Integrating play in trauma-informed care: Multidisciplinary pediatric healthcare provider perspectives.

Abstract:

:Children and their family members may experience potentially traumatic events during medical treatment that can result in pediatric medical traumatic stress reactions. Play is a normative part of childhood that may facilitate engagement in medical care and may be incorporated in trauma-informed care. This qualitative study used semistructured interviews to examine the role of play and its potential use in trauma-informed care. The perspectives of 30 multidisciplinary pediatric healthcare providers representing 5 divisions (Cardiology, Endocrinology, Oncology, Orthopedics, Pulmonology) in 2 children's hospitals were gathered. Constant comparison and directed content analysis were used to analyze the data. Themes and subthemes were derived in 3 areas: (a) aspects of pediatric medical care that are potentially traumatic (specific events; and physical, emotional, and family-level consequences), (b) uses of play in pediatric healthcare settings (general [relieve boredom] and trauma-specific [prevention/alleviation]), and (c) potential barriers to the use of play in trauma-informed care (infection control; lack of provider training). The results document aspects of pediatric medical experiences that providers recognize as potentially traumatic, highlighting the importance of trauma-informed care. They also identify ways to use play to engage with children and families in a trauma-informed way. Additional training and development regarding play may increase the viability of using play in trauma-informed pediatric healthcare. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

journal_name

Psychol Serv

journal_title

Psychological services

authors

Stenman K,Christofferson J,Alderfer MA,Pierce J,Kelly C,Schifano E,Klaff S,Sciolla J,Deatrick J,Kazak AE

doi

10.1037/ser0000294

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

7-15

issue

1

eissn

1541-1559

issn

1939-148X

pii

2018-57993-001

journal_volume

16

pub_type

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