A Seat at the Table for Music Therapy: Perceptions of Music Therapy Within the Hospice Interdisciplinary Team

Pub Date : 2023-06-09 DOI:10.1093/mtp/miad011
Jennifer Fiore, Kaitlin Ridgway, Allison Buttermore
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Abstract

Music therapy is a newer profession within hospice, with limited evidence of other disciplines’ perceptions of a music therapist’s role in hospice care. The purpose of this study was to examine if perception differences exist between music therapists and interdisciplinary team (IDT) members regarding how 25 job tasks related to the music therapist’s role within a clinical interdisciplinary hospice team. Two groups consisting of board-certified music therapists (MT-BC) and IDT members completed an online Qualtrics survey to rate how 25 job tasks were perceived to pertain to the music therapist’s role in hospice care. A two-way mixed ANOVA indicated the significant differences between the 2 groups for 13 of the 25 tasks, suggesting less understanding of an MT-BC’s role within a hospice IDT. For the 13 tasks perceived significantly different, a one-way ANOVA was run and indicated significant between discipline perceptual differences for nine of the 13 tasks. Qualitative statements indicated contracted and employed MT-BCs experienced similar perceived barriers of IDT colleagues lack of understanding music therapy and the MT-BC not being able to attend IDT or participate regularly. Overall, required IDT groups’ qualitative statements were positive, with the most common responses across disciplines indicating that MT-BCs elicited positive responses from patients and caregivers, provided a distraction from pain or agitation, and increased patients’ quality of life. The current study’s outcomes highlight the need for music therapists to provide more education to colleagues regarding a music therapist’s role in the hospice setting.
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音乐治疗的座位:安宁疗护跨学科团队对音乐治疗的认知
音乐治疗在临终关怀中是一个较新的职业,其他学科对音乐治疗师在临终关怀中的作用的看法的证据有限。摘要本研究旨在探讨音乐治疗师与跨学科团队(IDT)成员对于音乐治疗师在临床跨学科安宁疗护团队中所扮演角色的25项工作任务,是否存在认知差异。由认证音乐治疗师(MT-BC)和IDT成员组成的两组完成了一项在线质量调查,以评估25项与音乐治疗师在临终关怀中的角色相关的工作任务。双向混合方差分析显示两组在25项任务中的13项有显著差异,表明对MT-BC在安宁疗护IDT中的作用了解较少。对于13个感知差异显著的任务,进行单因素方差分析,结果显示13个任务中有9个任务的学科间感知差异显著。定性陈述表明签约和受雇的MT-BC经历了类似的IDT同事缺乏对音乐治疗的理解和MT-BC不能参加或定期参加IDT的感知障碍。总体而言,所需IDT组的定性陈述是积极的,跨学科最常见的反应表明mt - bc引起了患者和护理人员的积极反应,分散了疼痛或躁动的注意力,提高了患者的生活质量。目前的研究结果强调了音乐治疗师需要向同事提供更多关于音乐治疗师在临终关怀环境中的作用的教育。
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