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<p>Child Life therapeutic play is an evidence-based coping intervention that effectively reduces hospitalization-related distress and promotes cooperation among young patients. However, its routine implementation in clinical settings relies heavily on pediatric nurses’ knowledge, attitudes, and practices (KAP). This study aimed to investigate the current level and associated factors of pediatric nurses’ KAP regarding Child Life therapeutic play, with the goal of offering practical implications for nursing care. A single-center cross-sectional study was conducted involving 278 pediatric nurses from a tertiary Grade A children’s hospital. Data were collected using a self-developed questionnaire comprising four sections: demographic information, knowledge domain, attitude domain, and practice domain. Psychometric properties were evaluated through a pilot study (<i>n</i> = 20), and the instrument demonstrated acceptable validity and reliability. Statistical analyses included univariate analysis, Spearman’s correlation, and multiple linear regression. The mean total KAP score was 56.8 ± 13.1. The mean scores for knowledge, attitude, and practice were 23.1 ± 8.6 (score rate: 48.1%, indicating low self-perceived knowledge), 23.5 ± 3.5 (score rate: 83.9%, indicating positive attitude), and 10.2 ± 4.3 (score rate: 42.5%, indicating low practice), respectively. Univariate analysis revealed significant differences in total KAP scores based on age, years of work experience, professional title, previous training, and availability of Child Life resources (all <i>P</i> &lt; 0.001). Spearman correlation analysis confirmed that these variables were positively correlated with total KAP scores (<i>P</i> &lt; 0.001). Multiple linear regression using the Enter method identified prior training (β = 0.312, 95% CI [5.56, 11.50]), work experience (β = 0.248, 95% CI [1.19, 3.04]), availability of Child Life resources (β = 0.231, 95% CI [3.72, 10.33]), and age (β = 0.158, 95% CI [0.52, 2.46]) as independent correlates, collectively accounting for 42.9% of the variance (adjusted R² = 0.429, F = 48.526, <i>P</i> &lt; 0.001). Pediatric nurses demonstrated favorable attitudes toward Child Life therapeutic play but showed insufficient self-perceived knowledge and poor practice performance. Prior training emerged as the strongest independent correlate. To improve KAP levels, hospitals should establish a tiered training system, allocate dedicated Child Life resources, integrate therapeutic play into routine nursing protocols, and promote multidisciplinary collaboration with active family involvement.</p>

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Knowledge, attitudes and practice of pediatric nurses on child life therapeutic play: insights into clinical care

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年8月4日

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  • Tian Chen,
  • Weiqiang Tan,
  • Ting Chen

摘要

Child Life therapeutic play is an evidence-based coping intervention that effectively reduces hospitalization-related distress and promotes cooperation among young patients. However, its routine implementation in clinical settings relies heavily on pediatric nurses’ knowledge, attitudes, and practices (KAP). This study aimed to investigate the current level and associated factors of pediatric nurses’ KAP regarding Child Life therapeutic play, with the goal of offering practical implications for nursing care. A single-center cross-sectional study was conducted involving 278 pediatric nurses from a tertiary Grade A children’s hospital. Data were collected using a self-developed questionnaire comprising four sections: demographic information, knowledge domain, attitude domain, and practice domain. Psychometric properties were evaluated through a pilot study (n = 20), and the instrument demonstrated acceptable validity and reliability. Statistical analyses included univariate analysis, Spearman’s correlation, and multiple linear regression. The mean total KAP score was 56.8 ± 13.1. The mean scores for knowledge, attitude, and practice were 23.1 ± 8.6 (score rate: 48.1%, indicating low self-perceived knowledge), 23.5 ± 3.5 (score rate: 83.9%, indicating positive attitude), and 10.2 ± 4.3 (score rate: 42.5%, indicating low practice), respectively. Univariate analysis revealed significant differences in total KAP scores based on age, years of work experience, professional title, previous training, and availability of Child Life resources (all P < 0.001). Spearman correlation analysis confirmed that these variables were positively correlated with total KAP scores (P < 0.001). Multiple linear regression using the Enter method identified prior training (β = 0.312, 95% CI [5.56, 11.50]), work experience (β = 0.248, 95% CI [1.19, 3.04]), availability of Child Life resources (β = 0.231, 95% CI [3.72, 10.33]), and age (β = 0.158, 95% CI [0.52, 2.46]) as independent correlates, collectively accounting for 42.9% of the variance (adjusted R² = 0.429, F = 48.526, P < 0.001). Pediatric nurses demonstrated favorable attitudes toward Child Life therapeutic play but showed insufficient self-perceived knowledge and poor practice performance. Prior training emerged as the strongest independent correlate. To improve KAP levels, hospitals should establish a tiered training system, allocate dedicated Child Life resources, integrate therapeutic play into routine nursing protocols, and promote multidisciplinary collaboration with active family involvement.