Musical Breaks—Live Music in a Hemodialysis Setting—A Qualitative Study on Patient, Nurse, and Musician Perspectives
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Interventions
2.4. Data Collection
2.5. Data Analyses
3. Results
3.1. Participant Characteristics
3.2. Musical Content
3.3. Summary of Themes
3.4. Theme 1: The Inner Space
3.4.1. Subtheme 1a: Entering a Calm and Enjoyable Pause Bubble
3.4.2. Subtheme 1b: Resting in a Thought-Free State of Mind
3.4.3. Subtheme 1c: Traveling in the Past and Catching the Moment through Heartfelt Music
3.5. Theme 2: The Participating Space
3.5.1. Subtheme 2a: Bringing Positive Changes into Life
3.5.2. Subtheme 2b: The Artistic Quality Mediating a Magnificent and Beautiful Experience
4. Discussion
Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Aspect | Method | During Intervention | Post-Intervention | One Month after the Intervention Period |
---|---|---|---|---|
The non-verbal environment | Moderate participation observations (patients/nurses/musicians) | X | ||
Personal experience (well-being, meaningfulness) | Semi-structured interviews (patients) | X | ||
Personal and professional experience | Semi-structured interviews (nurses) | X | ||
Interprofessional cooperation | Semi-structured group interview (nurses/musicians) | X | ||
Artistic and social awareness | Reflective journals (musicians) | X |
Patients (N = 12) | Nurses (N = 17) | Musicians (N = 4) | |
---|---|---|---|
Characteristics | Mean (SD) (min/max) or numbers (%) | ||
Age | 65 (20.1) (24–84) | 55 (10.3) (28–66) | 37 (16.5) (21–60) |
Female | 6 (50%) | 16 (94%) | 1 (25%) |
Months on HD | 39.7 (24.5) (9–87) | - | - |
Years working in HD unit | - | 13.3 (9.0) (1–23) | - |
Years working as professional musician | - | - | 16.5 (16.4) (2–40) |
Cohabiting | 7 (58%) | - | - |
Unemployed | 12 (100%) | - | - |
Theme | Subtheme | Example quote |
---|---|---|
1. The inner space | (1a) Entering a calm and enjoyable pause bubble | “I’m kind of a little more relaxed in my body. I just fall down a little bit more.” (IP6) “Really soothing.” (IP10) “It was just so beautiful. So ... Then the thoughts come a little that way, yes.” (IP1) “A pause bubble ... It was just getting out of stress, and just getting down and breathing.” (IN10) “Music is all about letting go—letting go of worries and bad energy.” (IN2) |
(1b) Resting in a thought-free state of mind | “I was entering my own space.” (IP1) “It’s nice that it [experiencing the music] makes time go faster, in a way.” (IP5) “Your heart rate goes all the way down and you just get your head emptied and that gives such a break.” (IN10) | |
(1c) Traveling in the past and catching the moment through heartfelt music | “Like traveling in the past.” (IP1) “When it was so quiet and so calm, I thought of the sea. The waves that came rushing just as quietly and so calm, that is. You can imagine some pictures.” (IP11) “The music had to be chosen and played with your heart.” (RJ1) | |
2. The participating space | (2a) Bringing positive changes into life | “It´s nice to be together with people who express joy in music.” (IP7) “It was really meaningful. Through this experience, he [the patient] will be able to cope for another day.” (GN17) “We work in a department where it is necessary that you can also show yourself as a person to the patients.” (GN1) “Music creates cohesion and community. And that is something we can use to build upon. For all the other times [HD treatments].” (IN1) “It can open up life [for new perspectives] to come and enable people to start talking to each other and commenting a little, and you [the nurse] get a little change from everyday triviality.” (GM3) |
(2b) The artistic quality mediating a magnificent and beautiful experience | “It´s a great offer and an opportunity to have real musicians here who play live music, and who perform so nicely and beautifully.” (IP5) “It’s nice when you look at the musicians, how they are active and such. And it gives you something.” (IP11) “Participating in this space is like a development springboard both as a musician and as a human being.” (GM3) “The nurses created a lovely space to visit, and I was surprised by their support without showing their stressful workday.” (RJ2) |
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Bro, M.L.; Finderup, J.; Smilde, R.; Gram, B.; Dreyer, P. Musical Breaks—Live Music in a Hemodialysis Setting—A Qualitative Study on Patient, Nurse, and Musician Perspectives. Healthcare 2022, 10, 1637. https://doi.org/10.3390/healthcare10091637
Bro ML, Finderup J, Smilde R, Gram B, Dreyer P. Musical Breaks—Live Music in a Hemodialysis Setting—A Qualitative Study on Patient, Nurse, and Musician Perspectives. Healthcare. 2022; 10(9):1637. https://doi.org/10.3390/healthcare10091637
Chicago/Turabian StyleBro, Margrethe Langer, Jeanette Finderup, Rineke Smilde, Bibi Gram, and Pia Dreyer. 2022. "Musical Breaks—Live Music in a Hemodialysis Setting—A Qualitative Study on Patient, Nurse, and Musician Perspectives" Healthcare 10, no. 9: 1637. https://doi.org/10.3390/healthcare10091637