[Creation of an observation scale for newborns in the maternity setting]

In clinical practice in the maternity setting, professionals are regularly confronted with situations for which a clinical observation of the newborn's condition is necessary. The Assessment for Newborn Development and Abilities (Panda) scale is a tool for evaluating the sensory-motor skills of newborns and their relationship with others, as well as raising professionals' awareness of their fine observation.

[Assessing a patient's pain]

Pain assessment has taken a predominant role in nursing practice. In day-to-day care, the way a patient in pain is approached and the assessment of their pain are sometimes subject to extensive questioning. The subjective part of pain is still often emphasised when the quantified assessment and the nurse's clinical observation are contradictory. The exhaustive gathering of information is key to an effective assessment of a patient's pain.

Preliminary reliability study of the affective lability scale adapted for adolescents in a francophone clinical population

OBJECTIVE

to study the reliability of a self-questionnaire on adolescent affective instability, within a francophone clinical population.

METHOD

After reviewing the literature and consulting experts, the Affective Lability Scale (ALS), developed by Harvey and collaborators (1989), was selected. An anglophone and francophone version, adapted for the adolescent population, was developed. The final version includes 54 questions, divided into six sections, which examine the affective variations between euthymia, on the one hand, and depression, elation, and anxiety, on the other, and also examine the affective variations between anxiety and depression, and between depression and elation. The francophone version was the subject of a reliability study. A total of 43 francophone adolescents (48.8% male, 51.2% female; median age=14.86 years) took part in the comprehension and reliability study.

RESULTS

All questions were assigned a comprehension rate per item (CRI)>0.60 as evaluated by inter-rater agreement (median kappa=0.85). The median CRI is very satisfactory (0.88, SD=0.14). The internal consistency, determined by Cronbach coefficients, is elevated for each section and for the entire instrument (0.87 to 0.95). The temporal stability at three weeks is satisfactory, with an intraclass correlation coefficient (ICC) for the entire scale of 0.89 (confidence interval of 95%=0.75 to 0.95) and section's ICCs ranging between 0.72 and 0.89.

CONCLUSION

This initial reliability data supports interest in the ALS as a means to evaluate a global level of affective lability, during the euthymic phase, among francophone adolescents in an in-patient psychiatric unit. A future study with a larger sample will make it possible to confirm these initial results and examine the factorial structure of the instrument.