Implementation of the Therapeutic Play in pediatric hospital units from the perspective of health professionals who are members of BrinquEinstein

Authors

DOI:

https://doi.org/10.36367/ntqr.13.2022.e710

Keywords:

Implementation Science, Interdisciplinary Practices, Hospitalized Child, Play and Playthings

Abstract

Introduction: The benefits of the application of therapeutic play (TP) in pediatrics are widely reported in the literature. Evidence supports its use in the care of hospitalized children with a positive impact on reducing anxiety and fear, not only for the child, but for her family members. This study sought to investigate the perception of professionals from a reference group for the application of TP (BrinquEinstein) in relation to its implementation in a pediatric hospital unit. Objectives: To understand how professionals who belong to the BrinquEinstein group evaluate the process of systematic implementation of TP in pediatric hospital units; outlining the facilitating factors and barriers for this implementation to occur from the perspective of these professionals. Method: Exploratory study, with a qualitative approach, developed in the pediatric and intensive care units of a general hospital, extraport, in the city of São Paulo. Professionals from different categories who work in these units and who belong to BrinquEinstein participated in the sample. Data were collected through individual semi-structured and audio-recorded interviews, being analyzed using the Inductive Thematic Analysis proposed by Braun & Clark. Results: From the analysis of the interviews, two themes emerged that represent the perspective of BrinquEinstein members about the TP implementation process: “experiencing a transforming process” and “establishing future perspectives”. Conclusion: For the professionals interviewed, it is essential that the use of TP becomes a routine practice in the different contexts of child health care. Managers and institutions play a fundamental role in the implementation of this practice, in the identification of needs and in the search for solutions to make it a reality.

References

Aranha, B.F., Souza, M.A., Pedroso, G.E.R., Maia, E.B.S. & Melo, L.L. (2020). Using the instructional therapeutic play during admission of children to hospital: the perception of the family. Rev Gaúcha Enferm., 41:e20180413. https://doi.org/10.1590/1983- 1447.2020.20180413

Caleffi, C.C.F., Rocha, P.K., Anders, J.C., Souza, A.I.J, Burciaga, V.B. & Serapião, L.S. (2016). Contribuição do brinquedo terapêutico estruturado em um modelo de cuidado de enfermagem para crianças hospitalizadas. Rev. Gaúcha Enferm., 37, (2), e58131. https://doi.org/10.1590/1983-1447.2016.02.58131

Chiavon, S.D., Brum, C.N., Santos, E., Sartoretto, E.A.; Zuge, S.S.; Gaio, G.; Trentin, P.A. & Potrich, T. (2021). Utilização do brinquedo terapêutico para a criança que vivencia o processo de hospitalização: uma revisão narrativa. Brazilian Journal of Health Review, 4, (1), 382-398. https://www.brazilianjournals.com/index.php/BJHR/article/view/22724/18211

Claus, M.I.S., Maia, E.B.S., Oliveira, A.I.B., Ramos, A.L., Dias, P.L.M. & Wernet, M. (2021). A inserção do brincar e brinquedo nas práticas de enfermagem pediátrica: pesquisa convergente assistencial. Esc. Anna Nery, 25, (3), e20200383. https://doi.org/10.1590/2177-9465-EAN-2020-0383

Drayton, N.A., Waddups, S. & Walker, T. (2019). Exploring distraction and the impact of child life specialists: Perception from nurses in a pediatric setting. J Spec Pediatr Nurs., 24, e12242. https://doi.org/10.1111/jspn.12242

Gjærde, L.K., Hybschmann, J., Dybdal, D., Topperzer, M.K., Schrøder, M.A., Gibson, J.L., Ramchandani, P., Ginsberg, E.I., Ottesen, B., Frandsen, T.L. & Sørensen, J.L. (2021). Play interventions for paediatric patients in hospital: a scoping review. BMJ Open, 11:e051957. http://dx.doi.org/10.1136/bmjopen-2021-051957

Godino-Iáñez, M. J., Martos-Cabrera, M.B., Suleiman-Martos, N., Gómez-Urquiza, J.L., Vargas-Román, K., Membrive-Jiménez, M.J. & Albendín-García, L. (2020). Play Therapy as an Intervention in Hospitalized Children: A Systematic Review. Healthcare (Basel, Switzerland), 8, (3), 239. https://doi.org/10.3390/healthcare8030239

He, H.G., Zhu, L.X., Chan, W.C., Liam, J.L., Ko, S.S., Li, H.C., Wang, W. & Yobas, P. (2015). A mixed-method study of effects of a therapeutic play intervention for children on parental anxiety and parents' perceptions of the intervention. J Adv Nurs., 71, (7), 1539-51. http://doi.org/10.1111/jan.12623

Langley, G.J., Moen, R.D., Nolan, K.M., Nolan, T.W., Norman, C.L. & Provost, L.P. (2011). Modelo de Melhoria: Uma abordagem prática para melhorar o desempenho organizacional. Mercado de letras.

Li, W.H.C., Chung, J.O.K., Ho, K.Y., Kwok & B.M.C. (2016). Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatr., 16, 36. https://doi.org/10.1186/s12887-016-0570-5

Maia, E.B.S., La Banca, R.O., Rodrigues, S., Pontes, E.D., Sulino, M.C. & Lima, R.A.G.(2022). A força brincar-cuidar na enfermagem pediátrica: perspectivas de enfermeiros em grupos focais. Texto Contexto Enferm. 31, e20210170. https://doi.org/10.1590/1980-265X-TCE-2021-0170

Miranda, C. B. (2022). Modelo de implementação sistemática da prática de brinquedo terapêutico em unidades hospitalares pediátricas. [Dissertação de Mestrado Profissional]. Faculdade Israelita de Ciências da Saúde Albert Einstein, Instituto Israelita de Ensino e Pesquisa Albert Einstein.

Sanne L. Nijhof, Vinkers, C.H., Geelen, S.M., Duijff, S.N., Achterberg, E.J.M., Net, J., Veltkamp, R.C., Grootenhuis, M.A, Putte, E.M., Hillegers, M.H.J., Brug, A.W., Wierenga, C.J., Benders, M.J.N.L., Rutger C.M.E. Engels, R.C.M.E., Ent, C.K., Louk J.M.J., Vanderschuren, L.J.M.J & Lesscher, H.M.B. (2018). Healthy play, better coping: The importance of play for the development of children in health and disease. Neuroscience and Biobehavioral Reviews, 95, 421-429. https://doi.org/10.1016/j.neubiorev.2018.09.024

Pedrinho, L.R., Shibukawa, B.M.C., Rissi, G.P., Uema, R.T.B., Merino, M.F.G.L. & Higarashi, I,H. (2021). O brinquedo terapêutico na atenção primária: contribuições para a sistematização da assistência de enfermagem. Enferm., 30, . e20200616. https://doi.org/10.1590/1980-265X-TCE-2020-0616

Rashid, A.A., Cheong, A.T., Hisham, R., Shamsuddin, N.H.1 & Roslan, D.. (2021). Effectiveness of pretend medical play in improving children’s health outcomes and well-being: a systematic review. BMJ Open, 11, e041506. https://doi.org/10.1136/bmjopen-2020-041506

Silva, R.D., Austregésilo, S.C., Ithamar, L. & Lima, L.S. (2017). Therapeutic play to prepare children for invasive procedures: a systematic review. J Pediatr (Rio J.), 93, 6-16. http://dx.doi.org/10.1016/j.jped.2016.06.005

Sousa, C.S., Barreto, B.C., Santana, G.A., Miguel, J.V., Braz, L.S., Lima, L.N. & Melo, M.C. (2021). O brinquedo terapêutico e o impacto na hospitalização da criança: revisão de escopo. Rev. Soc. Bras. Enferm. Ped., 21, (2), 173-80. http://dx.doi.org/10.31508/1676-379320210024

Souza, L.K. (2019). Pesquisa com análise qualitativa de dados: conhecendo a Análise Temática. Arquivos Brasileiros de Psicologia, 71, (2), 51-67. http://dx.doi.org/10.36482/1809-5267.ARBP2019v71i2p.51-67

Souza, V.R., Marziale, M.H., Silva, G.T. & Nascimento, P.L. (2021). Tradução e validação para a língua portuguesa e avaliação do guia COREQ. Acta Paul. Enferm., 34, eAPE02631. http://dx.doi.org/10.37689/actaape/2021AO02631

Steele, S. (1981). Child health and family: concept of communication. Masson.

Stewart, A. L., Field, T. A., & Echterling, L. G. (2016). Neuroscience and the magic of play therapy. International Journal of Play Therapy, 25, (1), 4–13. https://doi.org/10.1037/pla0000016

Yayan, E.H., Zegin, M., Düken, M.E. & Dag, Y.S. (2019).Reducing children's pain and parents' anxiety in the postoperative period: A therapeutic model in Turkish sample. Journal of Pediatric Nursing, 51, E33-E38. https://doi.org/10.1016/j.pedn.2019.07.004

World Health Organization. (2018). Standards for improving the quality of care for children and young adolescents in health facilities. http://apps.who.int/iris/bitstream/handle/10665/272346/9789241565554-eng.pdf?ua=1

Zengin, M., Yayan, E. H. & Düken, M. E. (2021). The effects of a therapeutic play/play therapy program on the fear and anxiety levels of hospitalized children after liver transplantation. Journal of Perianesthesia Nursing: official journal of the American Society of PeriAnesthesia Nurses, 36, (1), 81–85. https://doi.org/10.1016/j.jopan.2020.07.006

Published

2022-07-08

How to Cite

Fabiane de Amorim Almeida, Carolline Billett Miranda, & Edmara Bazoni Soares Maia. (2022). Implementation of the Therapeutic Play in pediatric hospital units from the perspective of health professionals who are members of BrinquEinstein. New Trends in Qualitative Research, 13, e710. https://doi.org/10.36367/ntqr.13.2022.e710