Banca de DEFESA: KATARINE FLORENCIO DE MEDEIROS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : KATARINE FLORENCIO DE MEDEIROS
DATE: 29/02/2024
TIME: 14:00
LOCAL: Google Meet
TITLE:

APPLICATION OF THE INSTRUCTIONAL THERAPEUTIC TOY IN HOSPITALIZED CHILDREN UNDERGOING BLADDER CATHETERISM

KEY WORDS:

Games and Toys. Therapeutic Toy. Hospitalization. Pediatric Nursing.

PAGES: 110
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Among the playful interventions proposed for children undergoing hospitalization, Therapeutic Play stands out,
which can be classified into three types: dramatic; physiological and instructional function enabler. The
Instructional Therapeutic Toy aims to clarify and train the child/family about hospitalization and the therapy involved in it. This is a descriptive and exploratory study with a qualitative approach through multiple case studies, supported by Winnicott's contributions, with the aim of understanding the meaning attributed by hospitalized children to participating in an instructional therapeutic play session in preparation for bladder catheterization. Ten children hospitalized in a university hospital in a northeastern capital participated in the period from October to November 2023. Data collection occurred in three phases: 1) collection of data from the medical records; 2) Intervention with Instructional Therapeutic Play and 3) semi-structured interview with the child. The second and third phases were recorded in video and audio using electronic media and transcribed in full. The field diary was used to record observations related to non-verbal communication during the application of the therapeutic toy and the interview. The criterion used to interrupt collection was theoretical data saturation. The data were analyzed based on inductive thematic analysis with the support of Winnicott's theoretical framework, resulting in the identification of three themes: Having control over reality; Perceptions related to instructional BT; Bladder catheterization from the perspective of hospitalized children. The study met the ethical prerogatives required by Resolution No. 466/2012, of the National Health Council and its supplementaries, being approved by opinion no. 6.417.881 and CAAE 71444523.0.0000.5537, issued by the Ethics and Research Committee of the Federal University of Rio Grande do Norte. For children, therapeutic toys allow them to have control over reality by giving them powers to oppress, decide what to do and want to be, be or have something for themselves. By reliving previous experiences, they had the opportunity to dramatize their experiences and retell their stories related to past and current hospitalizations in an attempt to process and re-signify them to discover the child's self, with the aim of, through creativity, coping better. with the situation. It was identified that they perceive therapeutic play as a pleasurable activity, as it allows them to enter their imagination and play, but it also awakens paradoxical and/or negative feelings by reviving memories of past experiences. For some children, bladder catheterization meant healing and care and, as it was an invasive procedure, it was associated with pain. For others, when contacting their internal reality, the therapeutic toy caused internal disorders and disturbed feelings emerged, which caused an escape from reality. Although the session was intended to instruct children about bladder catheterization, it became a dramatic therapeutic toy when it provided space for creativity, entering the children's universe, recounting their experiences and expressing emotions and perceptions related not only to catheterization, but also to other procedures experienced during hospitalizations.

COMMITTEE MEMBERS:
Externa à Instituição - EDMARA BAZONI SOARES MAIA
Interno - 2696718 - JONAS SAMI ALBUQUERQUE DE OLIVEIRA
Presidente - 1214075 - SORAYA MARIA DE MEDEIROS