Storytelling Through Music to Facilitate Meaning Reconstruction and Address Psychosocial Stress in Oncology Nurses

Carolyn S. Phillips, D. Volker, Barbara Jones
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Abstract

Frontline healthcare workers are exposed to significant suffering and loss. Recent studies have shown increased rates of depression and suicide among nurses and physicians when compared to the general population. Few clinician well-being interventions focus on increasing the awareness and expression of clinician’s emotions to improve psychosocial well-being. In particular, nurses are at the forefront of cancer care, and studies indicate that they cope with work-related emotions in isolation. Storytelling Through Music is a 6-week intervention that combines storytelling, reflective writing, songwriting, and stress management skills. The parent study was a quasi-experimental design, with 43 oncology nurses in either the intervention group or a non-randomized comparison group. This study evaluates the post-intervention qualitative data from participants in the intervention group (n=22). Content analysis was used for analysis, which revealed the following themes: belonging, finding meaning, and emotional transformation. Participants reported learning they were not alone in the emotional experience, that they were reminded of why they work in oncology, and that hearing their story in song transformed their feelings from sadness to something beautiful. Further, they described that hearing their story reflected back to them in song was deeply moving and provided them with emotional insight.
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通过音乐讲故事促进意义重建和解决肿瘤护士的社会心理压力
一线医护人员面临着巨大的痛苦和损失。最近的研究表明,与普通人群相比,护士和医生的抑郁症和自杀率有所上升。很少有临床医生的福祉干预侧重于提高临床医生的情绪的认识和表达,以改善社会心理健康。特别是,护士处于癌症护理的最前沿,研究表明,他们孤立地应对与工作有关的情绪。通过音乐讲故事是一个为期6周的干预,结合了讲故事,反思写作,歌曲创作和压力管理技能。母研究采用准实验设计,43名肿瘤科护士被分为干预组和非随机对照组。本研究评估干预组参与者的干预后定性数据(n=22)。运用内容分析法进行分析,揭示了归属、寻找意义、情感转化三个主题。参与者报告说,他们在情感体验上并不孤单,他们被提醒为什么要从事肿瘤学工作,并且在歌曲中听到他们的故事将他们的感觉从悲伤转变为美好。此外,他们还描述说,听到他们的故事在歌曲中被反映出来,这让他们深受感动,并为他们提供了情感洞察力。
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