Play as a wellness-generating tool for hospitalized children: A systematic review.
Article Sidebar
Published:
Dec 20, 2021
Keywords:
game; hospitalization; pediatrics
Main Article Content
Abstract
Abstract: Hospitalization is a stressful event for the child as it is a source of tension and conflict due to the presence of feelings such as anxiety, fear or pain. Play is an important part of children's lives; therefore, it is necessary to guarantee comprehensive care during the process, including the possibility of playing. The aim of this study was to analyze the effect of play in hospitalized children. Methods: A systematic review was carried out. The search was performed in PsycInfo, Scopus, Medline and Behavioral Sciences Collection and the search equation was "hospitalized children" or "pediatric patients" and "play intervention" ". The search was conducted in January 2021. Results: (n = 41) studies were included in the review. The studies reveal that the application of play in hospitalized children decreases postoperative pain, improves behavior and attitude, and reduces anxiety during hospital stay. Conclusions: the use of play has a beneficial impact on the care of hospitalized children and is suggested to be implemented in pediatric units.
Downloads
Download data is not yet available.
Article Details
How to Cite
Yánez OrtizE. E. (2021). Play as a wellness-generating tool for hospitalized children: A systematic review. AXIOMA, 1(25), 73-81. https://doi.org/10.26621/ra.v1i25.729
Section
EDUCACIÓN
Con la finalidad de contar con un tipo de licencia más abierta en el espectro que ofrece Creative Commons, a partir de diciembre de 2022 desde el número 27, AXIOMA asume la Licencia Creative Commons 4.0 de Reconocimiento-NoComercial-CompartirIgual 4.0(CC BY-NC-SA 4.0). Tanto el sitio web como los artículos en sus diferentes formatos, reflejan esta información.
Hasta el mes de noviembre de 2022 con el número 26, la revista AXIOMA asumió una Licencia Creative Commons Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0). Los artículos contenidos en cada número hasta el 26, cuentan con esta licencia y su descripción se conserva en el portal de nuestra revista.
Atribución-NoComercial-SinDerivadas
CC BY-NC-ND
Al respecto explicamos que los artículos científicos presentados al Comité Editorial de la Revista Científica “Axioma” deben ser inéditos y originales; sin haber sido publicados o sometidos a revisión en otras revistas o publicaciones técnico-científicas en cualquier idioma. El Comité Editorial se reserva el derecho de rechazar o aceptar los materiales enviados para su publicación.
La presentación de los artículos científicos a la Revista “Axioma” conlleva:
- Que han sido aprobados por las autoridades responsables de la institución donde se efectuó la investigación y por todos los coautores (si los hay).
- Cuando el artículo científico es aceptado para su publicación, la revista “Axioma”, asume los derechos para editar y publicar en índices nacionales e internacionales o bases de datos con fines académicos y científicos, no comerciales, respetando los derechos de autoría.
AXIOMA- Revista Científica de Investigación, Docencia y Proyección Social
References
Alcântara, P. L., Wogel, A. Z., Rossi, M. I. L., Neves, I. R., Sabates, A. L., & Puggina, A. C. (2016). Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children. Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, 34(4), 432-438. https://doi.org/10.1016/j.rppede.2016.02.011
Alparslan, Ö., & Bozkurt, G. (2018). The effect of a clown model implemented in hospital on the anxiety and depression level of ill children and their mothers. Arts & Health: International Journal for Research, Policy & Practice, 10(2), 138-150. https://doi.org/10.1080/17533015.2017.1334679
Altay, N., Kilicarslan-Toruner, E., & Sari, Ç. (2017). The effect of drawing and writing technique on the anxiety level of children undergoing cancer treatment. European Journal of Oncology Nursing, 28, 1-6. https://doi.org/10.1016/j.ejon.2017.02.007
Al-Yateem, N., & Rossiter, R. C. (2017). Unstructured play for anxiety in pediatric inpatient care. Journal for Specialists in Pediatric Nursing, 22(1). Scopus. https://doi.org/10.1111/jspn.12166
Anggerainy, S. W., Wanda, D., & Nurhaeni, N. (2019). Music Therapy and Story Telling: Nursing Interventions to Improve Sleep in Hospitalized Children. Comprehensive child and adolescent nursing, 42(sup1), 82-89. https://doi.org/10.1080/24694193.2019.1578299
Arnon, Z., Hanan, H., & Mogilner, J. (2018). The effect of a hypnotic-based animated video on stress and pain reduction in pediatric surgery. International Journal of Clinical and Experimental Hypnosis, 66(2), 123-133. https://doi.org/10.1080/00207144.2018.1421353
Aydin, D., & Sahiner, N. C. (2017). Effects of music therapy and distraction cards on pain relief during phlebotomy in children. Applied Nursing Research, 33, 164-168. https://doi.org/10.1016/j.apnr.2016.11.011
Barker, S. B., Knisely, J. S., Schubert, C. M., Green, J. D., & Ameringer, S. (2015). The Effect of an Animal-Assisted Intervention on Anxiety and Pain in Hospitalized Children. Anthrozoos, 28(1), 101-112. https://doi.org/10.2752/089279315X14129350722091
Batún-Cutz, J. L., Guerrero-Lara, E. A., Kantún-Chim, M. D., Panti-Trejo, H. G., & Rodríguez-Aké, A. L. (2016). Efecto psicológico de una intervención de apoyo emocional para niños hospitalizados = Psychological effect of an intervention of emotional support for hospitalized children. Ansiedad y Estrés, 22(2-3), 74-79. https://doi.org/10.1016/j.anyes.2016.05.001
Caleffi, C. C. F., Rocha, P. K., Anders, J. C., Souza, A. I. J. de, Burciaga, V. B., & Serapião, L. da S. (2016). Contribuição do brinquedo terapêutico estruturado em um modelo de cuidado de enfermagem para crianças hospitalizadas. Revista Gaúcha de Enfermagem, 37(2). https://doi.org/10.1590/1983-1447.2016.02.58131
Chin, J.-C., & Tsuei, M. (2014). A multi-modal digital game-based learning environment for hospitalized children with chronic illnesses. Journal of Educational Technology & Society, 17(4), 366-378. http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2014-45760-025&site=ehost-live
Clark, M. E., Carleton, M. E., Cummings, B. M., & Noviski, N. (2019). Children’s Drawings With Narratives in the Hospital Setting: Insights Into the Patient Experience. Hospital pediatrics, 9(7), 495-500. https://doi.org/10.1542/hpeds.2018-0170
Coşkuntürk, A. E., & Gözen, D. (2018). The Effect of Interactive Therapeutic Play Education Program on Anxiety Levels of Children Undergoing Cardiac Surgery and Their Mothers. Journal of PeriAnesthesia Nursing, 33(6), 781-789. https://doi.org/10.1016/j.jopan.2017.07.009
Dantas, F. A., da Nóbrega, V. M., Pimenta, E. A. G., & Collet, N. (2016). Use of therapeutic play during intravenous drug administration in children: Exploratory study. Online Brazilian Journal of Nursing, 15(3), 454-465. Scopus. https://doi.org/10.17665/1676-4285.20165581
Delvecchio, E., Salcuni, S., Lis, A., Germani, A., & Di Riso, D. (2019). Hospitalized Children: Anxiety, Coping Strategies, and Pretend Play. Frontiers in Public Health, 7. Scopus. https://doi.org/10.3389/fpubh.2019.00250
Dionigi, A. (2017). Clowning as a Complementary Approach for Reducing Iatrogenic Effects in Pediatrics. AMA journal of ethics, 19(8), 775-782. https://doi.org/10.1001/journalofethics.2017.19.8.stas1-1708
Dionigi, A., Sangiorgi, D., & Flangini, R. (2014). Clown intervention to reduce preoperative anxiety in children and parents: A randomized controlled trial. Journal of Health Psychology, 19(3), 369-380. https://doi.org/10.1177/1359105312471567
Flujas-Contreras, J. M., Ruiz-Castañeda, D., & Gómez, I. (2020). Promoting Emotional Well-being in Hospitalized Children and Adolescents With Virtual Reality: Usability and Acceptability of a Randomized Controlled Trial. Computers, informatics, nursing : CIN, 38(2), 99-107. https://doi.org/10.1097/CIN.0000000000000586
Fonseca, M. R. A., Campos, C. J. G., Ribeiro, C. A., Toledo, V. P., & Melo, L. de L. (2015). Revealing the world of oncological treatment through dramatic therapeutic play. Texto & Contexto - Enfermagem, 24(4), 1112-1120. https://doi.org/10.1590/0104-0707201500003350014
Ford, K., Courtney-Pratt, H., Tesch, L., & Johnson, C. (2014). More than just clowns: Clown Doctor rounds and their impact for children, families and staff. Journal of Child Health Care, 18(3), 286-296. https://doi.org/10.1177/1367493513490447
Ghabeli, F., Moheb, N., & Hosseini Nasab, S. D. (2014). Effect of Toys and Preoperative Visit on Reducing Children’s Anxiety and their Parents before Surgery and Satisfaction with the Treatment Process [Text/html]. Journal of Caring Sciences; EISSN 2251-9920. https://doi.org/10.5681/JCS.2014.003
Hall, C., & Reet, M. (2000). Review: Enhancing the state of play in children’s nursing. Journal of Child Health Care, 4(2), 49-54. https://doi.org/10.1177/136749350000400201
He, H. G., Zhu, L., Li, H. C. W., Wang, W., Vehviläinen-Julkunen, K., & Chan, S. W. C. (2014). A randomized controlled trial of the effectiveness of a therapeutic play intervention on outcomes of children undergoing inpatient elective surgery: Study protocol. Journal of Advanced Nursing, 70(2), 431-442. Scopus. https://doi.org/10.1111/jan.12234
He, H.-G., Zhu, L., Chan, S. W. C., Klainin-Yobas, P., & Wang, W. (2015). The Effectiveness of Therapeutic Play Intervention in Reducing Perioperative Anxiety, Negative Behaviors, and Postoperative Pain in Children Undergoing Elective Surgery: A Systematic Review. Pain Management Nursing, 16(3), 425-439. Scopus. https://doi.org/10.1016/j.pmn.2014.08.011
Hinic, K., Kowalski, M. O., Holtzman, K., & Mobus, K. (2019). The Effect of a Pet Therapy and Comparison Intervention on Anxiety in Hospitalized Children. Journal of pediatric nursing, 46, 55-61. https://doi.org/10.1016/j.pedn.2019.03.003
Kaheni, S., Bagheri-Nesami, M., Goudarzian, A. H., & Rezai, M. S. (2016). The effect of video game play technique on pain of venipuncture in children. International Journal of Pediatrics, 4(5), 1795-1802. Scopus. https://doi.org/10.22038/ijp.2016.6770
Kapkın, G. (2020). Effect of therapeutic play methods on hospitalized children in Turkey: Systematic review. Erciyes Medical Journal. https://doi.org/10.14744/etd.2019.94940
Karakaya, A., & Gözen, D. (2016). The Effect of Distraction on Pain Level Felt by School-age Children During Venipuncture Procedure—Randomized Controlled Trial. Pain Management Nursing, 17(1), 47-53. https://doi.org/10.1016/j.pmn.2015.08.005
Knutz, E., Ammentorp, J., & Kofoed, P.-E. (2015). Why health care needs design research: Broadening the perspective on communication in pediatric care through play. Health Communication, 30(10), 1032-1045. Scopus. https://doi.org/10.1080/10410236.2014.917220
Koukourikos, K., Tzeha, L., Pantelidou, P., & Tsaloglidou, A. (2015). The Importance of Play During Hospitalization of Children. Materia socio-medica, 27(6), 438-441. https://doi.org/10.5455/msm.2015.27.438-441
Lambert, V., Coad, J., Hicks, P., & Glacken, M. (2014). Social spaces for young children in hospital. Child: Care, Health and Development, 40(2), 195-204. https://doi.org/10.1111/cch.12016
Li, W. H. C., Chung, J. O. K., & Ho, E. K. Y. (2011). The effectiveness of therapeutic play, using virtual reality computer games, in promoting the psychological well‐being of children hospitalised with cancer. Journal of Clinical Nursing, 20(15-16), 2135-2143. https://doi.org/10.1111/j.1365-2702.2011.03733.x
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 pediatrics, 16, 36. https://doi.org/10.1186/s12887-016-0570-5
Lima, K. Y., & Santos, V. E. (2015). Play as a care strategy for children with cancer. Revista gaúcha de enfermagem / EENFUFRGS, 36(2), 76-81. Scopus. https://doi.org/10.1590/1983-1447.2015.02.51514
Lizasoáin, O., & Ochoa, B. (2003). Repercusiones de la hospitalización pediátrica en el niño enfermo. Cuadernos de Ciencias Médicas, 5, 75-85.
Logan, D. E., Breazeal, C., Goodwin, M. S., Jeong, S., O’Connell, B., Smith-Freedman, D., Heathers, J., & Weinstock, P. (2019). Social robots for hospitalized children. Pediatrics, 144(1). https://doi.org/10.1542/peds.2018-1511
Mansson, M. E., Elfving, R. N., Petersson, C., Wahl, J., & Tunell, S. (2013). Use of clowns to aid recovery in hospitalised children. Nursing children and young people, 25(10), 26-30. Scopus. https://doi.org/10.7748/ncyp2013.12.25.10.26.e352
Metzl, E., Morrell, M., & Field, A. (2016). A pilot outcome study of art therapy and music therapy with hospitalized children. Canadian Art Therapy Association Journal, 29(1), 3-11. https://doi.org/10.1080/08322473.2016.1170496
Moerman, C. J., & Jansens, R. M. L. (2020). Using social robot PLEO to enhance the well-being of hospitalised children. Journal of Child Health Care. Scopus. https://doi.org/10.1177/1367493520947503
Mohammadi, A., Mehraban, A. H., & Damavandi, S. A. (2017). Effect of Play-based Occupational Therapy on Symptoms of Hospitalized Children with Cancer: A Single-subject Study. Asia-Pacific journal of oncology nursing, 4(2), 168-172. https://doi.org/10.4103/apjon.apjon_13_17
Moss, K. M., Healy, K. L., Ziviani, J., Newcombe, P., Cobham, V. E., McCutcheon, H., Montague, G., & Kenardy, J. (2019). Trauma-informed care in practice: Observed use of psychosocial care practices with children and families in a large pediatric hospital. Psychological Services, 16(1), 16-28. https://doi.org/10.1037/ser0000270
Nicholas, D. B., & Chahauver, A. (2017). Examining computer use by hospitalized children and youth. Journal of Technology in Human Services, 35(4), 277-291. https://doi.org/10.1080/15228835.2017.1366886
Potasz, C., De Varela, M. J. V., De Carvalho, L. C., Do Prado, L. F., & Do Prado, G. F. (2013). Effect of play activities on hospitalized children’s stress: A randomized clinical trial. Scandinavian journal of occupational therapy, 20(1), 71-79. https://doi.org/10.3109/11038128.2012.729087
Santos, V. L. A. D., Almeida, F. de A., Ceribelli, C., & Ribeiro, C. A. (2020). Understanding the dramatic therapeutic play session: A contribution to pediatric nursing. Revista brasileira de enfermagem, 73(4), e20180812. https://doi.org/10.1590/0034-7167-2018-0812
Siegel, J., Iida, H., Rachlin, K., & Yount, G. (2016). Expressive Arts Therapy with Hospitalized Children: A Pilot Study of Co-Creating Healing Sock Creatures©. Journal of pediatric nursing, 31(1), 92-98. https://doi.org/10.1016/j.pedn.2015.08.006
Silva, S. G. T. da, Santos, M. A., Floriano, C. M. de F., Damião, E. B. C., Campos, F. V. de, & Rossato, L. M. (2017). Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial. Revista brasileira de enfermagem, 70(6), 1244-1249. https://doi.org/10.1590/0034-7167-2016-0353
Sposito, A. M. P., Montigny, F. de, Sparapani, V. de C., Lima, R. A. G. de, Silva-Rodrigues, F. M., Pfeifer, L. I., & Nascimento, L. C. (2016). Puppets as a strategy for communication with Brazilian children with cancer. Nursing & Health Sciences, 18(1), 30-37. https://doi.org/10.1111/nhs.12222
Stenman, K., Christofferson, J., Alderfer, M. A., Pierce, J., Kelly, C., Schifano, E., Klaff, S., Sciolla, J., Deatrick, J., & Kazak, A. E. (2019). Integrating play in trauma-informed care: Multidisciplinary pediatric healthcare provider perspectives. Psychological Services, 16(1), 7-15. https://doi.org/10.1037/ser0000294
Teksoz, E., Bilgin, I., Madzwamuse, S. E., & Oscakci, A. F. (2017). The impact of a creative play intervention on satisfaction with nursing care: A mixed-methods study. Journal for Specialists in Pediatric Nursing, 22(1), n/a-N.PAG. https://doi.org/10.1111/jspn.12169
Tsai, Y.-L., Tsai, S.-C., Yen, S.-H., Huang, K.-L., Mu, P.-F., Liou, H.-C., Wong, T.-T., Lai, I.-C., Liu, P., Lou, H.-L., Chiang, I.-T., & Chen, Y.-W. (2013). Efficacy of therapeutic play for pediatric brain tumor patients during external beam radiotherapy. Child’s Nervous System, 29(7), 1123-1129. https://doi.org/10.1007/s00381-013-2099-3
Ullán, A.M., Belver, M. H., Fernández, E., Lorente, F., Badía, M., & Fernández, B. (2014). The effect of a program to promote play to reduce children’s post-surgical pain: With plush toys, it hurts less. Pain Management Nursing, 15(1), 273-282. Scopus. https://doi.org/10.1016/j.pmn.2012.10.004
Unicef. (2006). Convención sobre los derechos del niño. 52.
Usó, V. G., Sandnes, F. E., & Medola, F. O. (2020). Using virtual reality and rapid prototyping to co-create together with hospitalized children. Advances in Intelligent Systems and Computing, 975, 279-288. Scopus. https://doi.org/10.1007/978-3-030-20216-3_26
Weiss, P. L., Bialik, P., & Kizony, R. (2003). Virtual Reality Provides Leisure Time Opportunities for Young Adults with Physical and Intellectual Disabilities. CyberPsychology & Behavior, 6(3), 335-342. https://doi.org/10.1089/109493103322011650
Alparslan, Ö., & Bozkurt, G. (2018). The effect of a clown model implemented in hospital on the anxiety and depression level of ill children and their mothers. Arts & Health: International Journal for Research, Policy & Practice, 10(2), 138-150. https://doi.org/10.1080/17533015.2017.1334679
Altay, N., Kilicarslan-Toruner, E., & Sari, Ç. (2017). The effect of drawing and writing technique on the anxiety level of children undergoing cancer treatment. European Journal of Oncology Nursing, 28, 1-6. https://doi.org/10.1016/j.ejon.2017.02.007
Al-Yateem, N., & Rossiter, R. C. (2017). Unstructured play for anxiety in pediatric inpatient care. Journal for Specialists in Pediatric Nursing, 22(1). Scopus. https://doi.org/10.1111/jspn.12166
Anggerainy, S. W., Wanda, D., & Nurhaeni, N. (2019). Music Therapy and Story Telling: Nursing Interventions to Improve Sleep in Hospitalized Children. Comprehensive child and adolescent nursing, 42(sup1), 82-89. https://doi.org/10.1080/24694193.2019.1578299
Arnon, Z., Hanan, H., & Mogilner, J. (2018). The effect of a hypnotic-based animated video on stress and pain reduction in pediatric surgery. International Journal of Clinical and Experimental Hypnosis, 66(2), 123-133. https://doi.org/10.1080/00207144.2018.1421353
Aydin, D., & Sahiner, N. C. (2017). Effects of music therapy and distraction cards on pain relief during phlebotomy in children. Applied Nursing Research, 33, 164-168. https://doi.org/10.1016/j.apnr.2016.11.011
Barker, S. B., Knisely, J. S., Schubert, C. M., Green, J. D., & Ameringer, S. (2015). The Effect of an Animal-Assisted Intervention on Anxiety and Pain in Hospitalized Children. Anthrozoos, 28(1), 101-112. https://doi.org/10.2752/089279315X14129350722091
Batún-Cutz, J. L., Guerrero-Lara, E. A., Kantún-Chim, M. D., Panti-Trejo, H. G., & Rodríguez-Aké, A. L. (2016). Efecto psicológico de una intervención de apoyo emocional para niños hospitalizados = Psychological effect of an intervention of emotional support for hospitalized children. Ansiedad y Estrés, 22(2-3), 74-79. https://doi.org/10.1016/j.anyes.2016.05.001
Caleffi, C. C. F., Rocha, P. K., Anders, J. C., Souza, A. I. J. de, Burciaga, V. B., & Serapião, L. da S. (2016). Contribuição do brinquedo terapêutico estruturado em um modelo de cuidado de enfermagem para crianças hospitalizadas. Revista Gaúcha de Enfermagem, 37(2). https://doi.org/10.1590/1983-1447.2016.02.58131
Chin, J.-C., & Tsuei, M. (2014). A multi-modal digital game-based learning environment for hospitalized children with chronic illnesses. Journal of Educational Technology & Society, 17(4), 366-378. http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2014-45760-025&site=ehost-live
Clark, M. E., Carleton, M. E., Cummings, B. M., & Noviski, N. (2019). Children’s Drawings With Narratives in the Hospital Setting: Insights Into the Patient Experience. Hospital pediatrics, 9(7), 495-500. https://doi.org/10.1542/hpeds.2018-0170
Coşkuntürk, A. E., & Gözen, D. (2018). The Effect of Interactive Therapeutic Play Education Program on Anxiety Levels of Children Undergoing Cardiac Surgery and Their Mothers. Journal of PeriAnesthesia Nursing, 33(6), 781-789. https://doi.org/10.1016/j.jopan.2017.07.009
Dantas, F. A., da Nóbrega, V. M., Pimenta, E. A. G., & Collet, N. (2016). Use of therapeutic play during intravenous drug administration in children: Exploratory study. Online Brazilian Journal of Nursing, 15(3), 454-465. Scopus. https://doi.org/10.17665/1676-4285.20165581
Delvecchio, E., Salcuni, S., Lis, A., Germani, A., & Di Riso, D. (2019). Hospitalized Children: Anxiety, Coping Strategies, and Pretend Play. Frontiers in Public Health, 7. Scopus. https://doi.org/10.3389/fpubh.2019.00250
Dionigi, A. (2017). Clowning as a Complementary Approach for Reducing Iatrogenic Effects in Pediatrics. AMA journal of ethics, 19(8), 775-782. https://doi.org/10.1001/journalofethics.2017.19.8.stas1-1708
Dionigi, A., Sangiorgi, D., & Flangini, R. (2014). Clown intervention to reduce preoperative anxiety in children and parents: A randomized controlled trial. Journal of Health Psychology, 19(3), 369-380. https://doi.org/10.1177/1359105312471567
Flujas-Contreras, J. M., Ruiz-Castañeda, D., & Gómez, I. (2020). Promoting Emotional Well-being in Hospitalized Children and Adolescents With Virtual Reality: Usability and Acceptability of a Randomized Controlled Trial. Computers, informatics, nursing : CIN, 38(2), 99-107. https://doi.org/10.1097/CIN.0000000000000586
Fonseca, M. R. A., Campos, C. J. G., Ribeiro, C. A., Toledo, V. P., & Melo, L. de L. (2015). Revealing the world of oncological treatment through dramatic therapeutic play. Texto & Contexto - Enfermagem, 24(4), 1112-1120. https://doi.org/10.1590/0104-0707201500003350014
Ford, K., Courtney-Pratt, H., Tesch, L., & Johnson, C. (2014). More than just clowns: Clown Doctor rounds and their impact for children, families and staff. Journal of Child Health Care, 18(3), 286-296. https://doi.org/10.1177/1367493513490447
Ghabeli, F., Moheb, N., & Hosseini Nasab, S. D. (2014). Effect of Toys and Preoperative Visit on Reducing Children’s Anxiety and their Parents before Surgery and Satisfaction with the Treatment Process [Text/html]. Journal of Caring Sciences; EISSN 2251-9920. https://doi.org/10.5681/JCS.2014.003
Hall, C., & Reet, M. (2000). Review: Enhancing the state of play in children’s nursing. Journal of Child Health Care, 4(2), 49-54. https://doi.org/10.1177/136749350000400201
He, H. G., Zhu, L., Li, H. C. W., Wang, W., Vehviläinen-Julkunen, K., & Chan, S. W. C. (2014). A randomized controlled trial of the effectiveness of a therapeutic play intervention on outcomes of children undergoing inpatient elective surgery: Study protocol. Journal of Advanced Nursing, 70(2), 431-442. Scopus. https://doi.org/10.1111/jan.12234
He, H.-G., Zhu, L., Chan, S. W. C., Klainin-Yobas, P., & Wang, W. (2015). The Effectiveness of Therapeutic Play Intervention in Reducing Perioperative Anxiety, Negative Behaviors, and Postoperative Pain in Children Undergoing Elective Surgery: A Systematic Review. Pain Management Nursing, 16(3), 425-439. Scopus. https://doi.org/10.1016/j.pmn.2014.08.011
Hinic, K., Kowalski, M. O., Holtzman, K., & Mobus, K. (2019). The Effect of a Pet Therapy and Comparison Intervention on Anxiety in Hospitalized Children. Journal of pediatric nursing, 46, 55-61. https://doi.org/10.1016/j.pedn.2019.03.003
Kaheni, S., Bagheri-Nesami, M., Goudarzian, A. H., & Rezai, M. S. (2016). The effect of video game play technique on pain of venipuncture in children. International Journal of Pediatrics, 4(5), 1795-1802. Scopus. https://doi.org/10.22038/ijp.2016.6770
Kapkın, G. (2020). Effect of therapeutic play methods on hospitalized children in Turkey: Systematic review. Erciyes Medical Journal. https://doi.org/10.14744/etd.2019.94940
Karakaya, A., & Gözen, D. (2016). The Effect of Distraction on Pain Level Felt by School-age Children During Venipuncture Procedure—Randomized Controlled Trial. Pain Management Nursing, 17(1), 47-53. https://doi.org/10.1016/j.pmn.2015.08.005
Knutz, E., Ammentorp, J., & Kofoed, P.-E. (2015). Why health care needs design research: Broadening the perspective on communication in pediatric care through play. Health Communication, 30(10), 1032-1045. Scopus. https://doi.org/10.1080/10410236.2014.917220
Koukourikos, K., Tzeha, L., Pantelidou, P., & Tsaloglidou, A. (2015). The Importance of Play During Hospitalization of Children. Materia socio-medica, 27(6), 438-441. https://doi.org/10.5455/msm.2015.27.438-441
Lambert, V., Coad, J., Hicks, P., & Glacken, M. (2014). Social spaces for young children in hospital. Child: Care, Health and Development, 40(2), 195-204. https://doi.org/10.1111/cch.12016
Li, W. H. C., Chung, J. O. K., & Ho, E. K. Y. (2011). The effectiveness of therapeutic play, using virtual reality computer games, in promoting the psychological well‐being of children hospitalised with cancer. Journal of Clinical Nursing, 20(15-16), 2135-2143. https://doi.org/10.1111/j.1365-2702.2011.03733.x
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 pediatrics, 16, 36. https://doi.org/10.1186/s12887-016-0570-5
Lima, K. Y., & Santos, V. E. (2015). Play as a care strategy for children with cancer. Revista gaúcha de enfermagem / EENFUFRGS, 36(2), 76-81. Scopus. https://doi.org/10.1590/1983-1447.2015.02.51514
Lizasoáin, O., & Ochoa, B. (2003). Repercusiones de la hospitalización pediátrica en el niño enfermo. Cuadernos de Ciencias Médicas, 5, 75-85.
Logan, D. E., Breazeal, C., Goodwin, M. S., Jeong, S., O’Connell, B., Smith-Freedman, D., Heathers, J., & Weinstock, P. (2019). Social robots for hospitalized children. Pediatrics, 144(1). https://doi.org/10.1542/peds.2018-1511
Mansson, M. E., Elfving, R. N., Petersson, C., Wahl, J., & Tunell, S. (2013). Use of clowns to aid recovery in hospitalised children. Nursing children and young people, 25(10), 26-30. Scopus. https://doi.org/10.7748/ncyp2013.12.25.10.26.e352
Metzl, E., Morrell, M., & Field, A. (2016). A pilot outcome study of art therapy and music therapy with hospitalized children. Canadian Art Therapy Association Journal, 29(1), 3-11. https://doi.org/10.1080/08322473.2016.1170496
Moerman, C. J., & Jansens, R. M. L. (2020). Using social robot PLEO to enhance the well-being of hospitalised children. Journal of Child Health Care. Scopus. https://doi.org/10.1177/1367493520947503
Mohammadi, A., Mehraban, A. H., & Damavandi, S. A. (2017). Effect of Play-based Occupational Therapy on Symptoms of Hospitalized Children with Cancer: A Single-subject Study. Asia-Pacific journal of oncology nursing, 4(2), 168-172. https://doi.org/10.4103/apjon.apjon_13_17
Moss, K. M., Healy, K. L., Ziviani, J., Newcombe, P., Cobham, V. E., McCutcheon, H., Montague, G., & Kenardy, J. (2019). Trauma-informed care in practice: Observed use of psychosocial care practices with children and families in a large pediatric hospital. Psychological Services, 16(1), 16-28. https://doi.org/10.1037/ser0000270
Nicholas, D. B., & Chahauver, A. (2017). Examining computer use by hospitalized children and youth. Journal of Technology in Human Services, 35(4), 277-291. https://doi.org/10.1080/15228835.2017.1366886
Potasz, C., De Varela, M. J. V., De Carvalho, L. C., Do Prado, L. F., & Do Prado, G. F. (2013). Effect of play activities on hospitalized children’s stress: A randomized clinical trial. Scandinavian journal of occupational therapy, 20(1), 71-79. https://doi.org/10.3109/11038128.2012.729087
Santos, V. L. A. D., Almeida, F. de A., Ceribelli, C., & Ribeiro, C. A. (2020). Understanding the dramatic therapeutic play session: A contribution to pediatric nursing. Revista brasileira de enfermagem, 73(4), e20180812. https://doi.org/10.1590/0034-7167-2018-0812
Siegel, J., Iida, H., Rachlin, K., & Yount, G. (2016). Expressive Arts Therapy with Hospitalized Children: A Pilot Study of Co-Creating Healing Sock Creatures©. Journal of pediatric nursing, 31(1), 92-98. https://doi.org/10.1016/j.pedn.2015.08.006
Silva, S. G. T. da, Santos, M. A., Floriano, C. M. de F., Damião, E. B. C., Campos, F. V. de, & Rossato, L. M. (2017). Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial. Revista brasileira de enfermagem, 70(6), 1244-1249. https://doi.org/10.1590/0034-7167-2016-0353
Sposito, A. M. P., Montigny, F. de, Sparapani, V. de C., Lima, R. A. G. de, Silva-Rodrigues, F. M., Pfeifer, L. I., & Nascimento, L. C. (2016). Puppets as a strategy for communication with Brazilian children with cancer. Nursing & Health Sciences, 18(1), 30-37. https://doi.org/10.1111/nhs.12222
Stenman, K., Christofferson, J., Alderfer, M. A., Pierce, J., Kelly, C., Schifano, E., Klaff, S., Sciolla, J., Deatrick, J., & Kazak, A. E. (2019). Integrating play in trauma-informed care: Multidisciplinary pediatric healthcare provider perspectives. Psychological Services, 16(1), 7-15. https://doi.org/10.1037/ser0000294
Teksoz, E., Bilgin, I., Madzwamuse, S. E., & Oscakci, A. F. (2017). The impact of a creative play intervention on satisfaction with nursing care: A mixed-methods study. Journal for Specialists in Pediatric Nursing, 22(1), n/a-N.PAG. https://doi.org/10.1111/jspn.12169
Tsai, Y.-L., Tsai, S.-C., Yen, S.-H., Huang, K.-L., Mu, P.-F., Liou, H.-C., Wong, T.-T., Lai, I.-C., Liu, P., Lou, H.-L., Chiang, I.-T., & Chen, Y.-W. (2013). Efficacy of therapeutic play for pediatric brain tumor patients during external beam radiotherapy. Child’s Nervous System, 29(7), 1123-1129. https://doi.org/10.1007/s00381-013-2099-3
Ullán, A.M., Belver, M. H., Fernández, E., Lorente, F., Badía, M., & Fernández, B. (2014). The effect of a program to promote play to reduce children’s post-surgical pain: With plush toys, it hurts less. Pain Management Nursing, 15(1), 273-282. Scopus. https://doi.org/10.1016/j.pmn.2012.10.004
Unicef. (2006). Convención sobre los derechos del niño. 52.
Usó, V. G., Sandnes, F. E., & Medola, F. O. (2020). Using virtual reality and rapid prototyping to co-create together with hospitalized children. Advances in Intelligent Systems and Computing, 975, 279-288. Scopus. https://doi.org/10.1007/978-3-030-20216-3_26
Weiss, P. L., Bialik, P., & Kizony, R. (2003). Virtual Reality Provides Leisure Time Opportunities for Young Adults with Physical and Intellectual Disabilities. CyberPsychology & Behavior, 6(3), 335-342. https://doi.org/10.1089/109493103322011650