Acceptability and Feasibility of Perioperative Music Listening: A Rapid Qualitative Inquiry Approach. (8th September 2020)

• Record Type: Journal Article
• Authors: Polascik, Breanna A; Tan, Daryl Jian An; Raghunathan, Karthik; Kee, Hwei Min; Lee, Amanda; Sng, Ban Leong; Belden, Charles M
• Is Part Of: Journal of music therapy. Volume 58:Number 1(2021)
• Page Start: 43
• Page End: 69
• Publication Date: 2020-09-08
• Subjects: acceptability -- implementation -- music therapy -- music medicine -- anesthesiology; Music therapy -- Periodicals; 615.8515405
• DOI: 10.1093/jmt/thaa014
• Languages: English
• ISSNs: 0022-2917

Abstract

Abstract: Perioperative music decreases pain, anxiety, and analgesia requirements while increasing patient satisfaction. We investigated the acceptability of perioperative music at a women's and children's hospital in Singapore, seeking to uncover barriers and facilitators to implementation in routine practice over a 12-week period. We used an undergraduate-led Rapid Qualitative Inquiry approach that includes data collection from multiple sources, iterative analysis, and additional data collection when necessary. Participants consisted of anesthesiologists and nurses working in the preoperative area, operating room, and postoperative recovery areas. In Stage 1, nurses and anesthesiologists answered a survey assessing attitudes and knowledge about perioperative music and attended a presentation introducing the intervention. In Stage 2, the results of the Stage 1 survey were disclosed, and nurses and anesthesiologists completed a second survey (Stage 1 survey questions with an additional query about implementation). Twenty-nine nurses were interviewed with semi-structured questions on barriers and facilitators to implementation. In Stage 3, nurses retook the Stage 2 survey after one month of implementation. The implementation of perioperative music was both acceptable and feasible in Singapore. The nurses' and anesthesiologists' acceptability increased over time with mostly positive qualitative feedback. Implementation barriers, including patient interest, timing of patient turnover, and added staff workload, appeared minor and could potentially be overcome by utilizing the intervention in the preoperative instead of postoperative area, deploying music in operating rooms with slower turnover, and evenly distributing staff workload. Local implementation stakeholders may make additional recommendations for scaling-up perioperative music interventions to fit other workflows while improving the patient experience.