Duke University, Durham, NC, USA.
Duke-NUS Medical School, Singapore, Singapore.
J Music Ther. 2021 Mar 16;58(1):43-69. doi: 10.1093/jmt/thaa014.
Perioperative music decreases pain, anxiety, and analgesia requirements while increasing patient satisfaction. We investigated the acceptability of perioperative music at a women's and children's hospital in Singapore, seeking to uncover barriers and facilitators to implementation in routine practice over a 12-week period. We used an undergraduate-led Rapid Qualitative Inquiry approach that includes data collection from multiple sources, iterative analysis, and additional data collection when necessary. Participants consisted of anesthesiologists and nurses working in the preoperative area, operating room, and postoperative recovery areas. In Stage 1, nurses and anesthesiologists answered a survey assessing attitudes and knowledge about perioperative music and attended a presentation introducing the intervention. In Stage 2, the results of the Stage 1 survey were disclosed, and nurses and anesthesiologists completed a second survey (Stage 1 survey questions with an additional query about implementation). Twenty-nine nurses were interviewed with semi-structured questions on barriers and facilitators to implementation. In Stage 3, nurses retook the Stage 2 survey after one month of implementation. The implementation of perioperative music was both acceptable and feasible in Singapore. The nurses' and anesthesiologists' acceptability increased over time with mostly positive qualitative feedback. Implementation barriers, including patient interest, timing of patient turnover, and added staff workload, appeared minor and could potentially be overcome by utilizing the intervention in the preoperative instead of postoperative area, deploying music in operating rooms with slower turnover, and evenly distributing staff workload. Local implementation stakeholders may make additional recommendations for scaling-up perioperative music interventions to fit other workflows while improving the patient experience.
围手术期音乐可降低疼痛、焦虑和镇痛需求，同时提高患者满意度。我们在新加坡的一家妇女和儿童医院调查了围手术期音乐的可接受性，旨在发现实施围手术期音乐的障碍和促进因素，时间跨度为 12 周。我们采用了由本科生主导的快速定性探究方法，包括从多个来源收集数据、迭代分析以及在必要时进行额外的数据收集。参与者包括在术前区、手术室和术后恢复区工作的麻醉师和护士。在第 1 阶段，护士和麻醉师回答了一项评估他们对围手术期音乐的态度和知识的调查，并参加了一个介绍干预措施的演讲。在第 2 阶段，披露了第 1 阶段调查的结果，护士和麻醉师完成了第二项调查（第 1 阶段调查问题，增加了关于实施情况的查询）。对 29 名护士进行了半结构化访谈，了解实施过程中的障碍和促进因素。在第 3 阶段，护士在实施一个月后再次接受第 2 阶段的调查。围手术期音乐的实施在新加坡是可以接受且可行的。护士和麻醉师的接受度随着时间的推移而增加，主要是积极的定性反馈。实施障碍，包括患者的兴趣、患者周转率的时间以及增加的员工工作量，似乎较小，通过将干预措施应用于术前而不是术后区域、在周转率较慢的手术室中播放音乐以及均匀分配员工工作量，这些障碍可能会被克服。当地实施利益相关者可能会提出额外的建议，以扩大围手术期音乐干预措施的规模，以适应其他工作流程，同时改善患者体验。
