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Purpose: e purpose of this study was to examine visiting nurses’ cognition and practical knowledge of play activities for children with severe motor and intellectual disabilities and to obtain suggestions for nurses to improve their practical knowledge. Method: Participants were 10 visiting nurses that had experience with play activities for children with severe motor and intellectual disabilities in need of medical care. Participants responded to semi-structured interviews, allowing them to express their cognition of the practical situation of play activities for children with severe motor and intellectual disabilities. A qualitative and inductive method was applied to analyze responses. Results and conclusions: We found that visiting nurses recognized the need for play activities with children with severe motor and intellectual disabilities in order to make a connection between visiting nurses, children, and mothers. Visiting nurses reported recognizing that all children need play and based their play activities around the needs of the children with severe motor and intellectual disabilities. Visiting nurses reported repeatedly selecting and adjusting play activities to suit the children’s needs and stimulate their bodies and minds. Nurses reported grasping the children’s communicative expressions during these activities. Suggestions for visiting nurses regarding play activities for children with severe motor and intellectual disabilities are that the nurses must actively get the children to engage with them, and that they must also correctly grasp the signs children use to express themselves during play. Lastly, visiting nurses must develop play activities to form a good relationship with the child ’s mother.

Cognition of Visiting Nurses Regarding Play Activities for Children with Severe Motor and Intellectual Disabilities in Need of Medical Care