-structured interviews with 12 family caregivers. Results: Three main themes emerged: (1) The Heavy Burden of Family Caregiving; (2) Balancing Autonomy, Safety, Dignity, and Well-being and (3) Injustice in Care: The Plight of Dementia Caregivers in Albania. Conclusion: This study underscores the necessity for systemic changes that prioritize the health and well-being of both caregivers and people with dementia highlighting the impact of cultural norms, family dynamics, and insufficient external support on caregivers.