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Assessing HeartSong as a Neonatal Music Therapy Intervention: A Qualitative Study on Personal and Professional Caregivers' Perspectives
Advances in Neonatal Care ( IF 1.7 ) Pub Date : 2023-04-18 , DOI: 10.1097/anc.0000000000001068
Nienke H van Dokkum 1 , Lauren J Fagan , Marie Cullen , Joanne V Loewy
Affiliation  

Background: 

The music therapy HeartSong intervention pairs newborn infant heartbeats with parents' Song of Kin. Formal evidence on professional and personal caregiver perspectives of this intervention is lacking.

Purpose: 

This survey study evaluates the HeartSong music therapy intervention from parent and staff perspectives.

Methods: 

A qualitative study assessing inclusion of HeartSong for family neonatal intensive care unit (NICU) care surveyed 10 professional caregivers comprising medical and psychosocial NICU teams anonymously reflecting their impressions of the intervention. Digital survey of parents/guardians contacted through semistructured phone interviews relayed impressions of recordings: subsequent setup, Song of Kin selection, and use of HeartSong, including thoughts/feelings about it as an intervention.

Results: 

Professional and personal caregivers valued the HeartSong intervention for bereavement support, family support, including parental, extended family/infant support, and to enhance bonding. Emergent themes: memory-making, connectedness/closeness, support of parent role, processing mental health needs of stressful NICU days, and subsequent plans for lifelong HeartSong use. Therapeutic experience was named as a crucial intervention aspect and participants recommended the HeartSong as a viable, accessible NICU intervention.

Implications for Practice and Research: 

HeartSong's use showed efficacy as a clinical NICU music therapy intervention for families of critically ill and extremely preterm infants, when provided by trained, specialized, board-certified music therapists. Future research focusing on HeartSong in other NICU populations might benefit infants with cardiac disease, parental stress, and anxiety attending to parent–infant bonding. Costs and time benefits related to investment are needed before implementation is considered.



中文翻译:

评估 HeartSong 作为新生儿音乐治疗干预措施:对个人和专业护理人员观点的定性研究

背景: 

音乐疗法HeartSong 干预将新生儿的心跳与父母的亲情之歌配对。缺乏专业和个人护理人员对这种干预措施的看法的正式证据。

目的: 

这项调查研究从家长和员工的角度评估了 HeartSong音乐治疗干预措施。

方法: 

一项评估 HeartSong 纳入家庭新生儿重症监护病房(NICU) 护理的定性研究对由医疗和社会心理 NICU 团队组成的 10 名专业护理人员进行了调查,匿名反映了他们对干预措施的印象。通过半结构化电话访谈对父母/监护人进行数字调查,传达录音印象:随后的设置、Kin 之歌的选择以及 HeartSong 的使用,包括对此作为干预措施的想法/感受。

结果: 

专业和个人护理人员重视 HeartSong 干预对于丧亲支持、家庭支持(包括父母、大家庭/婴儿支持)以及增强联系的作用。新兴主题:记忆形成、联系/亲密、对父母角色的支持、处理新生儿重症监护室压力下的心理健康需求,以及终身使用 HeartSong 的后续计划。治疗经验被认为是一个关键的干预方面,参与者推荐 HeartSong 作为一种可行的、易于使用的 NICU 干预措施。

对实践和研究的影响: 

当由经过培训的、专业的、经过委员会认证的音乐治疗师提供时, HeartSong 的使用显示出作为临床 NICU音乐治疗干预对重症和极早产儿家庭的有效性。未来针对其他 NICU 人群的 HeartSong 的研究可能会使患有心脏病、父母压力和因亲子关系而焦虑的婴儿受益。在考虑实施之前,需要考虑与投资相关的成本和时间效益。

更新日期:2023-04-20
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