Question

Discuss the role of nursing in implementing calming music playing in hospitals to reduce anxiety and fears. How can nurses impact, support, and sustain the change. (Write half page)

Plan, Do, Study, Act (PDSA): Design test of change- In a perfect world, how would you go about using the PDSA cycle to implement calming music playing in hospitals to reduce anxiety and fears? Be specific.

PLAN: List your action steps:

Test/Implementation Plan (THINK ABOUT WHAT CHANGES YOU CAN MAKE THAT WILL RESULT IN IMPROVEMENT):

What change will be tested or implemented? Include how change will be conducted, who will run it, where it will be run and when it will be run. (If needed, include specifics on tasks, responsibilities and due dates.)

Data Collection Plan (THINK ABOUT HOW YOU WILL KNOW THE CHANGE IS AN IMPROVEMENT): What data/measures will be collected?

Who will collect the data?

When will the collection of data take place?

How will the data (measures or observations) be collected and displayed? What decisions will be made based on data?

DO: Describe what you expect to happen with your proposed test of change?

Activities/Observations:

Record activities/observations that were done in addition to those listed in plan (above):

STUDY: Describe expected results:

Questions: Copy and paste Prediction from Plan above and evaluate learning. Complete analysis of the data. Insert graphic analysis whenever possible.

Prediction:
Learning (Comparison of questions, predictions, and analysis of data):

Summary (Look at your data. Did the change lead to improvement? Why or why not?):

ACT: Describe what modifications could be made to the plan for the next cycle from what you learned.

Describe next PDSA Cycle: Based on the learning in “Study,” what is your next test?

Answer 1

Music can help soothe the fear and anxiety of critically ill patients who have been placed on ventilators, reducing both their stress and their need for sedatives, according to a new study. Intensive care unit (ICU) patients allowed to listen to music of their choice whenever they liked enjoyed a 36 percent reduction in their anxiety levels compared to patients not offered music, researchers found. The ICU patients who were provided music also needed less sedation, with their sedative intake dropping 38 percent compared to other patients, the findings showed.

The study, published online May 20 in the Journal of the American Medical Association, involved 373 patients from 12 ICUs at five hospitals in the Minneapolis-St. Paul area. All patients had been placed on a ventilator between September 2006 and March 2011 due to respiratory failure. A group of 126 patients were offered the opportunity to listen to music of their own choice through headphones whenever they liked.

The study also involved two control groups who were either provided usual care or given the choice to wear noise-canceling headphones whenever they wanted to block out hospital noise. All three patient groups had their anxiety levels measured daily as well as the intensity and frequency of the sedation they required. During the five-day study period, patients allowed to listen to music needed less sedation and felt less anxiety than patients receiving usual care. They also needed fewer doses of sedatives than patients wearing noise-cancelling headphones, but did not experience a comparatively significant reduction in anxiety or sedation intensity. Patients with music listened for an average of 80 minutes a day, while patients with noise-canceling headphones used them an average of 34 minutes a day, the study authors noted.

Since nurses are involved in the health care of the patient catering to their primary needs the implementation of music can be solely done on their discretion. By supporting such an initiative not only the overall health of the patient can improve but also have a positive influence overall on the health care providers as well alleviating anxiety, fear and depression.

Plan of actoin

Plan by dividing the group of patients into two groups- one who access to their favourite music and one who do not have access to music. Play the music of their choice at their choice of time of day for a minimum of 1 hour. Record the patients vitals and compare the data obtained from two groups using appropriate statistical tools.

The test would be run on the patient s admitted in the ward.

The data which includes parameters such as blood pressure, heart rate which would are indicators of anxiety as well as patient s insistence of giving pain killers. One can also access the degree of anxiety using scales such as generalised anxiety disorder scoring, which would require a statistician to evaluate the data.

Do

it is accepted that there would be improvement of mood and decreased fear and anxiety among patients who were exposed to music than who were not.

Study

It is a observational study

Act

After obtaining initial results, one can analyze what improvements are required.