Os Doutores da Alegria na unidade de internação pediátrica: experiências da equipe de enfermagem

Oliveira, Roberta Ramos de; Oliveira, Isabel Cristina dos Santos

doi:10.1590/s1414-81452008000200005

“…Inevitably, the relationships that occur within the hospital environment will directly influence the child's treatment 8. Play is one of the needs of hospitalized children that needs to be met, because the physical, emotional, cognitive, and social development of children does not cease, even when they are ill 9…”

Section: Introductionmentioning

confidence: 99%

“…The clowns' performance can also provide socialization and interaction among children, which allows the creation of new social network; it acts as an enabling condition to get out of the social isolation that sometimes hospitalization provides. This fact may also be associated with the recovery condition 8. Playing also changes the environment in which the child is, making it closer to his/her reality.…”

Section: Introductionmentioning

confidence: 99%

Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children

Alcântara

¹

,

Wogel

²

,

Rossi

³

et al. 2016

Revista Paulista de Pediatria (English Edition)

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Objective:Compare the non-verbal communication of children before and during interaction with clowns and compare their vital signs before and after this interaction.Methods:Uncontrolled, intervention, cross-sectional, quantitative study with children admitted to a public university hospital. The intervention was performed by medical students dressed as clowns and included magic tricks, juggling, singing with the children, making soap bubbles and comedic performances. The intervention time was 20min. Vital signs were assessed in two measurements with an interval of 1min immediately before and after the interaction. Non-verbal communication was observed before and during the interaction using the Non-Verbal Communication Template Chart, a tool in which non-verbal behaviors are assessed as effective or ineffective in the interactions.Results:The sample consisted of 41 children with a mean age of 7.6±2.7 years; most were aged 7-11 years (n=23; 56%) and were males (n=26; 63.4%). There was a statistically significant difference in systolic and diastolic blood pressure, pain and non-verbal behavior of children with the intervention. Systolic and diastolic blood pressure increased and pain scales showed decreased scores.Conclusions:The playful interaction with clowns can be a therapeutic resource to minimize the effects of the stressing environment during the intervention, improve the children's emotional state and reduce the perception of pain.

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“…The professionals can establish a durable relationship with the clowns that a lot of times are seen as a relationship model with the patients 3,32 . This relationship that includes clowns, patient, companions and health professionals contributes to changes in the conducts adopted by the care team 30 and like this it potentiates the effects of the clowns' performance beyond the moment of the visits.…”

Section: Comunicação Saúde Educação 2016; 20(56):123-34mentioning

confidence: 99%

“…The art is not detached, but layered upon the lived reality, promoting the experimentation of a cascade of memories, sensations and feelings that, mediated by the cognitive elaboration, they allow another symbolic construction, a renewed interpretation of life. 26 ; aid in recovery 10,12,28,29,30 ; peacefulness to the mothers in the pediatric patients' case; improvement of the professionals' and students relationship with the pacients 31,32 and even of the patients with one another 26 .…”

Section: Artistic Contextmentioning

confidence: 99%

“…Besides, there are also benefits for the individuals who act as clowns, whether profissional artists 33 or voluntaries 26,28,[30][31][32] : the use of the mask allows the establishment of unique communicative abilities 32 , that contribute to the establishment of an integral vision of the individuals within the health service and, sometimes, they serve as relationship model for the team that works in this service 3,9 .…”

Section: Target Of the Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Palhaços: uma revisão acerca do uso dessa máscara no ambiente hospitalarPayasos: una revisiónsobre el uso de esa máscara en el ambiente hospitalario

Sato

¹

,

Ramos

²

,

Silva

³

et al. 2016

Interface (Botucatu)

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Groups of voluntary or professional artists have been formed in order to visit patients in hospitals around the world, as clowns, using humor as a tool to promote the care and recovery process. There are few studies on this topic in the scientific literature. Thus, construction of a theoretical field that is able to support this activity is only just beginning. Therefore, we conducted a bibliographic review based on 33 papers about different clown groups acting in different hospitals worldwide, in order to better comprehend how these visits take place and how they can effectively achieve good results. It was observed that these encounters can establish deep relationships that are capable of creating new meanings for the hospital environment, empowering patients and serving as a relationship model for all the healthcare staff involved.

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Efeito da interação com palhaços nos sinais vitais e na comunicação não verbal de crianças hospitalizadas

Alcântara

¹

,

Wogel

²

,

Rossi

³

et al. 2016

Revista Paulista de Pediatria

7

1

0

View full text Add to dashboard Cite

Objective:Compare the non-verbal communication of children before and during interaction with clowns and compare their vital signs before and after this interaction.Methods:Uncontrolled, intervention, cross-sectional, quantitative study with children admitted to a public university hospital. The intervention was performed by medical students dressed as clowns and included magic tricks, juggling, singing with the children, making soap bubbles and comedic performances. The intervention time was 20min. Vital signs were assessed in two measurements with an interval of 1min immediately before and after the interaction. Non-verbal communication was observed before and during the interaction using the Non-Verbal Communication Template Chart, a tool in which non-verbal behaviors are assessed as effective or ineffective in the interactions.Results:The sample consisted of 41 children with a mean age of 7.6±2.7 years; most were aged 7-11 years (n=23; 56%) and were males (n=26; 63.4%). There was a statistically significant difference in systolic and diastolic blood pressure, pain and non-verbal behavior of children with the intervention. Systolic and diastolic blood pressure increased and pain scales showed decreased scores.Conclusions:The playful interaction with clowns can be a therapeutic resource to minimize the effects of the stressing environment during the intervention, improve the children's emotional state and reduce the perception of pain.

show abstract

Os Doutores da Alegria na unidade de internação pediátrica: experiências da equipe de enfermagem

Abstract: Resumo Abstract Resumen

Cited by 24 publications

References 3 publications

Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children

Effect of interaction with clowns on vital signs and non-verbal communication of hospitalized children

Palhaços: uma revisão acerca do uso dessa máscara no ambiente hospitalarPayasos: una revisiónsobre el uso de esa máscara en el ambiente hospitalario

Efeito da interação com palhaços nos sinais vitais e na comunicação não verbal de crianças hospitalizadas

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