Assessment of nurses’ knowledge about therapeutic play in pediatric services of a training and research hospital
Main Article Content
Abstract
Background
Hospitalization disrupts children’s lives and can produce feelings of anxiety, fear, or pain. Playing is an important part of children’s lives.It is necessary for nurses to provide holistic and quality care, including therapeutic play, which contributes to the recovery of children by relaxing them both physically and emotionally. The aim of this study was to determine the level of knowledge of pediatric nurses about therapeutic play and find out the relations of therapeutic play with nurses’age, educational level, marriage status, and length of employment.
Methods
This cross-sectional study was conducted with 126 pediatric nurses working in the pediatric service of a training and research hospital. The data of the study were collected with the “Nurse Introductory Information Form” and “Questionnaire for Determining the Level of Knowledge of Therapeutic Play”. Descriptive statistical tests and nonparametric tests were used to analyze the data. Statistical significance was set at p<0.05.
Results
In this study, 88.1% of the nurses stated that they did not receive training in therapeutic play, and 79.4% stated that they wanted to receive training in therapeutic play. The nurses’ level of knowledge about therapeutic play significantly decreased with age and increased with educational level (p<0.05).
ConclusIons
The knowledge level of the nurses participating in the study about therapeutic play is above average, but is low regarding the integration of therapeutic play into care. It is recommended that nurses receive in-service training in therapeutic play.
Article Details
Section
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References
Kadan G. Handbook of research on prenatal, postnatal, and early childhood development: children in hospital. IGI Global: Publishing Tomorrow’s Research Today; 2020.
Lerwick JL. Minimizing pediatric healthcare-induced anxiety and trauma. World J Clin Pediatr 2016;5:143-50. doi: 10.5409/wjcp.v5.i2.143.
Avan H. Therapeutic communication and play with children in prehospital care. J Pre-Hospital 2020;5:109-18.
Koukourikos K, Tzeha L, Pantelidou P, Tsaloglidou A. The importance of play during hospitalization of children. Mater Sociomed 2015;27:438-41. doi: 10.5455/msm.2015.27.438-441.
Yayan EH, Zengin M, Düken ME, Suna Dağ Y. Reducing children’s pain and parents’ anxiety in the postoperative period: a therapeutic model in Turkish sample. J Pediatr Nurs 2020;51:8-33. doi: 10.1016/j.pedn.2019.07.004.
Li WHC, Chung JOK, Ho KY, Kwok BMC. Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatr 2016;16:36. doi: 10.1186/s12887-016-0570-5.
Pekyiğit A, Yıldız D, Eren Fidancı B, Çalık Bağrıyanık B. Disease and hospital concept with creative play method in hospitalized children: a qualitative study. J Child 2021;21:175-82. doi: 10.26650/jchild.2021.2.897005.
Godino-Iáñez MJ, Martos-Cabrera MB, Suleiman-Martos N, et al. Play therapy as an intervention in hospitalized children: a systematic review. Healthcare (Basel) 2020;8: 239. doi: 10.3390/healthcare8030239.
He HG, Zhu L, Chan SW, et al. Therapeutic play intervention on children’s perioperative anxiety, negative emotional manifestation and postoperative pain: A randomized controlled trial. J Adv Nurs 2015;71:1032-43. https://doi.org/10.1111/jan.12608.
Teksoz E, Bilgin I, Madzwamuse SE, Oscakci AF. The impact of a creative play intervention on satisfaction with nursing care: a mixed‐methods study. J Spec Pediatr Nurs 2017;22:e12169. doi: 10.1111/jspn.12169.
Ullan MA, Belver HM, Fernandez E, Lorenta F, Badıa M, Fernandez B. The effect of a program to promote play to reduce children’s post-surgical pain: with plush toys, it hurts less. Pain Manag Nurs 2014;5:273-82. doi: 10.1016/j.pmn.2012. 10.004.
Caleffi CC, Rocha P, Anders JC, Souza AI, Burciaga VB, Serapião L. Contribution of structured therapeutic play in a nursing care model for hospitalized children. Rev Gaucha Enferm 2016;37:e58131. doi: 10.1590/1983-1447.2016.02.58131.
Buyuk ET, Bolişik B. The effect of preoperative training and therapeutic play on children’s anxiety, fear, and pain. J Pediatr Surg Nurs 2015; 4:78-85. doi: 10.1097/JPS.0000000000000060.
Forouzandeh N, Drees F, Forouzandeh M, Darakhshandeh S. The effect of interactive games compared to painting on preoperative anxiety in Iranian children: a randomized clinical trial. Complement Ther Clin 2020;40:101211. doi: 10.1016/j.ctcp.2020.101211.
Simsek N, Altay N. Therapeutic plays’ benefits for children aged 3-6 and contributions to nursing care: a literature review. J Infant Child Adolesc Health 2021;1:36.
Oliveira SC, Maia SBE, Borba HIR, Ribeiro AC. Therapeutic play in child care: perceptions of nurses in the pediatric units of a teaching hospital. Revista da SOBEP 2015;15:21-30.
Gjærde LK, Hybschmann J, Dybdal D, et al. Play interventions for paediatric patients in hospital: a scoping review. BMJ Open 2021;1:e051957. doi: 10.1136/bmjopen-2021-051957.
Schleisman A, Mahon E. Creative play: a nursing intervention for children and adults with cancer. Clin J Oncol Nurs 2018;22:137-40. doi: 10.1188/18.CJON.137-140.
Barroso MC, Santos RS, Santos AE, Nunes MD, Lucas EA. Children’s perception of venipuncture through therapeutic toy. Acta Paul Enferm 2020; 33:1-8. doi: 10.37689/acta-ape/2020AO0296.
Campos FV, Antunes CF, Damião EB, Rossato LM, Nascimento LC. Anxiety assessment tools in hospitalized children. Acta Paul Enferm 2020;33:eAPE20180250. doi: 10.37689/acta-ape/2020AR02505.
İnci R, Günay U. Knowledge, opinions and practices of pediatric nurses about therapeutic play. Acibadem Univ Health Sciences J 2019;10:547-51. doi: 10.31067/0.2019.187.
Butcher HK, Bulechek GM, Dochterman JM, Wagner CM. Nursing interventions classification. Elsevier; 2018.
Kahraman A, Kırkan Ç, Aslan A, Huyelmas H, Bal Yılmaz H. Investigations of relationship between pediatric nurses use of therapeutic play and liking of children and affecting factors. Sakarya Med J 2020;10:365-72. doi: 10.31832/smj.720565.
Francischinelli BGA., Almeida AF, Fernandes OSMD. Routine use of therapeutic play in the care of hospitalized children: nurses’ perceptions. Acta Paul Enferm 2012;5:18-23. doi: 10.1590/S0103-21002012000100004.
Mannino JE, Disabato JA, Betz CL, Hudson SM, Marner VA. Health care transition planning: educational needs of pediatric nurses and pediatric nurse practitioners. J Pediatr Health Care 2022;36:6-16. doi:10.1016/j.pedhc.2022. 04.001.
Yiğit D, Sezici E, Açıkgöz F. The level of nurses’ liking of children and using therapeutic play. J Educ Res Nurs 2019;16:288-94. doi: 10.5222/HEAD.2019.288.
Bluestone J, Johnson P, Fullerton J, Carr C, Alderman J, BonTempo J. Effective in-service training design and delivery: Evidence from an integrative literature review. Hum Resour Health Dev J 2013;11:51. doi: 10.1186/1478-4491-11-51P.