Objective: to describe the perception of hospitalized children of school age, on nursing care and understand what are, from their perspective, the best ways to address it to when performing such care. Method: qualitative, descriptive, exploratory research, with concepts of Vygotsky used as theoretical framework. The data collection occurred through interviews mediated by drawings and was performed with ten school children, with the interview later transcribed and submitted to a thematic analysis. Results: showed the importance of playing during hospitalization, of a friendly and caring approach and providing explanations regarding the performed procedures. Conclusion: nursing professionals need to consider how the children would like to receive the care being provided, so that their singularities are respected, characterizing nursing actions according to a perspective of the whole human being. Descriptors: Hospitalized Child; Child Care; Nursing care; Pediatric Nursing; Professional-Patient Relationship.RESUMO Objetivo: descrever a percepção da criança hospitalizada, em idade escolar, acerca dos cuidados de enfermagem e compreender quais são, sob sua perspectiva, as melhores formas de abordá-la para a realização desses cuidados. Método: pesquisa qualitativa, descritiva, exploratória, que utilizou as concepções de Vygotsky como referencial teórico. A coleta de dados deu-se com a entrevista mediada por desenho e foi realizada com dez crianças em idade escolar, sendo a entrevista transcrita e submetida à análise temática. Resultados: sinalizaram para a importância do brincar durante a hospitalização, da abordagem cordial e carinhosa e das explicações quanto aos procedimentos realizados. Conclusão: os profi ssionais de enfermagem precisam levar em consideração a forma como as crianças gostariam de receber os cuidados de modo que suas singularidades sejam respeitadas, caracterizando as ações de enfermagem segundo uma perspectiva de ser humano integral. Descritores: Criança Hospitalizada; Cuidado da Criança; Cuidados de Enfermagem; Enfermagem Pediátrica; Relações Profi ssional-Paciente. RESUMEN Objetivo: describir la percepción del niño hospitalizado, en edad escolar, sobre los cuidados de enfermería y comprender cuáles son, bajo su perspectiva, las mejores formas de abordarlo para la realización de dichos cuidados. Método: investigación cualitativa, descriptiva y exploratoria, que utilizó los conceptos de Vygotsky como referencia teórica. La toma de datos se obtuvo con una entrevista mediada por un dibujo, realizada con diez niños en edad escolar, siendo la entrevista transcripta y sometida a análisis temático. Resultados: Señalaron la importancia del juego durante la hospitalización, sobre un abordaje cordial y cariñoso y sobre las explicaciones de los procedimientos realizados. Conclusión: los profesionales de enfermería necesitan tener en consideración la forma en cómo a los niños les gustaría recibir los cuidados, de modo que las singularidades sean respetadas, caracterizando las acciones de la enfermerí...

Objective: To understand the meaning attributed by undergraduate nursing students to the teaching and practice of Therapeutic Play (TP) in the Undergraduate Program in Nursing. Methods: A qualitative research project held using Symbolic Interactionism.Participants were 17 nursing students from a public university. Data were collected through semi-structured interviews and analyzed by Conventional Qualitative Content Analysis. Results: Our results allowed us to understand the meaning attributed by the nursing student to the teaching of TP on the undergraduate program -it is a necessary and important intervention to promote quality and humane nursing care; therefore, its teaching must be ensured for undergraduate students. Final considerations:We hope that our results will contribute to a reflection on the teaching of TP and that this content may go beyond the boundaries of the classroom and academic practice, promoting students' awareness for its future use in their future careers as nurses.Keywords: Play and playthings; Nursing students; Teaching; Pediatric Nursing. intervenção necessária e importante para promover um cuidado de enfermagem qualificado e humano; em vista disso, seu ensino deve ser garantido aos alunos de graduação. Considerações finais: Espera-se que seus resultados contribuam para uma reflexão sobre o ensino do BT, visando que esse conteúdo ultrapasse as fronteiras da sala de aula e da prática acadêmica, favorecendo a sensibilização do aluno para sua utilização futura, quando enfermeiro. Palavras-chave:Jogos e brinquedos; Estudantes de enfermagem; Ensino; Enfermagem pediátrica. resumenObjetivo: Comprender el significado asignado por el graduando de enfermería en cuanto a la enseñanza y la práctica del Juego Terapéutico (JT) en el Curso de Pregrado en Enfermería. Métodos: Investigación cualitativa desarrollada a la luz del Interaccionismo Simbólico. Se incluyeron 17 estudiantes de enfermería de una universidad pública, y los datos fueron recolectados mediante entrevistas semiestructuradas y analizados por Análisis Cualitativo de Contenido Convencional. Resultados: Fue posible comprender el significado asignado por el graduando de enfermería a la enseñanza del JT en el curso de pregrado como una condición necesaria e importante para promover una atención de enfermería cualificada y humana; así, se debe garantizar a los alumnos de pregrado su enseñanza. Consideraciones finales: Se espera que sus resultados ayuden a reflexionar sobre la enseñanza del JT, con el objetivo de que este contenido rebase las fronteras del aula y de la práctica académica, favoreciendo la sensibilización del alumno para su futura utilización, cuando enfermero.

Aim:To describe the benefits of using ludicity during care practices for hospitalised children with cancer, according to the perceptions of the nursing team. Method: This is a qualitative, descriptive research, carried out with the help of a nursing team in a paediatric inpatient ward for children with cancer. The collection of data was performed using non-participative observations and semi-structured interviews. The data was treated using thematic analysis. Results: The benefits of ludicity include, better adherence to treatment, improvements in relationships between the nursing team and the child, and improvements in the acceptance of caring proceedings. Discussion: According to the perception of the professionals, ludicity facilitates the process of adapting the child to hospital, and improves the relationship between the child and the nursing team. Conclusion: Ludicity brings benefits to the hospitalised child, as it helps them to adapt and provides a more qualified and humanised healthcare service.Descriptors: Play and Playthings; Hospitalized Children; Pediatric Nursing; Neoplasms. 159Depianti JRB, Silva LF, Carvalho AS, Monteiro ACM. Nursing perceptions of the benefits of ludicity on care practices for children with cancer: a descriptive study. Online braz j nurs [internet]. 2014 Jun [cited month day year]; 13 (2): 158-65. Available from:

Objective: To understand the meaning of playing for the hospitalized child under precaution. Method: Qualitative research, where Symbolic Interactionism is the theoretical framework and Qualitative Content Analysis is the methodological one. It was attended by eight children aged between 5 and 10. Data were collected through participant observation of playful activities developed with the child by a nurse-researcher and semi-structured interviews mediated by story-drawing with theme. Results: Data showed the evolution of the interactions among toy, researcher and child; their rapid acceptance to get involved in playing; the way they explore the toys; the desire to free themselves from confinement; the relief of stress, the mastery of the situation and the protagonism enabled by the playing; the way they outline the hospital and the importance of having someone to play. Final considerations: Nurses should use creativity, seeking strategies that allow the child to play in this environment full of restrictions.

Aims: to identify the reactions of relatives after a diagnosis of pediatric cancer; to describe the work of the nursing team based on these reactions; to analyze the expectation of the family regarding nursing care based on the diagnosis of pediatric cancer. Method: this is a qualitative, descriptive research performed in an onco-hematologic ward located in the state of Rio de Janeiro, Brazil. For data collection, semi-structured interviews were used. Results: this study generated some thematic units: the reactions of relatives based on the diagnosis of pediatric cancer; the work of the nursing team based on the reactions of the family of the child with the diagnosis of cancer; expectation of the relatives regarding the work of the nursing team on the relatives of the child with cancer. Discussion: relatives have feelings such as despair, fear of death, guilt, revolt and denial, making it necessary to include the relatives in nursing care procedures. Conclusion: to provide for the necessities of the relatives, caring must provide comfort, support, and a clear communication about the illness, in order to minimize their suffering.

O objetivo deste estudo foi descrever a visão dos familiares quanto às orientações realizadas junto às crianças em idade escolar em tratamento quimioterápico antineoplásico, e discutir as estratégias para orientação junto a essas crianças. Trata-se de um estudo qualitativo descritivo, com entrevistas semiestruturadas em 10 familiares de crianças em tratamento quimioterápico, num hospital público do Rio de Janeiro, no período de março de 2013 a junho de 2014, por análise temática das informações. Os dados mostraram que a maioria das crianças inicia o tratamento quimioterápico sem receber orientação e que a família é a principal responsável pela orientação. Para os familiares, a criança deve ser orientada quanto à doença, tratamento, cuidados com a higiene das mãos, alimentos e possíveis reações da quimioterapia. Recursos lúdicos, como brincadeira, desenhos e livros ilustrativos podem ser usados como estratégias para a realização das orientações. É importante a orientação das crianças em tratamento quimioterápico com uso de recursos que possibilitem sua compreensão.

Objective: This work aims to describe the type of care provided by relatives for children with sickle cell anemia according to Collière. Methods: It is descriptive study with a qualitative approach, which was carried out with relatives of children bearing sickle cell anemia in a general hospital in Vitória city, Espírito Santo State, Brazil, by using semi-structured interviews. Data were interpreted in light of the Collière's Theoretical Reference and submitted to Thematic Analysis. Results: Families had to deal with the health care professionals' lack of skill needed to convey the diagnostic. Also, there was a predominance of the maintenance care related to the time of diagnosis, playing, daily medication, body hydration, diet, elimination, and clothing. Nonetheless, repair care was restricted to emergency situations. Conclusion: It is necessary to train the professionals who care for children with sickle cell anemia to better meet their needs and those of their families.

Objective: To know the therapeutic itinerary of people diagnosed with Covid-19 from suspicion to the diagnosis. Method: Qualitative research. 65 people diagnosed with Covid-19 residing in Rio de Janeiro participated. Data collected using a semi-structured form sent via social media and processed in the software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires by Descending Hierarchical Classification and Correspondence Factor Analysis. Results: Three classes of text segments were obtained that revealed the therapeutic itinerary, with emphasis on the search for care; shortage of tests; need to return to the units for diagnosis and follow-up; and the path to confirmatory test. Conclusion: The therapeutic itinerary of patients with Covid-19 showed weaknesses in the face of difficulties related to access to diagnostic tests and the organization of the system to meet the population’s demand in the face of the pandemic.