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Id 815
Author Batt-Rawden K.B., Stedje K.
Title Singing as a health-promoting activity in elderly care: a qualitative, longitudinal study in Norway
Reference
Batt-Rawden K.B., Stedje K.; Singing as a health-promoting activity in elderly care: a qualitative, longitudinal study in Norway ;Journal of Research in Nursing vol:25.0 issue: 5 page:404.0

Link to article https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086280500&doi=10.1177%2f1744987120917430&partnerID=40&md5=d312fa3c3947fd12b077a79b53ef9807
Abstract Background: The current standards of care of the older person recommend employing non-pharmacological approaches to challenges, including safe approaches to managing pain and stress, enhancing symptom relief, and fostering independent lifestyles with the highest quality of life possible. More research is needed to enable nurses and other medical staff to use singing and music-based interventions, to access singing-based programmes, and promote a greater use of choirs in nursing homes. A solid basis of positive experiences and feedback through evidence in practice is required to help promote support for such activities. Aims: To identify, explore and describe experiences, attitudes, beliefs, issues, processes and changes among nurses, carers and leaders in reference to implementation of the educational programme ‘Singing Nursing Homes’, Norway. To increase knowledge and understanding of how an educational song programme could become an integral part of nursing practice and quality of care in nursing and care homes, and identify why this would be constructive. Since its inception in 2015, ‘Singing Norway’ wanted to offer a professional, evidence-based programme for nursing homes throughout the country. Methods: A longitudinal, qualitative and explorative approach. In-depth interviews and focus group interviews of female employees (n = 19) from three nursing homes in Norway, 2018. Results: Nursing home employees perceived singing to have potential benefits for their patients, such as reducing uneasiness, increased comfort, well-being and joy, improved sleep, and believed singing had the potential to reduce the need for medication and prevent accidents among their patients. By facilitating opportunities for learning and practice, staff in nursing homes were able to use singing as part of their ‘art of caring’, enhancing environmental care for the older person. Singing was found to have positive effects for the patients, their relatives and the staff, which improved the psychosocial working climate overall. Conclusions: Singing interventions could be a vital component for the enhancement of health, well-being and quality of life for the patients and staff in nursing homes. © The Author(s) 2020.


Results:

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Results: Nursing home employees perceived singing to have potential benefits for their patients, such as reducing uneasiness, increased comfort, well-being and joy, improved sleep, and believed singing had the potential to reduce the need for medication and prevent accidents among their patients. .
Singing was found to have positive effects for the patients, their relatives and the staff, which improved the psychosocial working climate overall. .
Conclusions: Singing interventions could be a vital component for the enhancement of health, well-being and quality of life for the patients and staff in nursing homes. .
These were developed into subcategories: well-being, health promoting, beneficial, psychosocial working climate, and subsequently labelled (conceptualised) as the beneficial outcome of the singing programme, the staffs experiences of singing for and with the patients and the impact of singing on staffs psychosocial working climate. .
Singing has positive effects for patients, their relatives and the staff, which often benefits the psychosocial working climate. .
The singing sessions or singalongs in the evening resulted in calmer, less anxious and more relaxed patients, which demonstrates how singing influences behaviour. .
As such, putting singing on the agenda in daily practice had contributed to positive changes in bringing out the joy of singing: I have a colleague who has said for years, I cant sing, I cant sing, but I hear she can sing. .
We are always in a good mood after we have had these singing moments (Nurse). .
Furthermore, especially in specific caring situations, singing was found to be a pleasant and thriving activity for both nurses, carers and patients, enhancing communication and a sense of well-being. .
Some called singing a form of musical care, enhancing quality of care that should not be underrated. .
The salutogenetic impact of the art of singing in nursing homes Music and singing are effective methods for reducing anxiety levels in older adults, and are generally beneficial to their health, well-being and quality of life (Eells, 2013). .
In other words, singing helps participants to achieve happiness, contentment, satisfaction and peace (Lehmberg and Fung, 2010). .
Several of the staff also reported observing the many ways singing songs and listening to music helped in various situations for mood and psyche and everything. .
As described here, singing improved mood, made the patients happier, calmer and more content. .
Previous research has also shown how singing activities can have an impact on energy levels, improve focus, enhance mood and promote relaxation in older persons with functional disabilities and in their caregivers. .
In consequence, the lay knowledge of the beneficial aspects of singing for care of self and others seemed to be learnt and embodied in the doing of these moments. .
Conclusion Singing is a determinant of health: it makes us happier, more energetic, connects us to others, stimulates us and is a provider of joy and vitality, hence a salutogenetic activity. .
Results Overview The findings indicate that nursing home employees perceived singing to have potential benefits for their patients, such as reduced uneasiness, increased comfort, well-being, joy, improved sleep, and to reduce the need for medication, even potentially reducing the risk of accidents among their patients. .
The fact that these singing activities, like lullabies, singalongs or one-to-one humming reduced uneasiness, increased comfort and improved sleep was documented by many of the nurses. .
Singing songs with and for the patients could also reduce medication. .
Singing does create peace, feelings of being safe, and it also prevents accidents and less use of medication or drugs (leader of a nursing home). .
As noted in this study, singing songs with and for the patients was believed to reduce potential accidents due to patients being calmer and less anxious. .
Such findings indicate that nursing home employees perceive singing to have potential benefits for their patients, such as reducing uneasiness, increasing comfort, wellbeing and joy, promoting sleep, reducing the need for medication and lowering the potential for accidents among their patients. .
Singing interventions could be a vital component of the enhancement of health, well-being, and quality of life for patients and staff in nursing homes. .
It is quite clear that she is very proud about her singing. .
The staffs experiences of singing for and with the patients The experience of observing the power of singing was followed by the desire to tell others about these positive effects. .
By observing their patients appreciation of these singing activities, which seemed to be totally independent of the quality of the employees singing voice, their confidence increased. .
As research from several disciplines has shown, singing has positive effects for patients, staff and the patients relatives, which often benefits the psychosocial working climate. .
If management appreciate how singing can enhance a health-promoting workplace for its employees, it might be possible to create a stimulating, rewarding, and thriving psychosocial environment, which would benefit all actors involved. .
Understanding this, music thus becomes an empowering asset that offers listeners a unique sense of personal control over their experiences, which can add to their emotional well-being. .