Child Play Specialist e Child Life Specialist: ruolo, evoluzione storica e benefici per il paziente pediatrico. Una rassegna della letteratura

Titolo Rivista PSICOLOGIA DELLA SALUTE
Autori/Curatori Giulia Perasso, Chiara Allegri, Gloria Camurati
Anno di pubblicazione 2021 Fascicolo 2021/3
Lingua Italiano Numero pagine 25 P. 57-81 Dimensione file 331 KB
DOI 10.3280/PDS2021-003011
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Il gioco rappresenta un diritto fondamentale del bambino ed assume un ruolo cruciale du-rante l’esperienza dell’ospedalizzazione. Le figure del Child Play Specialist e del Child Life Specialist (riconosciute rispettivamente nel sistema sanitario del Regno Unito e degli Stati Uni-ti) forniscono programmi di gioco che normalizzino l’esperienza di ricovero del bambino e aiutino la familiarizzazione con il contesto medico. La presente rassegna persegue tre principali obiettivi: i. definire il ruolo dello specialista del gioco, la sua formazione, le tecniche implemen-tate, le aree di similitudine e differenza tra CPS e CLS; ii. esaminare l’evoluzione storica di questa professione; iii. indagare gli effetti dell’intervento dello specialista del gioco sulla salute bio-psico-sociale del paziente pediatrico. Di 613 fonti complessive (n=193 da Scopus, n=403 da Pubmed, n=17 da PsycInfo), 17 pubblicazioni sono state incluse, avendo applicato criteri inerenti lingua, tipologia di pubblicazione e pertinenza dei contenuti. Dalle fonti esaminate ri-sulta che: I. CLS e CPS presentano percorsi di training e tecniche simili. Emergono peculiarità di approccio diverse per CPS e CLS; II. Le esperienze pionieristiche di programmi di gioco in ospedale risalgono agli anni ’20 con contributi significativi di Plank, Bergmann e Brooks; III. I principali effetti sulla salute infantile documentati sono il potenziamento del coping e la ridu-zione del ricorso a terapie farmacologiche per la gestione del dolore. Si evidenzia la necessità di un consenso internazionale sulla definizione del ruolo dello specialista del gioco, al fine di accrescere la ricerca empirica rispetto a tali professionisti della salute.;

Keywords:bambini, ospedalizzazione, gioco, child play-specialist, child-life specialist

  1. Arnaert A. and Wainwright M. (2009). Providing care and sharing expertise: Reflections of nurse-specialists in palliative home care. Palliative Supportive Care, 7(3): 357. DOI: 10.1017/S147895150999029
  2. Bandstra N.F., Skinner L., LeBlanc C., Chambers C.T., Hollon E.C., Brennan D. and Beaver C. (2008). The role of child life in pediatric pain management: a survey of child life specialists. The Journal of Pain, 9(4): 320-329.
  3. Barry E. (2008). The role of the Hospital Play Specialist in paediatric diabetes management. Journal of Diabetes Nursing, 12(1): 26.
  4. Basak R.B., Momaya R., Guo J. and Rathi P. (2019). Role of Child Life Specialists in Pediatric Palliative Care. Journal of Pain and Symptom Management, 58(4): 735-737.
  5. Beickert K. and Mora K. (2017). Transforming the pediatric experience: The story of child life. Pediatric Annals, 46(9): e345-e351. DOI: 10.3928/19382359-20170810-0
  6. Bergmann T. (1965). Children in the hospital. New York: International University Press.
  7. Besio S., Bulgarelli D. and Stancheva-Popkostadinova V. (2016). Play development in children with disabilties. Berlino: Walter de Gruyter GmbH & Co KG.
  8. Bottino C.J., Daniels A., Chung M. and Dumais C. (2019). Child Life Specialists’ Experiences Addressing Social Determinants of Health: A Web-Based Survey. Clinical pediatrics, 58(8): 851-856. DOI: 10.1177/000992281983923
  9. Brooks M. (1970). Why play in the hospitals? Nursing in Clinics of North America, 5(3): 431-441.
  10. Burns-Nader S. and Hernandez-Reif M. (2016). Facilitating play for hospitalized children through child life services. Children’s Health Care, 45(1): 1-21. DOI: 10.1080/02739615.2014.94816
  11. Cajola L.C. e Rizzo A.L. (2014). Gioco e disabilità: l’ICF-CY nella progettazione didattica inclusiva nel nido e nella scuola dell’infanzia. Form@ re-Open Journal per la formazione in rete, 14(3): 25-42.
  12. Chambers M.A. (1993). Play as therapy for the hospitalized child. Journal of Clinical Nursing, 2(6): 349-354.
  13. Clark C.D. (2003). In sickness and in play: Children coping with chronic illness. London: Rutgers University Press.
  14. Drewes A.A. (2006). Play-based interventions. Journal of Early Childhood and Infant Psychology, 2: 139-157.
  15. Favara‐Scacco C., Smirne G., Schiliro G. and Di Cataldo A. (2001). Art therapy as support for children with leukemia during painful procedures. Medical and Pediatric Oncology: The Official Journal of SIOP – International Society of Pediatric Oncology, 36(4): 474-480.
  16. Francischinelli A.G.B., Almeida F.D.A. and Fernandes D.M.S.O. (2012). Routine use of therapeutic play in the care of hospitalized children: nurses’ perceptions. Acta Paul Enfermagen, 25(1): 18-23. DOI: 10.1590/S0103-2100201200010000
  17. Frauman A.C. and Gilman C.M. (1989). Creating a therapeutic environment in a pediatric renal unit. ANNA Journal, 16(1): 20-22.
  18. Gill C. (2010). Helping children cope with renal disease: the role of play specialist. Journal of Renal Nursing, 2(5): 244-247.
  19. Goh G., Edmonds L. and Christos J. (2019). Development and evaluation of play specialist documentation in a New Zealand hospital. Nursing children and young people, 31(2).
  20. Grissom S., Boles J., Bailey K., Cantrell K., Kennedy A., Sykes A. and Mandrell B.N. (2016). Play-based procedural preparation and support intervention for cranial radiation. Supportive Care in Cancer, 24(6): 2421-2427.
  21. Gruppo di Lavoro per la Convenzione dei Diritti dell’Infanzia e dell’Adolescenza. (2017). Terzo Rapporto Supplementare alle Nazioni Unite. Novembre 2017. Gruppo CRC, consultabile presso: http://gruppocrc.net/.
  22. Hart-Spencer P. and Griffiths A. (2015). How play specialists can reduce use of anaesthesia during radiotherapy. Cancer Nursing Practice, 14(10): 16-20.
  23. Harvey S. (1984). Training the hospital play specialist. Early Child Development and Care, 17(4): 277-290. DOI: 10.1080/030044384017040
  24. Hubbuck C. (2009). Play for sick children: Play specialists in hospitals and beyond. London: Jessica Kingsley Publishers.
  25. Jurdi S., Montaner J., Garcia-Sanjuan F., Jaen J. and Nacher V. (2018). A systematic review of game technologies for pediatric patients. Computers in biology and medicine, 97: 89-112.
  26. Kaminski M., Pellino T. and Wish J. (2002). Play and pets: The physical and emotional impact of child-life and pet therapy on hospitalized children. Children’s Health Care, 31(4): 321-335. DOI: 10.1207/S15326888CHC3104_
  27. Kihara N. and Yamamoto T. (2018). Developmental Support for Sick Children through Play in Japan’s ECEC System: A Comparison with Hospital Play Specialists. Children, 5(10): 133.
  28. Koukourikos K., Tzeha L., Pantelidou P. and Tsaloglidou A. (2015). The importance of play during hospitalization of children. Materia Socio-medica, 27(6): 438-441.
  29. Li W.H., Chung J.O.K., Ho K.Y. and Kwok B.M.C. (2016). Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatrics, 16(1): 36.
  30. Lindqvist I. (1974). Play as therapy. Pediatrician, 3: 295-300.
  31. Lookabaugh S. and Ballard S.M. (2018). The scope and future direction of child life. Journal of Child and Family Studies, 27(6): 1721-1731.
  32. Lundy L. and McEvoy L. (2012). Children’s rights and research processes: Assisting children to (in) formed views. Childhood, 19(1): 129-144. DOI: 10.1177/090756821140907
  33. McCue K. (1988). Medical play: An expanded perspective. Children’s Health Care, 16(3), 157-161.
  34. Mendeley (2018). Mendeley Desktop 1.19.1 [software]. Mendeley Ltd., Glyph & Cog, LLC. Fugue Icons. Consultabile presso: https://www.mendeley.com/?interaction_required=true
  35. Metzger T., Mignogna K. and Reilly L. (2013). Child life specialists: key members of the team in pediatric radiology. Journal of Radiology Nursing, 32(4): 153-159.
  36. Moher D., Liberati A., Tetzlaff J., Altman D.G. and Prisma Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS medicine, 6(7): e1000097.
  37. Moore E.R., Bennett K.L., Dietrich M.S. and Wells N. (2015). The effect of directed medical play on young children’s pain and distress during burn wound care. Journal of Pediatric Health Care, 29(3): 265-273.
  38. Perasso G., Camurati G., Morrin E., Dill C., Dolidze K., Clegg T., Simonelli I., Lo H.Y.C., Magione-Standish A., Pansier B., Gulyurtlu S.C., Garone A. and Rippen H. (2021). Five Reasons Why Pediatric Settings Should Integrate the Play Specialist and Five Issues in Practice. Frontiers in Psychology, (12): 687292.
  39. Petticrew M. and Roberts H. (2006). Systematic reviews in the social sciences: A practical guide. Malden, MA: Blackwell Publishing.
  40. Plank E.N. (1962). Working with children in hospitals. London: Tavistock Publications.
  41. Rubin S. (1992). What’s in a name? Child life and the play lady legacy. Children’s Health Care, 21(1): 4-13.
  42. Sahler O.J.Z., Varni J.W., Fairclough D.L., Butler R.W., Noll R.B., Dolgin M.J., Phipps S., Copeland D., Ernest K. and Mulhern R.K. (2002). Problem-solving skills training for mothers of children with newly diagnosed cancer: A randomized trial. Journal of Developmental Behavioral Pediatrics, 23(2): 77-86.
  43. Sari O.T. (2014). Outcomes of play-based home support for children with autism spectrum disorder. Social Behavior and Personality: An International Journal, 42(1): 65S-80S.
  44. Schaefer C.E. and Drewes A.A. (2009). The therapeutic powers of play and play therapy. In Blending play therapy with cognitive behavioral therapy: Evidence-based and other effective treatments and techniques, New Jersey (USA): John Wiley & Sons, Inc., pp. 3-15.
  45. Smeltzer S.C.C. and Bare B.G. (1992). Brunner Suddarth’s textbook of medical-surgical nursing. Philadelphia: JB Lippincott.
  46. Sposito A.M.P., de Montigny F., Sparapani V.D.C., Lima R.A.G.D., Silva‐Rodrigues F.M., Pfeifer L.I. and Nascimento L.C. (2016). Puppets as a strategy for communication with Brazilian children with cancer. Nursing Health Sciences, 18(1): 30-37.
  47. Sterne J.A., Egger M. and Smith G.D. (2001). Systematic reviews in health care: Investigating and dealing with publication and other biases in meta-analysis. British Medical Journal, 323(7304): 101.
  48. Sutton-Smith B. (1999). Evolving a consilience of play definitions: Playfully. Play and culture studies, 2: 239-256.
  49. Svavarsdottir E.K. (2005). Caring for a child with cancer: a longitudinal perspective. Journal of Advanced Nursing, 50(2): 153-161.
  50. Tanaka K., Yoshikawa N., Kudo N., Negishi Y., Shimizu T. and Hayata N. (2010). A need for play specialists in Japanese children’s wards. Nursing Children and Young People, 22(6).
  51. Vagnoli L., Caprilli S., Vernucci C., Zagni S., Mugnai F. and Messeri A. (2015). Can presence of a dog reduce pain and distress in children during venipuncture?. Pain Management Nursing, 16(2): 89-95.
  52. World Health Organization (2007). International Classification of Functiong, Disability and Health for Children and Youth. Geneva.
  53. Wong C.L., Ip W.Y., Kwok B.M.C., Choi K.C., Ng B.K.W. and Chan C.W.H. (2018). Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial. BMJ open, 8(7): e021071.

  • Handbook of Research on Play Specialism Strategies to Prevent Pediatric Hospitalization Trauma Arianna Bentenuto, Silvia Perzolli, Simona de Falco, Paola Venuti, pp.240 (ISBN:9781668450680)
  • Handbook of Research on Play Specialism Strategies to Prevent Pediatric Hospitalization Trauma Giulia Perasso, pp.306 (ISBN:9781668450680)

Giulia Perasso, Chiara Allegri, Gloria Camurati, Child Play Specialist e Child Life Specialist: ruolo, evoluzione storica e benefici per il paziente pediatrico. Una rassegna della letteratura in "PSICOLOGIA DELLA SALUTE" 3/2021, pp 57-81, DOI: 10.3280/PDS2021-003011