Use of the levels of cognitive functioning assessment scale (LOCFAS) by acute care nurses

1993 ◽  
Vol 6 (4) ◽  
pp. 167-169 ◽  
Author(s):  
Patricia H. Byers ◽  
Jeanne Flannery ◽  
Sandra Korcheck
1995 ◽  
Vol 3 (1) ◽  
pp. 43-58 ◽  
Author(s):  
Jeanne Flannery

Nurses have responsibility for accurate assessment of cognitive functioning for traumatic brain injured (TBI) patients early in the posttrauma period to enhance rehabilitation with appropriate care planning. To meet this need the Levels of Cognitive Functioning Assessment Scale (LOCFAS) was adapted from the Rancho Los Amigo Levels of Cognitive Functioning instrument. One validity and three reliability studies were conducted using videotapes of five TBI patients at different levels of cognitive functioning. Interrater and intrarater reliability was assessed using coefficient kappa. With raters experienced in assessing cognitive functioning, agreement among cognitive levels was 1.00 with a mean agreement of .997 (5D=.006) for individual items. With inexperienced raters in cognitive assessment, mean agreement for levels was .839 (SD = .120) and for individual items, .830 (SD = .052) Intrarater reliability, after a two-week interval, yielded a mean agreement of .860 (SD = .088) for levels. Criterion-related validity of the LOCFAS was demonstrated by correlating it with the Rancho Los Amigos Levels of Cognitive Functioning scale. The resultant Pearson r correlation was .929. Implications for nursing practice and nursing education are discussed.


2011 ◽  
Vol 16 (6) ◽  
pp. 489-500 ◽  
Author(s):  
Cynthia L. Cummings

Moral distress and professional stress affect the lives of acute care nurses everyday. The impact of these stressors may be causing nurses to leave the acute care setting. This paper will outline the findings from a descriptive study of acute care nurses in Northeast Florida. The research was conducted in an effort to highlight some of the critical factors that impact nurses in the acute care setting and affect their intent to stay at an institution. The concepts of moral distress and professional stress in relation to nursing retention are highlighted and some strategies for lessening of these stressors are proposed. The study was correlational and conducted among 234 nurses in an institutional setting. The study included an online survey based on established Moral Distress and Professional Stress tools. In addition, a qualitative section was included to explore the nurses’ experiences of stressful inpatient situations. The results of this study demonstrated that when combined, both professional stress and moral distress items were predictive of the nurses’ intent to stay at the institution ( p <.001).


2014 ◽  
Vol 114 (11) ◽  
pp. 66
Author(s):  
Karen Rosenberg ◽  
Andrea Kayyali
Keyword(s):  

2014 ◽  
Vol 1 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Mary Beth Modic ◽  
Sandra L. Siedlecki ◽  
Mary T. Quinn Griffin ◽  
c Joyce J. Fitzpatrick

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