Nurses' Perspectives on Acquiring Play-Based Competence Through an Online Course: A Focus Group Study in Brazil.

PURPOSE: The main stage of developing an educational health technology is meeting the expectations of users. Nurses in Brazil can benefit from online training about therapeutic play interventions. This study identified the learning demands of nurses for acquiring competence in the use of therapeutic play to build an online course. DESIGN AND METHODS: Focus groups study, guided by the COREQ guidelines. Nurses experienced in pediatric care participated in eight groups held in hospitals across all Brazilian regions in 2018. The focus group interviews had a mean duration of two hours and were moderated by the main researcher and an observer, both of whom were nurses experienced in qualitative research. All interviews were audio recorded. The transcripts of the audios were coded, from which the themes were developed, and thematic analysis performed. RESULTS: Nurses (N = 53, 8.5 ± 6.3 years of experience in pediatric care) reported their learning demands in three themes: "Learning theoretical concepts", "Developing therapeutic play skills", and "Learning the therapeutic play in a fun, interactive and motivational online environment". CONCLUSION: Nurses learning demands involve theoretical concepts and skills to implement therapeutic play through an interesting online course. PRACTICE IMPLICATIONS: By developing play-based competence through an online learning environment nurses can feel confident in implementing therapeutic play into their pediatric practice, setting the stage for a future of positive interaction between nurses and children in pediatric health care.

O direito à imunização na infância e adolescência: uma revisão narrativa / The right to immunization in childhood and adolescence: a narrative review / Derecho a la inmunización en la infancia y la adolescencia: una revisión narrativa

Objetivo: Identificar os fatores que limitam a garantia do direito à imunização na infância e adolescência. Mé todo: Trata-se de uma revisão narrativa da literatura para atender a seguinte questão norteadora: qual o estado da arte referente ao direito à imunização na infância e adolescência? As buscas de artigos foram realizadas nas bases de dados PubMed, BDENF e LILACS, e na biblioteca virtual SciELO, utilizando os descritores: imuniza ção, criança, adolescente, direitos humanos e suas versões em inglês. Foram selecionados e analisados quinze artigos. Resultados: Foram identificados fatores que limitam a garantia do direito à imunização na infância e adolescência e questões éticas envolvendo a vacinação, como a obrigatoriedade, o consentimento e o conflito de direitos, que impõem desafios e exigem dos profissionais de saúde conhecimentos atualizados, posturas abertas ao diálogo e práticas de educação em saúde e em defesa dos direitos. Conclusão: O compromisso dos profissio nais é vital para a manutenção de níveis elevados de vacinação, contribuindo para a promoção e proteção da saúde da criança e do adolescente.

Objective: To identify the factors limiting a guaranteed right to immunization in childhood and adolescence. Methods: This is a narrative literature review aiming to answer the following question: what is the state of the art of immunization rights for children and adolescents? All articles were collected from the databases of PubMed, BDENF, LILACS and the virtual library SciELO by searching the key words: immunization, child, adolescent and human rights both in English and Spanish. Fifteen articles were selected and analyzed. Results: The factors limiting a guaranteed right to immunization in children and adolescents were identified, as well as ethical issues involving vaccination; such as compulsoriness, consent and rights conflicts, all of which pose challenges that require an up-to-date health professional knowledge, openness to dialogue and good health education practices to protect these rights. Conclusion: Professional commitment is vital to maintain high levels of vaccination and contributes to promote and protect the health of children and adolescents.

Objetivo: Identificar los factores que limitan la garantía del derecho a la inmunización en la infancia y la adoles cencia. Material y método: Se trata de una revisión narrativa de la literatura para cumplir con la siguiente pre gunta: cuál es el estado del arte en relación con el derecho a la inmunización en la infancia y en la adolescencia? Las búsquedas de artículos se realizaron en las bases de datos PubMed, BDENF y LILACS, y biblioteca virtual SciELO, utilizando las palabras clave: inmunización, niño, adolescente, los derechos humanos y sus versiones en inglés. Quince artículos fueron seleccionados y analizados. Resultados: Se identificaron los factores que li mitan la garantía del derecho a la inmunización en la infancia y la adolescencia y las cuestiones éticas en torno a la vacunación, como la obligatoriedad, el consentimiento y el conflicto de derechos, que plantean desafíos y requieren de profesionales de la salud conocimientos actualizados, actitudes abiertas a las prácticas de diálogo y educación para la salud y para defender los derechos. Conclusión: El compromiso de los profesionales es vital para mantener altos niveles de vacunación, lo que contribuye a la promoción de la salud y la protección del niño y del adolescente.