Table 3: Summary of exploratory factor analysis for the Portuguese Geriatric Care Environment Scale ( 1068).

F1F2F3F4Mean ± SD

(1) The older adults omission from care decision*0.730
(2) Economic pressure to limit treatment or length of stay*0.723
(3) Communication difficulties with older adults and their families*0.719
(4) Uncertainty about who is the appropriate decision maker*0.716
(5) Omission of nurses from geriatric care decision*0.710
(6) Staff shortages/time constraints*0.645
(7) Absence of (or insufficient) written geriatric policies and procedures*0.625
(8) Little or no knowledge about care of older adults*0.622
(9) Absence of specialized equipment*0.603
(10) Absence of specialized services for older adults*0.591
(11) Differences of opinion among staff (between disciplines) regarding common geriatric problems*0.561
(12) Staff know how aging affects response to treatment0.804
(13) Staff address geriatric issues0.799
(14) Aging is a factor in care hospitalized older adults0.791
(15) Provide the care that older adults need 0.693
(16) Individualized nursing care0.661
(17) Provide the information’s that older adults need0.635
(18) Provide the information and support to the families/caregivers 0.583
(19) Engagement of staff in the geriatric care0.841
(20) The staff protects the rights of older adults 0.703
(21) Personal growth is stimulated0.630
(22) Respect older adults in caring older adults0.615
(23) The geriatric policies and guidelines are established based on the inputs of the staff0.610
(24) Clinicians and administrators work together to solve older adults’ problems0.547
(25) Continuity of care between hospitals is adequate0.830
(26) Continuity of care between settings is adequate 0.562
(27) Baseline information is obtained at hospital admission 0.363

Eigenvalue8.813.251.691.19
% variance 30.7910.124.412.7748.09
Cronbach’s α0.8940.8850.8270.7380.919

F1: resource availability; F2: aging-sensitive care; F3: institutional values regarding older adults and staff; F4: continuity of care. *Reverse-scored item.