Live bedside music for hospitalized older adults: A qualitative descriptive interview study

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2023-09-20 DOI:10.1111/opn.12574

Hanneke van der Wal-Huisman MSc, RN, Nina M. van den Berg MSc, Wolter Paans PhD, Laura Bezold MA, Thomas Stegemann MD, PhD, Pauline de Graeff MD, PhD, Barbara L. Van Leeuwen MD, PhD

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Abstract

Introduction

Hospitalization may have a major impact on older patients as it is often a period of psychosocial vulnerability. Music is one of the most described art forms used in healthcare. Applied in clinical settings, it can affect a patients' emotional and psychosocial well-being. Incorporating a wider perspective of health promotion that aims to advance not only physical health, but a patients' overall well-being, is part of a person-centred approach to care. We developed an innovative participatory music practice in which professional musicians and music therapists visited patients at their bedside for 10–15 min in a Dutch and Austrian hospital. This qualitative study explores the added value of live bedside music practice for older hospitalized patients in Austria and the Netherlands.

Methods

Semi-structured interviews were conducted between October 2020 and February 2022 with 23 hospitalized patients aged ≥60 years. Due to the COVID-19 pandemic, the music sessions in Austria were facilitated by establishing a live connection between musicians and patients using a tablet. Data were transcribed verbatim and performed qualitative content analysis following the steps of thematic analysis. The COnsolidated criteria for REporting Qualitative research (COREQ) checklist was applied to report data collection, analysis and results.

Results

Four themes emerged from the data analysis. Participants described the perceived influences of live bedside music in terms of (1) emotional release, (2) positive distraction, (3) alterations in contact and (4) shared humanity. Overall, participants positively valued the live bedside music practice and expressed a desire for its continuation.

Conclusion

This study explores the experiences and the added value of live bedside music for older hospitalized patients. By facilitating distraction and emotional release and enhancing nurse–patient interactions, live bedside music can significantly improve hospital experiences for older patients. Results reveal that live bedside music provides a positive patient experience and can be part of integrative and holistic care for hospitalized older patients. Live bedside music can attend to the emotional needs of older patients which are often under addressed in clinical settings but are crucial for enhancing their well-being.

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住院老年人的现场床边音乐：一项定性描述性访谈研究。

引言：住院治疗可能会对老年患者产生重大影响，因为这通常是一个心理脆弱的时期。音乐是医疗保健中使用最多的艺术形式之一。在临床应用中，它会影响患者的情绪和心理健康。纳入更广泛的健康促进视角，不仅旨在促进身体健康，还旨在促进患者的整体福祉，是以人为本的护理方法的一部分。我们开发了一种创新的参与式音乐实践，专业音乐家和音乐治疗师在患者床边探访患者10-15分钟 min在荷兰和奥地利的一家医院。这项定性研究探讨了现场床边音乐练习对奥地利和荷兰老年住院患者的附加值。方法：在2020年10月至2022年2月期间，对23名年龄≥60岁的住院患者进行了半结构化访谈年。由于新冠肺炎大流行，通过使用平板电脑在音乐家和患者之间建立现场连接，促进了奥地利的音乐课程。数据逐字逐句转录，并按照主题分析的步骤进行定性内容分析。重新报告定性研究的合并标准（COREQ）检查表用于报告数据收集、分析和结果。结果：数据分析得出四个主题。参与者从（1）情绪释放、（2）积极的分心、（3）接触的改变和（4）共同的人性等方面描述了现场床边音乐的感知影响。总的来说，参与者积极评价现场床边音乐练习，并表示希望继续下去。结论：本研究探讨了现场床边音乐对老年住院患者的体验和附加值。通过促进分心和情绪释放，并加强护士与患者的互动，现场床边音乐可以显著改善老年患者的医院体验。结果表明，现场床边音乐提供了积极的患者体验，可以作为住院老年患者综合和整体护理的一部分。现场床边音乐可以满足老年患者的情感需求，这些需求在临床环境中往往得不到充分解决，但对提高他们的幸福感至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.