Person-centred Music-making as a Cultural Change Agent for Compassionate Healthcare

Through the Lens of Experiential Workplace Learning

Authors

• Krista de Wit Hanze University of Applied Sciences Groningen

DOI:

https://doi.org/10.54916/rae.119540

Keywords:

person-centred music-making, patient-centred care, compassion, experiential learning

Abstract

To meet the care needs of the rapidly ageing patient populations, the cultivation of a compassionate patient-centred healthcare culture has become
central in the value-based healthcare discourse. A participatory music practice, ‘Meaningful Music in Healthcare’ employs a person-centred approach to
music-making in Dutch hospitals. A grounded theory analysis on ethnographically collected data suggests that music-making serves as a social change agent and cultural resource for catalysing compassionate contact between healthcare professionals and patients. Processes of experiential growth and shared values
in music-making and healthcare help to enrich care relationships and allow the emotional dimension of nurses’ professional performance to be explored.

References

Ansdell, G. (2014). Revisiting ’community music therapy and the winds of change’ (2002): An original article and a retrospective evaluation. International Journal of Community Music, 7(1), 11–45. https://doi.org/10.1386/ijcm.7.1.11_1

Ascenso, S., Williamon, A., & Perkins, R. (2016). Understanding the wellbeing of professional musicians through the lens of positive psychology. Psychology of Music, 45(1), 65–81. http://dx.doi.org/10.1177/0305735616646864

Atkinson, P., & Hammersley, M. (2007). Ethnography: Principles in practice (3rd ed.). Routledge.

Baart, A. (2001). Een theorie van de presentie. Lemma.

Benner, P. (1984/2001). From novice to expert: Excellence and power in clinical nursing practice. Prentice-Hall.

Bisschop Boele, E. (2013). Musicking in groningen: Towards a grounded theory of the uses and functions of music in a modern Western society. Eburon Academic Publishers.

Bittman, B., Bruhn, K. T., Stevens, C., Westengard, J., & Umbach, P. O. (2003). Recreational music-making: A cost-effective group interdisciplinary strategy for reducing burnout and improving mood states in long-term care workers. Advances in Mind-Body Medicine,

(3-4), 4–15.

Bloom, P. (2016). Against empathy – the case of rational compassion. Harper Collins Publishers.

Bohnsack, R. (2004). Group discussion and focus groups. In U. Flick, E. Von Kardorff, & I. Steinke (Eds.), A Companion to Qualitative Research. SAGE.

Bouteloup, P. (2010). Musique et santé. In Ecofeminism, Women, Culture, Nature. Indiana University Press.

Brooks, D., Bradt, J., Eyre, L., Hunt, A., & Dileo, C. (2010). Creative approaches for reducing burnout in medical personnel. The Arts in Psychotherapy, 37(3), 255–263.

Bunkers, S. S. (2010). A focus on human flourishing. Nursing Science Quarterly, 23(4), 290–295.

Chadder, N. (2019). An exploration into the perception of music interventions in hospitals amongst healthcare professionals. A World Forum for Music Therapy, 19(1).

Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. SAGE.

Charmaz, K. (2008). Constructionism and the grounded theory. In J. A. & J. F. Gubrium (Eds.), Handbook of Constructionist Research (pp. 397–412). The Guildford Press.

Compton, W. C., & Hoffman, E. (2013). Positive psychology: The science of happiness and flourishing (2nd ed.). Wadsworth Cengage Learning.

Creech, A. (2018). Community-supported music-making as a context for positive and creative ageing. In B.-L. Bartleet & L. Higgins (Eds.), The Oxford Handbook of Community Music. Oxford University Press.

Creech, A., Hallam, S., Varvarigou, M., & McQueen, H. (2014). Supporting wellbeing in the third and fourth ages. Institute of Education Press.

Cummings, J., & Bennett, V. (2012). Compassion in practice: Nursing, midwifery and care staff, our vision and strategy. https://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-practice.pdf

Daykin. (2012). Developing social models for research and practice in music, arts, and health: A case study of research in a mental health setting. In R. MacDonald, G. Kreutz, & L. Mitchell (Eds.), Music, Health, and Wellbeing. Oxford University Press. doi: 10.1177/1471301217739722

Daykin, N., Parry, B., Ball, K., Walters, D., Henry, A., Platten, B., & Hayden, R. (2017). The role of participatory music making in supporting people with dementia in hospital environments. Dementia, 17(6), 686–701.

Dewey, J. (2009). Democracy and education: An introduction to the philosophy of education. The MacMillan Company. (Original work published 1916)

Dewey, J. (2015). Experience and education. Free Press, Simon and Schuster. (Original work published 1938)

De Wit, K. (2020). Legacy: Participatory music practices with elderly people as a resource for the well-being of healthcare professionals (Doctoral dissertation, University of Music and Performing Arts Vienna). Krista_de_Wit_dissertation.pdf(hanze.nl)

Dons, K., De Wit, K., & Hendriks, L. (2017). Meaningful music in healthcare. In Research Group Lifelong Learning in Music. Meaningful_Music_in_Health_Care_ENG_v6_DEF.pdf(hanze.nl)

Dunphy, K. (2018). Theorizing arts participation as a social change mechanism. In B.L. Bartleet & L. Higgins (Eds.), Oxford Handbook of Community Music. Oxford University Press.

Emerson, R. M., Fretz, R., & Shaw, L. (2011). Writing Ethnographic Fieldnotes (2nd ed.). University of Chicago Press.

Fancourt, D., & Finn, S. (2019). What is the evidence on the role of the arts in improving health and well-being? A scoping review. The World Health Organisation. https://apps.who.int/iris/bitstream/handle/10665/329834/9789289054553-eng.pdf

Fenwick, T. (2010). Workplace ‘learning’ and adult education: Messy objects, blurry maps and making difference. European Journal for Research on the Education and Learning of Adults, 1(1-2), 79–95. 10.3384/rela.2000-7426.rela0006

Finnegan, R. (2012). Music, experience and emotion. In M. Clayton, T. Herbert, & M. R. (Eds.), The Cultural Study of Music (pp. 353–363). Routledge.

Flick, U. (2014). An introduction to qualitative research (4th ed.). SAGE.

Gilbert, P., & Choden. (2013). Mindful compassion: How the science of compassion can help you understand your emotions, live in the present, and connect deeply with others. New Harbinger Publications.

Goffman, E. (1990). The presentation of self in everyday life. Penguin Books. (Original work published 1959)

Happell, B., Dwyer, T., Reid-Searl, K., Burke, K. J., Caperchione, C., & Gaskin, C. J. (2013).

Nurses and stress: Recognizing causes and seeking solutions. Journal of Nursing Management, 21(4), 638–647. https://doi.org/10.1111/jonm.12037

Hesmondhalgh, D. (2013). Why music matters. John Wiley and Sons/Blackwell Publishing.

Jormsri, P., Kunaviktikul, W., Ketefian, S., & Chaowalit, A. (2005). Moral competence in nursing practice. Nursing Ethics, 12(6). https://pdfs.semanticschol-ar.org/3f7b/

ef5827bc5347c19f327bf0cb23b77992240.pdf

Kawulich, B. B. (2005). Participant observation as a data collection method. Journal of Forum Qualitative Social Research, 6(2). http://www.qualitative-research.net/index.php/fqs/article/view/466/996

Kitwood, T. (1997). Dementia reconsidered: The person comes first. Open University Press.

Krüger, S. (2008). Ethnography in the performing arts: A student guide. JMU/Palatine.

Kubendran, S., DeVol, R., & Chatterjee, A. (2016). The price women pay for dementia: Strategies to ease gender disparity and economic costs. Milken Institute. https://assets1b.milkeninstitute.org/assets/Publication/ResearchReport/PDF/dementia-v5.pdf

Lases, S. S. (2017). Caring for residents: Exploring residents’ well-being (Doctoral Dissertation). University of Amsterdam, GVO Drukkers and Vormgevers B.V.

Lave, J., & Wenger, E. (1991). Situated learning: Legitimate peripheral participation. Cambridge University Press.

Lilja-Viherlampi, L.-M. (2012). Taidetoimintaa vai terapiaa? Sairaala- ja hoivamusiikkityön lähtökohtia ja kehitystyötä. Journal of Finnish Universities of Applied Sciences. https://uas-journal.fi/tutkimus-innovaatiot/taidetoimintaa-vai-terapiaa/

Matarasso, F. (2019). A restless art: How participation won, and why it matters. Calouste Gulbenkian Foundation.

Ministry of Health, Welfare, and Sport. (2017). Kamerbrief over arbeidsmarktagenda 2023, aan het werk voor ouderen. The Hague. https://www.rijksoverheid.nl/documenten/kamerstukken/2017/07/12/kamerbrief-over-arbeidsmarktagen-da-2023-aan-het-werk-voor-ouderen

Oakland, J. (2012). Music for health: A thematic evaluation of practitioner experiences of work, training and professional development. The Royal Northern College of Music. https://musicforhealth.wordpress.com/about/

Olsen, W. (2004). Triangulation in social research: Qualitative and quantitative methods can really be mixed. In M. Holborn (Ed.), Development in sociology (p. 1-30). Causeway Press.

Petrucci, N. (2018). Beyond bleeps and alarms: Live music by the bedside in the ICU. Intensive Care Medicine. http://doi.org/10.1007/s00134-018-5263-0

Preti, C., & Welch, G. (2012). The incidental impact of music on hospital staff: An Italian case study. Arts Health: An International Journal for Research, Policy and Practice, 4(2). https://doi.org/10.1080/17533015.2012.665371

Ramalho, R., Adams, P., Huggard, P., & Hoare, K. (2015). Literature review and constructivist grounded theory methodology. Forum: Qualitative Social Research, 16(3). http://nbn-resolving.de/urn:nbn:de:0114-fqs1503199

Renshaw, P. (2009). Lifelong learning for musicians: The place of mentoring. Research Group Lifelong Learning in Music the Arts.

Repar, P. A., & Reid, S. (2014). Creatively caring: Effects of arts-based encounters on hospice caregivers in South Africa. Journal of Pain and Symptom Management, 47(5), 946–954. https://www.researchgate.net/publication/326785952_Creatively_caring_Effects_of_Arts-based_encounters_on_Hospice_caregivers_in_South_Africa

Research group Life long Learning in Music. (n.d). Research group lifelong learning in music. https://www.hanze.nl/eng/research/centre-for-applied-research/art-and-society/professorships/professorships/lifelong-learning-in-music

Ricard, M. (2013). Altruism: The power of compassion to change yourself and the world. Little, Brown and Company.

Robson, C., & McCartan, K. (2016). Real world research: A resource for users of social research methods in applied settings. (3rd edition). John Wiley Sons.

Ross, H., Tod, A. M., & Clarke, A. (2015). Understanding and achieving person-centred care: The nurse perspective. Journal of Clinical Nursing, 24(9-10). 1223-1233.https://doi.org/10.1111/jocn.12662

Royzman, E., & Rozin, P. (2006). Limits of symhedonia: The differential role of prior emotional attachment in sympathy and sympathetic joy. Emotion, 6(1), 82-93. https://doi.org/10.1037/1528-3542.6.1.82

Ryan, M., Kinghorn, P., Entwistle, V., & Francis, J. (2014). Valuing patients’ experiences of healthcare processes: Towards broader applications of existing methods. Social Science Medicine, 106(100), 194-203. https://doi.org/10.1016/j.socscimed.2014.01.013

Saldana, J. (2009). The coding manual for qualitative researchers. SAGE.

Scarlet, J., Altmeyer, N., Knier, S., & Harpin, E. (2017). The effects of compassion cultivation training (cct) on health-care workers. Clinical Psychologist, 21, 116–124. https://aps.onlinelibrary.wiley.com/doi/pdf/10.1111/cp.12130

Smilde, R., Heineman, E., de Wit, K., Dons, K., & Alheit, P. (2019). If music be the food of love, play on: Meaningful music in healthcare. Eburon.

Smilde, R., Page, K., & Alheit, P. (2014). While the music lasts: On music and dementia. Eburon.

Ten Hoeve, Y. (2018). From student nurse to nurse professional: The shaping of professional identity in nursing (Doctoral Dissertation). The Research Institute SHARE, The University of Groningen.

Turino, T. (2008). Music as social life: The politics of participation. The University of Chicago Press.

United Nations. (2015). World population ageing 2015 report. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf

Untamala, A. (2014). Coping with not-knowing by co-confidencing in theatre teacher training: A grounded theory (Doctoral Dissertation). http://hdl.handle.net/10138/43220

Van Heijst, A. (2005). Menslievende zorg: Een ethische kijk op professionaliteit [Doctoral Dissertation]. Klement Uitgeverij.

Vijinski, P. J., Hirst, S. P., & Goopy, S. (2018). Nursing and music: Considerations of Nightingale’s environmental philosophy and phenomenology. Journal of Nursing Philosophy, 19(4). https://doi.org/10.1111/nup.12223

Wenger, E. (1998). Communities of practice: Learning, meaning and identity. Cambridge University Press.

Westerlund, H. (2014). Dewey’s holistic notion of experience as a tool for music education. Nordic Research on Music Pedagogy, 7(37-50).

World Health Organization. (2015). World report on ageing and health. https://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf

Youngson, R. (2012). Time to care: How to love your patients and your job. Rebel Heart Publishers.

Zeisel, J. (2010). I’m still here: Creating a better life for a loved one living with Alzheimer’s. Piatkus.

Zhang, W., & Liu, Y.-L. (2016). Demonstrations of caring by males in clinical practice: a literature review. International Journal of Nursing Sciences, 3(3), 323–327. https://core.ac.uk/download/pdf/82498489.pdf(14.3.2017)