Perspectives on the essential needs of children in early childhood in the context of the COVID-19 pandemic: an integrative review
Perspectivas sobre las necesidades esenciales de los niños en la primera infancia en el contexto de la pandemia de COVID-19: Una revisión integradora
Perspectivas sobre as necessidades essenciais das crianças na primeira infância no contexto da pandemia da COVID-19: uma revisão integrativa
Ana Carolina Sakaguchi Cordeiro; Glória Vitória Ferreira Livinhale; Ellen Cristina Gondim; Débora Falleiros de Mello
Abstract
Objective: Identify scientific knowledge regarding the implications of the COVID-19 pandemic on early childhood, specifically from the perspective of children’s essential needs.
Method: An integrative literature review was conducted on five databases. The review process involved identifying a research problem, creating a guiding question, performing a literature search, analyzing data, and synthesizing the results. The review included original articles about children under six, published between 2020 and 2022. The theoretical framework of the child’s essential needs was used for analysis.
Results: A total of 22 articles were analyzed. Findings indicated an increase in parental overload and stress levels. The children exhibited behavioral changes, sleep pattern disorders, increased digital media use, and reduced outdoor participation. Protective factors related to the familial bond, child care, and child reception were identified. Closure of daycare centers and schools resulted in a distance between the caregiver, the education professionals, and the fellow parents. In contrast, the reopening of those places brought added support to families. The needs, such as ongoing supportive relationships, developmentally appropriate experiences, and supportive communities, were more highlighted. Physical protection and setting boundaries were less prominent aspects. No experiences examining individual differences were identified.
Conclusion: The scientific knowledge points to significant vulnerabilities and certain potentialities in child health care during the COVID-19 pandemic. Those results suggest considerable impacts on child well-being and development and imply significant implications for nursing practices in Primary Health Care.
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Resumo
Objetivo: O presente estudo objetiva identificar as perspectivas científicas sobre as implicações da pandemia da COVID-19 na primeira infância, focando nas necessidades essenciais da criança.
Método: Foi realizada uma revisão integrativa da literatura, que incluiu cinco bases de dados. O processo envolveu a identificação do problema, o desenvolvimento de uma pergunta orientadora, pesquisa na literatura, análise dos dados e síntese dos resultados. Foram incluídos artigos originais que envolviam crianças com menos de seis anos, publicados entre 2020 e 2022. A análise foi conduzida tendo como referencial teórico as necessidades essenciais da criança.
Resultados: Foram examinados 22 artigos. Os resultados indicaram um aumento na sobrecarga e no estresse parental. As crianças apresentaram alterações comportamentais, perturbações no padrão do sono, uso mais frequente de mídias digitais e diminuição de atividades realizadas ao ar livre. Fatores protetores, relacionados ao vínculo familiar, cuidado e acolhimento da criança, foram identificados. O fechamento de creches e escolas distanciou os cuidadores dos profissionais da educação e de outros pais, mas sua reabertura trouxe maior apoio às famílias. Necessidades de relacionamentos contínuos de apoio, experiências adequadas ao desenvolvimento e comunidades solidárias foram mais evidenciadas. No entanto, foram encontrados menos aspectos relacionados à proteção física e ao estabelecimento de limites. Experiências sobre diferenças individuais não foram identificadas.
Conclusão: A pesquisa científica revelou vulnerabilidades substanciais e potencialidades no cuidado à saúde da criança durante a pandemia de COVID-19. Esses resultados sugerem impactos significativos no bem-estar e no desenvolvimento infantil, implicando na necessidade de ações específicas por parte da enfermagem no contexto da Atenção Primária à Saúde.
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Referências
1 World Health Organization. Coronavirus (COVID-19) [Internet]. Geneva: WHO; 2020 [citado 2023 jun 28]. Disponível em:
2 Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-7.
3 Gromada A, Richardson D, Rees G. Childcare in a global crisis: the impact of COVID-19 on work and family life [Internet]. Italy: Innocenti – Global Office of Research and Foresight; 2020 [citado 2023 jun 28]. Disponível em:
4 Shonkoff JP, Fisher PA. Rethinking evidence-based practice and two-generation programs to create the future of early childhood policy. Dev Psychopathol. 2013;25(4 Pt 2):1635-53.
5 Jeong J, Franchett E, Oliveira C, Rehmani K, Yousafzai A. Parenting interventions to promote early child development in the first three years of life: a global systematic review and meta-analysis. PLoS Med. 2021;18(5):e1003602.
6 Mello D, Henrique N, Pancieri L, Veríssimo M, Tonete V, Malone M. Child safety from the perspective of essential needs. Rev Lat Am Enfermagem. 2014;22(4):604-10.
7 Brazelton T, Greenspan S. As necessidades essenciais das crianças: o que toda criança precisa para crescer, aprender e se desenvolver. Porto Alegre: Artmed; 2002
8 Oermann M, Knafl K. Strategies for completing a successful integrative review. Nurse Author Ed. 2021;31(3-4):65-8.
9 Buechel C, Nehring I, Seifer C, Eber S, Behrends U, Mall V et al. A cross-sectional investigation of psychosocial stress factors in German families with children aged 0–3 years during the COVID-19 pandemic. Child Adolesc Psychiatry Ment Health. 2022;16(1):37.
10 Galbally M, Watson S, Lewis A, Van M. Parenting stress, maternal depression and child mental health in a Melbourne cohort before and during the COVID‐19 pandemic. J Paediatr Child Health. 2022;58(11):2051-7.
11 Joo YS, Lee WK. Impact of COVID-19-related stress on Preschool Children’s internalizing and externalizing problem behaviors: the indirect effect of mother’s depression and parenting behavior. Child Indic Res. 2022;15(6):2093-113.
12 Vet S, Vrijhof C, Veek S, Pieplenbosch J, Van H, Vermeer H. Child care in times of COVID-19: predictors of distress in dutch children and parents when re-entering center-based child care after a 2-Month Lockdown. Front Psychol. 2021;12:718898.
13 Levickis P, Murray L, Lee-Pang L, Eadie P, Page J, Lee W et al. Parents’ perspectives of family engagement with early childhood education and care during the COVID-19 pandemic. Early Child Educ J. 2022;1-11.
14 Chambers S, Clarke J, Kipping R, Langford R, Brophy R, Hannam K et al. Parents’ perceptions of children’s emotional well‐being during spring 2020 COVID‐19 restrictions: a qualitative study with parents of young children in england. Child Care Health Dev. 2022;48(6):1071-80.
15 Costa P, Forni E, Amato I, Sassaki R. Fatores de risco e proteção para o desenvolvimento na primeiríssima infância durante a pandemia por COVID-19. Rev Esc Enferm USP. 2022;56:e20220196.
16 Duguay G, Garon-Bissonnette J, Lemieux R, Dubois-Comtois K, Mayrand K, Berthelot N. Socioemotional development in infants of pregnant women during the COVID-19 pandemic: the role of prenatal and postnatal maternal distress. Child Adolesc Psychiatry Ment Health. 2022;16(28):28.
17 Wu T, Chen L, Wang Y, Shi H, Niu J, Yin X et al. Effects of SARS-CoV-2 infection during late pregnancy on early childhood development: a prospective cohort study. Front Pediatr. 2021;9:750012.
18 Vian F, Amaro R, Pinto S, Brito H, Rodrigues R, Rapazote R et al. O impacto do lockdown nas relações entre os pais portugueses e os seus filhos de 1 a 3 anos durante a Pandemia de COVID-19. Children (Basel). 2022;9(8).
19 Costa P, Cruz A, Alves A, Rodrigues M, Fergunson R. The impact of the COVID‐19 pandemic on young children and their caregivers. Child Care Health Dev. 2022;48(6):1001-7.
20 Di Giorgio E, Di Riso D, Mioni G, Cellini N. The interplay between mothers’ and children behavioral and psychological factors during COVID-19: an Italian study. Eur Child Adolesc Psychiatry. 2021;30(9):1401-12.
21 Dillmann J, Sensoy O, Schwarzer G. Parental perceived stress and its consequences on early social-emotional child development during COVID-19 pandemic. J Early Child Res. 2022;20(4):524-38.
22 Carrillo L, Rey D, Sierra B, Medina P. Psychological effects associated with preventive isolation by COVID-19 in early childhood in Colombia. Gac Med Caracas. 2022;130(3, Supl. 3).
23 Casanello P, Ruiz-Botia I, Sala-Castellvi P, Martim J, Martinez-Sanchez J, Balaguer A. Comparing infant and toddler sleep patterns prior to and during the first wave of home confinement due to COVID-19 in Spain. Eur J Pediatr. 2022;181(4):1719-25.
24 Jáuregui A, Salvo D, Aguilar-Farias N, Okely A. Movement behaviors during COVID-19 among Latin American/Latino toddlers and pre-schoolers in Chile, Mexico and the US. Sci Rep. 2022;12(1):19156.
25 Linnavalli T, Kalland M. Impact of COVID-19 restrictions on the social-emotional wellbeing of preschool children and their families. Educ Sci (Basel). 2021;11(8):435.
26 Hendry A, Gibson S, Davies C, Gilga T, McGillon M, Gonzalez-Gomez N. Not all babies are in the same boat: exploring the effects of socioeconomic status, parental attitudes, and activities during the 2020 COVID-19 pandemic on early executive functions. Infancy. 2022;27(3):555-81.
27 Aguilar-Farias N, Toledo-Vargas M, Miranda-Marquez S, Cortinez-O’Ryan A, Martino-Fuentealba P, Cristi-Montero C et al. Associations Between Movement Behaviors and Emotional Changes in Toddlers and Preschoolers During Early Stages of the COVID-19 Pandemic in Chile. Front Pediatr. 2021;31(9):667362.
28 Glynn L, Davis E, Luby J, Baram T, Sandman C. A predictable home environment may protect child mental health during the COVID-19 pandemic. Neurobiol Stress. 2021;58(11):100291.
29 Watts R, Pattnaik J. Perspectives of parents and teachers on the impact of the COVID-19 Pandemic on Children’s socio-emotional well-being. Early Child Educ J. 2022;1-12.
30 Fitzpatric C, Almeida M, Harvey E, Garon-Carrier G, Berrigan F, Asbridge M. An examination of bedtime media and excessive screen time by Canadian preschoolers during the COVID-19 pandemic. BMC Pediatr. 2022;22(1):212.
31 Reticena K, Yabuchi V, Gomes M, Siqueira L, Abreu F, Fracolli L. Role of nursing professionals for parenting development in early childhood: a systematic review of scope. Rev Latino-Am Enfermagem. 2019;27:e3213. https://doi.org/10.1590/1518-8345.3031.3213.
32 Zamarro G, Prados M. Gender differences in couples’ division of childcare, work and mental health during COVID-19. Rev Econ Househ. 2021;19(4):11-40.
33 Richter LM, Naicker SN. A data-free digital platform to reach families with young children during the COVID-19 pandemic: online survey study. JMIR Pediatr Parent. 2021;4(2):e26571.
34 Egan S, Pope J, Moloney M, Hoyne C, Beatty C. Missing early education and care during the pandemic: the socio-emotional impact of the COVID-19 crisis on young children. Early Child Educ J. 2021;49(5):925-34.
35 Eyimaya A, Irmak A. Relationship between parenting practices and children’s screen time during the COVID-19 pandemic in Turkey. J Pediatr Nurs. 2021;56:24-9.
36 Munzer T, Torres C, Domoff S, Levitt K, McCaffery H, Schaller A et al. Child media use during COVID-19: associations with contextual and social-emotional factors. J Dev Behav Pediatr. 2022;43(9):573-80.
37 Bhattacharyya H, Agarwalla R, Khandelwal A. Impact of COVID-19 on child health and healthcare services. Med J Armed Forces India. 2022;78(1):3-6.
38 Silva L, Costa A, Santos A, Nogueira M, Reichert A, Santos N. Repercussões da pandemia no desenvolvimento infantil e nas ações dos visitadores do Programa Criança Feliz. Esc Anna Nery. 2023;27:1-8.
39 Lancker W, Paroli Z. COVID-19, school closures, and child poverty: a social crisis in the making. Lancet Public Health. 2020;5(5):e243-4.
Submetido em:
18/10/2023
Aceito em:
22/02/2024
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