Patients’ Perceptions of Virtual Live Music in the Intensive Care Unit

Author:

Bruder Alexandra L.1,Gururaja Akash2,Narayani Nikita3,Kleinpell Ruth4,Schlesinger Joseph J.5

Affiliation:

1. Alexandra L. Bruder is a medical student at the Ohio State University College of Medicine, Columbus, and was a lead research assistant, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee during the study.

2. Akash Gururaja is a research associate, Department of Anesthesiology, Vanderbilt University Medical Center.

3. Nikita Narayani is a research associate, Department of Anesthesiology, Vanderbilt University Medical Center.

4. Ruth Kleinpell is an associate dean for clinical scholarship and a professor, Vanderbilt University School of Nursing, Nashville.

5. Joseph J. Schlesinger is a professor of anesthesiology and critical care medicine, Department of Anesthesiology, Vanderbilt University Medical Center.

Abstract

Background Implementing music in the intensive care unit has increased in popularity because the environment can be stressful and anxiety inducing for many patients. In hospital settings, therapeutic music can be beneficial for patients’ well-being and recovery. Although live music typically involves a face-to-face encounter between the musician and patient, the COVID-19 pandemic has prompted a change to virtual live therapeutic music, using technology to present music in real time (eg, with a tablet computer). Objective To generate novel findings regarding patients’ perceptions of virtual live therapeutic music, which has been little studied compared with live or recorded music.. Methods Fifty patients in Vanderbilt University Medical Center intensive care units listened to virtual live music played by a volunteer musician via an online video communication platform. Patients’ responses to 5 survey questions were transcribed and analyzed qualitatively and quantitatively using data analysis software. Results Seven major themes describing the familiarity and significance of music for patients were identified. Forty-seven patients (94%) experienced positive emotions from the music, 46 (92%) indicated that music was a significant part of their lives, 28 (56%) accessed a cherished memory, and 45 (90%) indicated that they would not change anything. Conclusions Therapeutic virtual music was well received and provided tangible benefits to patients. Additional research would provide information on patients’ outcomes and differences between live and virtual live music.

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

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