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Psychometric validation of Emotional Reaction Instrument-English to measure American children's emotional responses to hospitalisation.
MedLine Citation:
PMID:  23043670     Owner:  NLM     Status:  Publisher    
Aims and objectives.  The aim of this study was to test the initial psychometric properties of the Emotional Reactions Instrument-English with hospitalised American children, ages 7-12 years, in the USA. Background.  Children's negative emotional responses have been a subject of concern for paediatric clinicians and researchers, especially because negative emotional responses following or during hospitalisation are associated with adverse patient outcomes. Existing self-report paediatric instruments have a number of limitations including lack of clinical feasibility and psychometric evidence. Design.  A survey and psychometric approach was used to test initial reliability and validity of the Emotional Reactions Instrument-English. Methods.  Two hundred hospitalised American children, 7-12 years of age, who were admitted to a Children's Hospital in the USA were recruited for this study. The children were administered the Emotional Reactions Instrument-English, the Facial Affective Scale, and a demographic form. Results.  Internal consistency was supported by a Cronbach's alpha of 0·83 for the total scale. Alpha coefficients for subscales ranged from 0·59-0·82. Construct validity was tested with exploratory factor analysis. Through principal component analysis, four factors were identified that explained 64% of the variance. Concurrent validity was supported by most items in the Emotional Reactions Instrument-English being significantly correlated with the Facial Affective Scale (r = 0·18-0·59). The instrument can be administered to hospitalised children in 5-10 minutes. Conclusions.  The results of this exploratory study provide initial support for the psychometric adequacy of the Emotional Reactions Instrument-English with hospitalised American children ages 7-12 years. Further testing of the Emotional Reactions Instrument-English is required to validate the subscales and evaluate the instrument's use with children of different ages, race and ethnicity. Relevance to clinical practice.  This study introduces a new, clinically feasible instrument to measure children's diverse emotional responses to hospitalisation.
Jin-Sun Kim; Jeong-Hwan Park; Roxie L Foster; Abbas Tavakoli
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-9
Journal Detail:
Title:  Journal of clinical nursing     Volume:  -     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
Authors:Jin-Sun Kim, PhD, RN, Professor, Department of Nursing, Chosun University; Jeong-hwan Park, PhD. RN, Associate Professor, Department of Nursing, Chosun University, Gwangju, South Korea; Roxie L Foster, PhD, RN, FAAN, Professor, College of Nursing, Health Sciences Center, University of Colorado Denver, Aurora, CO; Abbas Tavakoli, DrPH. MPH, ME, Statistician and Director of Statistical Laboratory, College of Nursing, University of South Carolina, Columbia, SC, USA.
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