Children's Emotional Manifestation Scale: development and testing

Aims and objectives.  The objectives of this study were to develop an objective and operationalized behavioural observation scale that can be used to document children's emotional responses during stressful medical procedures, and to test the psychometric properties of this newly developed scal...

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Veröffentlicht in:Journal of clinical nursing 2005-02, Vol.14 (2), p.223-229
Hauptverfasser: Li, Ho Cheung William, Lopez, Violeta
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description Aims and objectives.  The objectives of this study were to develop an objective and operationalized behavioural observation scale that can be used to document children's emotional responses during stressful medical procedures, and to test the psychometric properties of this newly developed scale. Background.  The availability of a valid and reliable instrument that accurately documents the manifestation of children's emotions prior to undergoing surgery or during stressful medical procedures is crucial before any intervention can be appropriately planned and evaluated. There is a lack of such an instrument with effective psychometric properties in the literature. Design.  A cross‐sectional study was employed. A convenience sample of 82 children admitted for day surgery was recruited in this study. Method.  Based on systematic literature search, a number of observable emotional behaviours with different levels or intensities were identified. A panel of nurse experts was set up to review this finding and develop the scale. Intra‐class correlation was used to estimate the inter‐rater reliability coefficient. Internal consistency reliability was assessed by determining the Cronbach's alpha. Content validity was established by six nurse experts’ ratings. The validity of the scale was also confirmed by convergent validity. Results.  The results showed that there was adequate inter‐rater reliability, high internal consistency reliability, good content validity and excellent convergent validity. Conclusions.  This study has addressed a gap in the literature by developing an objective tool to document children's emotional responses during stressful medical procedure, which are under‐researched in the literature. Relevance to clinical practice.  The Children's Emotional Manifestation Scale was developed to provide a simple, objective and consistent method for nurses to document children's emotional behaviour during stressful medical procedures. Clinical nurses can also use this scale to evaluate preoperative interventions directed towards minimizing anxiety and bolstering coping mechanisms in children undergoing surgery.
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Background.  The availability of a valid and reliable instrument that accurately documents the manifestation of children's emotions prior to undergoing surgery or during stressful medical procedures is crucial before any intervention can be appropriately planned and evaluated. There is a lack of such an instrument with effective psychometric properties in the literature. Design.  A cross‐sectional study was employed. A convenience sample of 82 children admitted for day surgery was recruited in this study. Method.  Based on systematic literature search, a number of observable emotional behaviours with different levels or intensities were identified. A panel of nurse experts was set up to review this finding and develop the scale. Intra‐class correlation was used to estimate the inter‐rater reliability coefficient. Internal consistency reliability was assessed by determining the Cronbach's alpha. Content validity was established by six nurse experts’ ratings. The validity of the scale was also confirmed by convergent validity. Results.  The results showed that there was adequate inter‐rater reliability, high internal consistency reliability, good content validity and excellent convergent validity. Conclusions.  This study has addressed a gap in the literature by developing an objective tool to document children's emotional responses during stressful medical procedure, which are under‐researched in the literature. Relevance to clinical practice.  The Children's Emotional Manifestation Scale was developed to provide a simple, objective and consistent method for nurses to document children's emotional behaviour during stressful medical procedures. 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The validity of the scale was also confirmed by convergent validity. Results.  The results showed that there was adequate inter‐rater reliability, high internal consistency reliability, good content validity and excellent convergent validity. Conclusions.  This study has addressed a gap in the literature by developing an objective tool to document children's emotional responses during stressful medical procedure, which are under‐researched in the literature. Relevance to clinical practice.  The Children's Emotional Manifestation Scale was developed to provide a simple, objective and consistent method for nurses to document children's emotional behaviour during stressful medical procedures. 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Background.  The availability of a valid and reliable instrument that accurately documents the manifestation of children's emotions prior to undergoing surgery or during stressful medical procedures is crucial before any intervention can be appropriately planned and evaluated. There is a lack of such an instrument with effective psychometric properties in the literature. Design.  A cross‐sectional study was employed. A convenience sample of 82 children admitted for day surgery was recruited in this study. Method.  Based on systematic literature search, a number of observable emotional behaviours with different levels or intensities were identified. A panel of nurse experts was set up to review this finding and develop the scale. Intra‐class correlation was used to estimate the inter‐rater reliability coefficient. Internal consistency reliability was assessed by determining the Cronbach's alpha. Content validity was established by six nurse experts’ ratings. The validity of the scale was also confirmed by convergent validity. Results.  The results showed that there was adequate inter‐rater reliability, high internal consistency reliability, good content validity and excellent convergent validity. Conclusions.  This study has addressed a gap in the literature by developing an objective tool to document children's emotional responses during stressful medical procedure, which are under‐researched in the literature. Relevance to clinical practice.  The Children's Emotional Manifestation Scale was developed to provide a simple, objective and consistent method for nurses to document children's emotional behaviour during stressful medical procedures. 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subjects Ambulatory Surgical Procedures - adverse effects
Ambulatory Surgical Procedures - psychology
behaviour observation
Child
Child Behavior
Children
China
Cooperative Behavior
Cross-Sectional Studies
Development
Emotional distress
Emotions
Facial Expression
Female
Hong Kong
Humans
Male
Measures
Medical treatment
Nurses
Nursing
Nursing Assessment - methods
Nursing Evaluation Research
Observation
Observer Variation
Psychiatric Status Rating Scales - standards
psychological upset
Psychology, Child
Psychometrics
Selection Bias
Sensitivity and Specificity
Severity of Illness Index
state anxiety
Stress, Psychological - diagnosis
Stress, Psychological - etiology
Stress, Psychological - psychology
surgery
Verbal Behavior
title Children's Emotional Manifestation Scale: development and testing
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