Abstract
The hospital continues to play a major role in the continuum of care for older adults. Unfortunately, their health and well-being is often adversely affected by the acute care environment. In response, there is a small but growing movement through nurse-led initiatives to incorporate principles of person-centered care into hospital operations. These principles are incorporated into the Aging-sensitive Care Delivery Scale and include incorporating knowledge of person’s preferences and history into care planning and delivery, patient/ family engagement in decision making, and a biopsychosocial approach. An understanding of the organizational factors that support these principles will help advance quality initiatives. In a national sample of 7,840 nurses from 27 US hospitals, linear mixed models demonstrated the following organizational factors were associated with nurse-reported aging-sensitive care: knowledge about dementia and delirium care (p < .0001), access to elder-specific resources (p= .013), and institutionalized values specific to elder care (p <. 0001).