The role of parents in promoting play for hospitalized children: A scope review

Authors

DOI:

https://doi.org/10.33448/rsd-v14i7.49252

Keywords:

Occupational Therapy, Child Care, Play, Family, Hospitalization.

Abstract

Introduction: This study is based on a qualitative research project for a professional master's degree, contributing with evidence from the literature. Playing is considered a fundamental occupation in childhood and important for child development. The presence of parents is guaranteed by law in the case of child hospitalization, and parents play an important role in promoting play during hospitalization. Objective: To map the evidence and panorama available regarding the role of parents in promoting play in hospitalized children. Methods: Scoping review, considering research and review articles (PUBMED, CINAHL, BVS, LILACS and WEB of SCIENCE), with thematic content analysis. Results: four studies were included and the content analysis allowed us to identify three major themes: (1) Chronic illness in childhood and its impacts on the daily lives of children and families; (2) Parental suffering and parental participation in care and play; and (3) The health team, care and play. Discussion: Chronic diseases promote several changes and interruptions in the daily lives of children and families, especially mothers, the main caregivers. Play, when promoted by parents and staff, can become a means for children to express their feelings and alleviate their anxieties. Final Considerations: Mothers, as the main caregivers, need support and support to balance roles and occupations when their children are ill.

References

American Academy of Pediatrics (2007). The Importance of Play in Promoting Healthy Child Development and Maintaining Strong Parent-Child Bonds. (Vol. 119, pp. 182–191) Pediatrics.

American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain & process. (4th ed., Vol. 74). Aota Press/American Occupational Therapy Association.

Cordeiro, L. & Soares, C. B. (2019). Revisão de escopo: potencialidades para a síntese de metodologias utilizadas em pesquisa primária qualitativa. Bis. 20(2), 37-43. https://docs.bvsalud.org/biblioref/2019/10/1021863/bis-v20n2-sintese-de-evidencias-qualitativas-37-43.pdf.

Della Barba, P.C.S. (2020). Intervenção de terapia ocupacional centrada na família. In: Pfeifer, L.I; & Sant’anna, M.M.M. (Orgs) Terapia Ocupacional na infância: procedimentos na prática clínica. São Paulo: Memnon.

Fioreti, F.C.C.F; Manzo, B.F; & Regino, A.E.F. (2016). A ludoterapia e a criança hospitalizada na perspectiva dos pais (Vol. 20). REME - Revista Mineira de Enfermagem. https://doi.org/10.5935/1415-2762.20160044

Folha, D. R. Da S. C; & Della Barba, P. C. De S. (2020). Knowledge production on occupational therapy and childhood occupations: a literature review. (Vol. 28, pp. 227–245, 2). Cadernos Brasileiros de Terapia Ocupacional.

Freitas, T. B. de, & Agostini, O. S. (2019). Impactos da hospitalização parcial recorrente sob a perspectiva de crianças e adolescentes com mucopolissacaridoses em um hospital pediátrico. Cadernos Brasileiros de Terapia Ocupacional, 27(3), 564–573. https://doi.org/10.4322/2526-8910.ctoao1636

Jasem, Z. A; Darlington A-S; Lambrick D; & Randall D. C. (2022). ‘Eat, sleep, internet and talk’: an exploratory study of play profile for children living with palliative care needs. Palliative Care and Social Practice, 16. doi:10.1177/26323524221105100

Liao, S. T., Hwang, Y. S., Chen, Y. J., Lee, P., Chen, S. J., & Lin, L. Y. (2014). Home-based DIR/Floortime intervention program for preschool children with autism spectrum disorders: preliminary findings. Physical & occupational therapy in pediatrics, 34(4), 356–367. https://doi.org/10.3109/01942638.2014.918074

Mitre, R. M. De A.; & Gomes, R. (2004). A promoção do brincar no contexto da hospitalização infantil como ação de saúde. Ciência & Saúde Coletiva, 9, n. 1, 147–154. https://doi.org/10.1590/S1413-81232004000100015

Mitre, R. M. De A. (2000). Brincando para viver: um estudo sobre a relação entre a criança gravemente adoecida e hospitalizada e o brincar. [Tese de Mestrado em Saúde da Criança, Instituto Fernandes Figueira - Fundação Oswaldo Cruz]. https://www.arca.fiocruz.br/handle/icict/3550

Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC medical research methodology, 18(1), 143. https://doi.org/10.1186/s12874-018-0611-x

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Ed.UAB/NTE/UFSM.

Sabino, A. S; Esteves, A.V. F; Oliveira, A.P. P; & Silva, M. V. G. (2018). O conhecimento dos pais quanto ao processo do cuidar por meio do brincar. Cogitare Enfermagem, v. 23, n. 2. https://doi.org/10.5380/ce.v23i2.52849

Shields, L. What is “family-centered care”? (2015). European Journal for Person Centered Healthcare, 3.

Silva, D. F; & Correa, I. (2010). Reflexão sobre as vantagens, desvantagens e dificuldades do brincar no ambiente hospitalar. REME - Revista Mineira de Enfermagem 14(1), 37-42.

Silva, M. O. L; & Panúncio-Pinto, M. P. (2025). Promoção do brincar de crianças hospitalizadas em tratamento oncológico na primeira infância: compreendendo o papel dos pais. [Dissertação de Mestrado não publicada] Universidade de São Paulo.

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of business research, 104, 333-339.

Sossela, C. R; & Sager, F. (2017). A criança e o brinquedo no contexto hospitalar. Revista da SBPH, 20(1), 17-31. Recuperado em 08 de julho de 2025, de http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-08582017000100003&lng=pt&tlng=pt.

Sousa, L. C; De Vitta, A; Lima, J. M; & De Vitta, F. C. F. (2015). O brincar no contexto hospitalar na visão dos acompanhantes de crianças internadas. Journal of Human Growth and Development, 25(1), 41-49.

Taverna, L., Bellavere, M., Tremolada, M., Santinelli, L., Rudelli, N., Mainard, M., Onder, G., Putti, M. C., Biffi, A., & Tosetto, B. (2021). Oncological Children and Well-Being: Occupational Performance and HRQOL Change after Fine Motor Skills Stimulation Activities. Pediatric reports, 13(3), 383–400. https://doi.org/10.3390/pediatric13030046.

Winnicott. D. W. (1975). O brincar e a realidade (J. O. A. Abreu & V. Nobre, Trads.) pag. 89. Rio de Janeiro: Imago.

Published

2025-07-29

Issue

Section

Health Sciences

How to Cite

The role of parents in promoting play for hospitalized children: A scope review. Research, Society and Development, [S. l.], v. 14, n. 7, p. e9314749252, 2025. DOI: 10.33448/rsd-v14i7.49252. Disponível em: https://rsdjournal.org/rsd/article/view/49252. Acesso em: 5 dec. 2025.