This article discusses the staff's view on dementia and its impact on the care delivered arising outof a qualitative comparative study focusing on long-term care of older people in France, Portugaland Sweden. The aim was to explore the staff's view on the illness dementia; on older peoplesuffering from dementia; the care provided and the impact of various views on the care. The carewas studied through observations at 22 care settings in the three countries and the staff'sattitudes were explored by means of interviews with 79 people. A relation-orientedphenomenological approach was used. Great differences appeared regarding the various staffgroups' views. The findings also indicated that the staff's view; the cultural context and theorganizational environment might have an impact on the care provided. However the impact ofprofessional affiliation and the way of collaborating seemed to be of greater significance than othersimilarities or differences. An interdisciplinary based starting point, with close collaborationbetween medical based health care and social care of older people suffering from dementia inintegrative care models, is therefore of vital importance.