Garrido Sandra, Markwell Holly, Andreallo Fiona, Hatcher Deborah
Western Sydney University, Milperra, Australia.
The Dementia Centre, Hammond Care, Greenwich, Australia.
J Multidiscip Healthc. 2021 May 25;14:1193-1204. doi: 10.2147/JMDH.S293764. eCollection 2021.
Residential aged care facilities face the immense challenge of adapting to the increasingly high needs of their residents, while delivering personalised, holistic care. There is considerable evidence that music can provide an affordable, accessible way to reduce changes in behaviour associated with dementia, in order to meet these standards of care. However, a number of barriers exist to the effective implementation of music programs in long-term aged care facilities.
This study involved focus groups with 17 participants including staff in residential aged care facilities and family caregivers to investigate the benefits of music programs, as well as the challenges and possible solutions to them. A general inductive approach was taken to data analysis.
A number of benefits of music programs were identified, including improvements to the wellbeing of both residents of aged care facilities and their caregivers. However, an ingrained culture within residential aged care of focusing on physical care rather than thinking holistically about wellbeing was identified as a significant barrier.
These findings revealed that education is a key component of changing ingrained cultures of task-driven care at both a managerial level and in care staff, so that attention can be given to psychological and emotional needs as well as the physical.
老年护理机构面临着巨大挑战，既要适应居民日益增长的高需求，又要提供个性化的整体护理。有大量证据表明，音乐可以提供一种经济实惠且易于获得的方式，来减少与痴呆症相关的行为变化，从而达到这些护理标准。然而，在长期老年护理机构中，有效实施音乐项目存在一些障碍。
本研究对17名参与者进行了焦点小组访谈，其中包括老年护理机构的工作人员和家庭照顾者，以调查音乐项目的益处，以及实施过程中面临的挑战和可能的解决方案。数据分析采用了一般归纳法。
确定了音乐项目的一些益处，包括改善老年护理机构居民及其照顾者的幸福感。然而，老年护理机构中根深蒂固的注重身体护理而非全面考虑幸福感的文化被认为是一个重大障碍。
这些发现表明，教育是在管理层面和护理人员中改变根深蒂固的任务驱动型护理文化的关键组成部分，这样才能关注心理和情感需求以及身体需求。
