Date of Award
Doctor of Nursing Practice (DNP)
Sarah M. I. Cartwright, DNP, MSN-PH, BAM, RN-BC, CAPA, FASPAN
Phyllis Faye Dolin, DNP, CVRN, RN-BC
Practice Problem: The practice problem is anxiety related to hospitalization among adults in an acute care setting. Increased anxiety can lead to other issues while hospitalized including disruptive behaviors.
PICOT: The PICOT question that guided this project was: In hospitalized medical-surgical adults (P), how does the implementation of a music intervention as an adjunct to standard distraction techniques (I) compared to standard care (C) affect symptoms of anxiety as observed by the rate of behavior de-escalation team calls (O) within eight weeks (T)?
Evidence: There were five systematic reviews, four systematic reviews with meta-analysis with high level of evidence, high quality rating, and high quantity of articles included emerged that led to the project. Evidence supported the use of a music intervention for therapeutic distraction and reduction of anxiety.
Intervention: The intervention was a music intervention of a personalized music selection for approximately 30 minutes prior to procedures or when anxiety or disruptive behavior was noted in addition to standard care.
Outcome: Music intervention use increased by 68 individual sessions during the intervention period from baseline. Utilization of the de-escalation team decreased 80% from the preceding 10 weeks prior to implementation. Data collection difficulties reduced observation of knowledge change, however, activities related to the intervention increased during the intervention period.
Conclusion: The use of music as an intervention to decreasing anxiety and the use of a de-escalation team for disruptive behavior was successful though the process outcomes were not met. Staff engagement will be key in making this a sustainable practice and additional interventions for staff engagement are necessary.
Rochon, R. M. (2022). Addressing Anxiety in Hospitalized Adults Using a Music Intervention. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.KRPR4989
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