Date of Award

Summer 8-2-2022

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Sarah M. I. Cartwright, DNP, MSN-PH, BAM, RN-BC, CAPA, FASPAN

Second Advisor

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.


Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.

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