University of Leeds, Leeds, UK.
Music and Health Research Group, University of Limerick, Limerick, Ireland.
J Health Organ Manag. 2013;27(6):714-32. doi: 10.1108/JHOM-04-2012-0068.
The purpose of this paper is to demonstrate how a change management perspective contributes new understandings about music therapy implementation processes.
DESIGN/METHODOLOGY/APPROACH: Narrative inquiry, ethnography, and arts-based research methods were used to explore the experiences of 12 music therapists who developed new services in healthcare settings. These experiences were interpreted using insights from the field of change management.
A change management perspective helps to explain music therapists' experiences of resistance and struggle when introducing their services to established health care teams. Organisational change theories and models highlight possible strategies for implementing music therapy services successfully, such as organisational assessment, communication and collaboration with other workers, and the appointment of a service development steering group.
RESEARCH LIMITATIONS/IMPLICATIONS: This paper offers exciting possibilities for developing understanding of music therapists' experiences and for supporting the growth of this burgeoning profession.
There is an important need for professional supervision for music therapists in the service development phase, to support them in coping with resistance and setbacks. Healthcare managers and workers are encouraged to consider ways in which they can support the development of a new music therapy service, such as observing music therapy work and sharing organisational priorities and cultures with a new music therapist.
ORIGINALITY/VALUE: Previous accounts of music therapy service development have indicated that music therapists encounter complex interprofessional issues when they join an established health care team. A change management perspective offers a new lens through which music therapists' experiences can be further understood.
本文旨在展示变革管理视角如何为音乐治疗实施过程提供新的理解。
设计/方法/途径:采用叙事探究、民族志和以艺术为基础的研究方法,探索了 12 名音乐治疗师在医疗保健环境中开发新服务的经验。这些经验是通过变革管理领域的见解来解释的。
变革管理视角有助于解释音乐治疗师在向既定的医疗保健团队引入服务时遇到的抵制和斗争的体验。组织变革理论和模型强调了成功实施音乐治疗服务的可能策略,例如组织评估、与其他工作人员的沟通和协作,以及任命服务发展指导小组。
研究局限性/影响:本文为进一步理解音乐治疗师的体验和支持这一新兴专业的发展提供了令人兴奋的可能性。
音乐治疗师在服务发展阶段需要专业监督,以支持他们应对抵制和挫折。鼓励医疗保健管理人员和工作人员考虑如何支持新音乐治疗服务的发展,例如观察音乐治疗工作并与新音乐治疗师分享组织的优先事项和文化。
原创性/价值:以前关于音乐治疗服务发展的描述表明,音乐治疗师在加入既定的医疗保健团队时会遇到复杂的跨专业问题。变革管理视角提供了一个新的视角,可以进一步理解音乐治疗师的体验。