Playful strategies in the perioperative preparation of children: nurses’ perceptions
DOI:
https://doi.org/10.5327/Z1414-44251101%20Keywords:
Child, Pediatric nursing, Play and playthings, Surgery department, hospitalAbstract
Objective: To identify and discuss the playful strategies used by nurses in the care of children undergoing surgical procedures. Method: This exploratory, descriptive, and quantitative study was conducted with nurses working in pediatric care settings. The study population consisted of nurses involved in pediatric surgical care who met the inclusion criteria and comprised the final sample. Data were collected between August and October 2024 through an electronic questionnaire containing sociodemographic questions and items developed based on the literature, with responses organized according to a five-point Likert scale. Data were analyzed using descriptive statistics. Results: A total of 62 (100%) nurses aged between 20 and 59 years participated in the study, most of whom were women. Most participants had between one and five years of professional experience and worked in surgical center settings. The most widely known and frequently used playful strategies were therapeutic play and drawing activities. Most participants recognized the importance of educational strategies in the preoperative period, although they reported limitations related to time constraints and workload demands. Conclusion: Playful strategies proved to be relevant in reducing anxiety and promoting a more humanized care for children and their families in the surgical context.
References
1. Acioly PGM, Paiva ED, Silva PS. Intervenções de enfermagem para o paciente pediátrico em pré-operatório. Nursing (São Paulo). 2019;22(253):2999-3005. https://doi.org/10.36489/nursing.2019v22i253p2999-3005
2. Gaiva MAM, Silveira A, Viera CS, Maia EBS, Anders JC, Miranda JOF, et al. Perfil dos enfermeiros neonatologistas e pediatras do Brasil. Rev Soc Bras Enferm Ped. 2023;23:eSOBEP20230003. https://doi.org/10.31508/1676-379320230003
3. Gomes IC, Balens Neto HAO, Ribeiro JC, Andrade ILXC, Melo SM, Lins JVM, et al. Atendimento humanizado no ambiente cirúrgico pediátrico: revisão integrativa. Braz J Implantol Health Sci. 2024;6(9):1957-70. https://doi.org/10.36557/2674-8169.2024v6n9p1957-1970
4. Garcia MA, Fernandes TRF, Braga EM, Caldeira SM. Estratégias lúdicas para a recepção de crianças em centro cirúrgico. Rev SOBECC. 2011;16(1):48-55.
5. Brondani KJM, Fuganti CCT. Estratégias educativas pré-operatórias para pais de crianças submetidas a cirurgia ambulatorial: revisão integrativa. Rev Soc Bras Enferm Ped. 2022;22:eSOBEP2022023. https://doi.org/10.31508/1676-379320220023
6. Conselho Federal de Enfermagem. Enfermagem em números [Internet]. Brasília: COFEN; 2023 [acessado em 18 set. 2025]. Disponível em: https://www.cofen.gov.br/enfermagem-em-numeros/
7. Sichieri K, Secoli SR. Pesquisa em saúde: ferramenta essencial para aprimorar a prática clínica do enfermeiro. Rev SOBECC. 2023;28:E2328920. https://doi.org/10.5327/Z1414-4425202328920
8. Ribeiro WA, Coutinho VVA, Eduardo CRB, Silva Neto PF, Pereira BVO, Costa VS, et al. Contributos do brinquedo terapêutico no processo de cuidado à criança hospitalizada: um estudo da literatura. Res Soc Dev. 2020;9(7):e1000974706. https://doi.org/10.33448/rsd-v9i7.4706
9. Miranda CB, Maia EBS, Almeida FA. Perspectivas dos profissionais de saúde do BrinquEinstein sobre a implementação do brinquedo terapêutico na pediatria. Ciênc Saúde Colet. 2024;29:e05142024. https://doi.org/10.1590/1413-81232024298.05142024
10. Caleffi CCF, Rocha PK, Anders JC, Souza AIJ, Burciaga VB, Serapião LS. Contribuição do brinquedo terapêutico estruturado em um modelo de cuidado de enfermagem para crianças hospitalizadas. Rev Gaúcha Enferm. 2016;37(2):e58131. https://doi.org/10.1590/1983-1447.2016.02.58131
11. Aranha BF, Souza MA, Pedroso GER, Maia EBS, Melo LL. Utilizando o brinquedo terapêutico instrucional durante a admissão de crianças no hospital: percepção da família. Rev Gaúcha Enferm. 2020;41:e20180413. https://doi.org/10.1590/1983-1447.2020.20180413
12. Silva JA, Azevedo EB, Barbosa JCG, Lima MKS, Cantalice ASC, Ramalho MC, et al. O lúdico como recurso terapêutico no tratamento de crianças hospitalizadas: percepção dos enfermeiros. Enferm Foco. 2021;12(2):365-71. https://doi.org/10.21675/2357-707X.2021.v12.n2.4358
13. Maciel IS, Silva JEG, Pontes GO, Buck ECS, França JRFS, Dias TKC. Importância do lúdico na assistência de enfermagem às crianças com câncer hospitalizadas: revisão integrativa. Rev Ciênc Saúde Nova Esperança. 2024;22(2):205-16. https://doi.org/10.17695/rcsne.vol22.n2.p205-216
14. Lemos SS, Pinheiro ALS, Ohara D. Estresse ocupacional em profissionais de enfermagem em um hospital no interior do sul da Bahia. REAS. 2022;15(6):e10207.2022. https://doi.org/10.25248/reas.e10207.2022
15. Santos GF, Silva BMS, Pinheiro BM, Costa DG, Almeida EA, Ramos FAZ, et al. A importância da atuação do profissional de enfermagem no centro cirúrgico. REAS. 2023;18:e11867.2023. https://doi.org/10.25248/reas.e11867.2023
16. Noetzold EAG, Krahl M, Camargo CA, Santos KPP, Pozzebon BR, Eberhardt TD. Ações de cuidado no preparo pré-operatório à criança submetida a procedimentos cirúrgicos. Rev Ciênc Humaniz Hosp Clín Passo Fundo. 2022;2(1):67-82. https://doi.org/10.29327/2185320.2.1-10
17. Jacinto SAS, Gutierrez RWH, Taets GGCC. O impacto das sensações de prazer proporcionadas pela música em atendimentos musicoterapêuticos com pacientes hospitalizados. Rev Bras Musicoter. 2021;28:85-98. https://doi.org/10.51914/brjmt.28.2020.85
18. Moll-Bertó A, López-Rodrigo N, Montoro-Pérez N, Mármol-López MI, Montejano-Lozoya R. A systematic review effectiveness of non-pharmacological therapies used by nurses in children undergoing surgery. Pain Manag Nurs. 2024;25(2):195-203. https://doi.org/10.1016/j.pmn.2023.12.006
19. Zhou S, Li H, Yang Y, Qi YS, Liu W, Mo L, et al. Effects of art therapy on psychological outcomes among children and adolescents with cancer: systematic review and meta-analysis. BMC Complement Med Ther. 2025;25:149. https://doi.org/10.1186/s12906-025-04866-2
20. Niyonkuru E, Iqbal MA, Zhang X, Ma P. Complementary approaches to postoperative pain management: a review of non-pharmacological interventions. Pain Ther. 2025;14(1):121-44. https://doi.org/10.1007/s40122-024-00688-1.
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