Standards for Storytelling-Based Nursing Communication to Reduce Hospitalization Anxiety in Preschool Children: A Systematic Review
DOI:
https://doi.org/10.56988/chiprof.v4i2.84Keywords:
Anxiety, Communication Effective, Hospitalization, Preschool Children, StorytellingAbstract
Hospitalization often triggers significant anxiety in preschool children due to their developmental vulnerability, separation from caregivers, and exposure to unfamiliar medical environments. If left unaddressed, this anxiety can result in both short- and long-term psychological and behavioral issues. Storytelling-based nursing communication has emerged as a promising intervention to help children understand and cope with hospitalization; however, standardized approaches remain limited. This study aims to identify and synthesize existing evidence on the standards of storytelling-based nursing communication for reducing hospitalization-related anxiety in preschool children. Using a descriptive analytical approach, a systematic search was conducted across PubMed, Scopus, ScienceDirect, and CINAHL for peer-reviewed studies published between 2020 and 2025. Eligible studies included nurse-led storytelling interventions targeting hospitalized preschoolers. Both qualitative and quantitative research was reviewed and critically appraised. The review identified fourteen relevant studies. Storytelling interventions were consistently effective in reducing anxiety, particularly when implemented using standardized methods such as structured narratives, visual aids (e.g., puppets, books, digital media), therapeutic play, and nurse communication training. These approaches enhanced emotional expression, improved nurse-child interaction, and fostered more positive hospital experiences. In conclusion, standardized storytelling-based nursing communication is an effective strategy for alleviating anxiety in hospitalized preschool children. Its broader implementation in pediatric nursing practice requires further research, training, and policy development.
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References
B. Richardson, Pediatric Primary Care: Practice Guidelines for Nurses, 4th ed. United States of America: Jones & Bartlett Learning, 2020.
J. L. Luby, Handbook of Preschool Mental Health; Development, Disorders, and Treatment, 4th ed. New York, USA: Guilford Publications, 2022.
F. J. Méndez, Anxiety Disorders in Childhood and Adolescence: Psychopathology, Assessment, and Treatment. Germany: Frontiers Media SA, 2022.
Arthur E. Jongsma, The Child Psychotherapy Treatment Planner Using Storytelling, 6th ed. Hoboken, New Jersey: Wiley, 2023.
Yunike, Jawiah, and K. N. Febrianti, “Storytelling Dolls Reduce Children ’ s Anxiety During Hospitalization,” vol. 1, no. 1, pp. 19–24, 2024.
M. J. Hockenberry, Wong’s Nursing Care of Infants and Children; 12th Edition, 12th ed. Canada: Elsevier Health Sciences, 2024. doi: https://www.google.co.id/books/edition/Wong_s_Nursing_Care_of_Infants_and_Child/MZOkEAAAQBAJ?hl=id&gbpv=0.
D. L. Garzon, Burns’ Pediatric Primary Care, 8th ed. India: Elsevier Health Sciences, 2023.
J. Price, Essentials of Nursing Children and Young People, 2nd ed. California: SAGE Publications, Inc., 2023.
J. Sarin, Wong’s Essentials of Pediatric Nursing Third South Asian Edition, 3rd ed. India: Elsevier Health Sciences, 2022.
S. James, The Creative Storytelling Guide for Children’s Ministry. United States of America: Standard Pub., 2022.
N. Grove, Storytelling; Practical Approaches for Children and Adults, 2nd ed. New York, USA: Taylor & Francis, 2022.
M. S. Hasbyalloh, “Nursing Communication: Storytelling to Reduce Anxiety in Preschool Children Undergoing Treatment in the Hospital,” J. Kesehat. Budi Luhur, vol. 15, no. 2, pp. 636–641, 2022.
N. Asifudin and N. M. Umaya, “Reducing Children’s Anxiety Through Communication by Storytelling Methods with Picture Book,” vol. 6, no. 1, pp. 119–127, 2025.
H. Soylemez, “Effects of Digital Stories on Children: What Do Parents Think?,” Korkut Ata Türkiyat Araştırmaları Derg., no. 10, pp. 43–57, 2023, doi: 10.51531/korkutataturkiyat.1229074.
A. S. Puspita Sari, N. E. Lestari, and H. G. Istiani, “Nursing Communication: Storytelling Using Picture Books Reduces Anxiety in Hospitalized Preschool Children,” J. Ilm. Ilmu Keperawatan Indones., vol. 11, no. 03, pp. 142–145, 2021, doi: 10.33221/jiiki.v11i03.1350.
H. Catalano, “Using Digital Storytelling In Early Childhood Education To Anxiety in Children,” no. March, pp. 169–179, 2022, doi: 10.15405/epes.22032.16.
D. Srinatania, “Story Telling as Therapeutic Intervention Toward Anxiety Level: A Literature Review,” 4th Int. Virtual Conf. Nurs., vol. 04, p. 8, 2021, doi: 10.18502/kls.v611.8745.
Z. Nazizadeh, P. Ramadan, S. Moradi, and A. sadat Seyyedbarghi, “Effectiveness of Storytelling Therapy on Creativity and Emotional Intelligence in Children with Separation Anxiety Disorder,” J. Assess. Res. Appl. Couns., vol. 6, no. 1, pp. 72–80, 2024, doi: 10.61838/kman.jarac.6.1.8.
R. Gupta and M. Jha, “The Psychological Power of Storytelling for Anxiety in Preschool,” Int. J. Indian Psychol., vol. 10, no. 3, pp. 606–614, 2022, doi: 10.25215/1003.061.
R. Haristiani, W. Wahyuningsih, and S. Susaldi, “Storytelling Therapy Effectively Reduces Anxiety in Children,” J. Ilm. Ilmu Keperawatan Indones., vol. 12, no. 02, pp. 88–92, 2022, doi: 10.33221/jiiki.v12i02.1877.
N. D. K. Mesa, C. Mutiah, L. Aripa, W. Muchsin, K. Kurniawati, and A. L. Megasari, “Anxiety Levels of Preschool Children on The Effect of Storytelling Therapy Due to Hospitalization at Makassar City Hospital,” Int. J. Health Sci. (Qassim)., vol. 2, no. 1, pp. 394–403, 2024, doi: 10.59585/ijhs.v2i1.322.
M. R. I. Ramadhan, “Storytelling Therapy Has an Effect on Reducing Anxiety in Pre-School Children
During Hospitalization,” Indones. Sch. J. Nurs. Midwifery Sci., vol. 01, no. 11, pp. 432–438, 2022.
A. Karbasi, “Communication Nursing: Storytelling Intervention on Children’s Social Skills with Attention Deficit‑Anxiety Disorder,” no. January, pp. 1–6, 2025, doi: 10.4103/jehp.jehp.
M. M. Dewi, N. Nurhaeni, and H. Hayati, “The Effect of Storytelling on Anxiety in Preschool-age Children During Hospitalization,” Pediatr. Medica e Chir., vol. 43, no. s1, pp. 43–48, 2021, doi: 10.4081/pmc.2021.269.
S. Halimatus and L. Hafidah, “Story Telling Play Therapy Towards Decreasing Anxiety Levels in Preschool Children Undergoing Hospitalization in the Edelweiss Room of Mohammad Noer Hospital in Pamekasan,” vol. 5, no. 1, pp. 19–25, 2024.
K. Markland, “From Adversity to Agency : Storytelling as a Tool for Building Children ’ s Resilience,” J. Nov. Physiother., vol. 06, no. 08, pp. 8–11, 2024, doi: https://dx.doi.org/10.29328/journal.jnpr.1001062.
B. J. Dean and J. A. Parson, Integrating Therapeutic Storytelling Into Nursing and Allied Health Practice - Approach to Communication with Children. Australia: Springer International Publishing, 2023.
J. Sarosy, How to Tell Stories to Children. Boston, New York: Houghton Mifflin Harcourt, 2021.
T. S. Peris, Storytelling and Exposure Therapy for Children with Anxiety and OCD. London, United Kingdom: Academic Press, 2020.
G. Perasso, Research Handbook: Nurse Communication Strategy Specialization reveals Storytelling to Prevent Anxiety and Trauma in Pediatric Inpatients. Italy: IGI Global, 2022.
Z. Mitasari and N. A. Prasetiyo, “Penerapan Metode Diskusi-Presentasi Dipadu Analisis Kritis Artikel melalui Lesson Study untuk Meningkatkan Pemahaman Konsep, Kemampuan Berpikir Kritis, dan Komunikasi,” J. Bioedukatika, vol. 4, no. 1, p. 11, 2016, doi: 10.26555/bioedukatika.v4i1.4736.
B. A. Purnama, P. Indriyani, and R. Ningtyas, “Nursing Communication: The Effect of Story Telling Therapy on Anxiety Levels in Preschool Children with Hospitalization,” J. Nurs. Heal., vol. 5, no. 1, pp. 40–51, 2020.
P. Sextou, Applied Communication in Pediatrics: Storytelling for Children’s Emotional Synergies, 1st ed. New York, USA: Taylor & Francis, 2023.
L. Linnard-Palmer, Pediatric Nursing Care A Concept-Based Approach with Communication Advantage Access, 2nd ed. United States of America: Jones & Bartlett Learning, 2024.
S. H. Ku, J. S. Chua, and S. Shorey, “Effect of Storytelling on Anxiety and Fear in Children During Hospitalization: A Systematic Review and Meta-Analysis,” J. Pediatr. Nurs., vol. 80, pp. 41–48, 2025, doi: 10.1016/j.pedn.2024.11.006.
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