Psychosocial interventions with art and music during stem cell transplantation: an integrative review
Psychosocial interventions with art and music during stem cell transplantation: an integrative review
Objectives: the objective of this study is to systematically review the literature with the following aims: to survey the art and music interventions offered to the stem cell transplant population; to define the interventions' beneficial properties by conceptualising themes; to analyse these themes using behavioural activation principles as a lens and explore their value in alleviating isolation-related distress.
Background: patients undergoing stem cell transplant are at great risk of psychological morbidity, partly on account of prolonged hospital stays in protective isolation. This risk extends beyond discharge and into ambulatory care, negatively affecting quality-of-life and survival rates of the transplant recipients.
Design: integrative review methodology.
Methods: a systematic search of 10 bibliographic databases was undertaken using terms relating to art, music and stem cell transplantation for the years 2012 to 2019. Records were assessed for quality and risk-of-bias using a critical appraisal tool and following the PRISMA Systematic Review checklist to guide reporting. Studies were analysed narratively and thematically.
Results: the 16 papers were of mixed quality. Findings and treatment effects differed between and within studies. The beneficial attributes of the treatments were clustered and divided into two groups. The first consisted of intrinsic, patient-focussed factors: (1) Creative outlet or acquisition of a new skill; (2) achievement of normality; (3) mutual or peer-support; (4) relationship-building and (5) meaningful recreation, distraction and diversion. The second group considered extrinsic factors: (6) Improved communication; (7) enhanced spiritual care and (8) better healthcare experience.
Conclusions: several art and music interventions have been attempted which were beneficial to patients and generated a sense of achievement, connection and enjoyment. The interventions appear to uphold the principles of person-centred holistic care and have potential to generate a high-quality, supportive healthcare and working environment.
Relevance to Clinical Practice: psychosocial interventions with art and music have improved the care and experience of patients undergoing stem cell transplant.
art, behavioural activation, haematopoietic stem cell transplant, music, protective isolation
2998-3014
Hickey, Katherine Dantanus
7e4297ce-1fcd-4046-9b67-51dc2b1e4c7b
Farrington, Naomi
c8c9d605-aea5-42d3-96d0-4a41f0cb77aa
Townsend, Kay
65d8a2d8-87e0-4b8b-b1e5-d42d671424d4
1 July 2023
Hickey, Katherine Dantanus
7e4297ce-1fcd-4046-9b67-51dc2b1e4c7b
Farrington, Naomi
c8c9d605-aea5-42d3-96d0-4a41f0cb77aa
Townsend, Kay
65d8a2d8-87e0-4b8b-b1e5-d42d671424d4
Hickey, Katherine Dantanus, Farrington, Naomi and Townsend, Kay
(2023)
Psychosocial interventions with art and music during stem cell transplantation: an integrative review.
Journal of Clinical Nursing, 32 (13-14), .
(doi:10.1111/jocn.16512).
Abstract
Objectives: the objective of this study is to systematically review the literature with the following aims: to survey the art and music interventions offered to the stem cell transplant population; to define the interventions' beneficial properties by conceptualising themes; to analyse these themes using behavioural activation principles as a lens and explore their value in alleviating isolation-related distress.
Background: patients undergoing stem cell transplant are at great risk of psychological morbidity, partly on account of prolonged hospital stays in protective isolation. This risk extends beyond discharge and into ambulatory care, negatively affecting quality-of-life and survival rates of the transplant recipients.
Design: integrative review methodology.
Methods: a systematic search of 10 bibliographic databases was undertaken using terms relating to art, music and stem cell transplantation for the years 2012 to 2019. Records were assessed for quality and risk-of-bias using a critical appraisal tool and following the PRISMA Systematic Review checklist to guide reporting. Studies were analysed narratively and thematically.
Results: the 16 papers were of mixed quality. Findings and treatment effects differed between and within studies. The beneficial attributes of the treatments were clustered and divided into two groups. The first consisted of intrinsic, patient-focussed factors: (1) Creative outlet or acquisition of a new skill; (2) achievement of normality; (3) mutual or peer-support; (4) relationship-building and (5) meaningful recreation, distraction and diversion. The second group considered extrinsic factors: (6) Improved communication; (7) enhanced spiritual care and (8) better healthcare experience.
Conclusions: several art and music interventions have been attempted which were beneficial to patients and generated a sense of achievement, connection and enjoyment. The interventions appear to uphold the principles of person-centred holistic care and have potential to generate a high-quality, supportive healthcare and working environment.
Relevance to Clinical Practice: psychosocial interventions with art and music have improved the care and experience of patients undergoing stem cell transplant.
Text
Journal of Clinical Nursing - 2022 - Hickey - Psychosocial interventions with art and music during stem cell
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More information
Accepted/In Press date: 5 August 2022
e-pub ahead of print date: 19 September 2022
Published date: 1 July 2023
Additional Information:
Funding Information:
The authors wish to thank the ward managers and matrons of UHS Cancer Care who have supported KDH's Clinical Academic Internship.
Funding Information:
This is independent research supported by the National Institute for Health Research (an NIHR/HEE Clinical Academic Internship held by Katherine Dantanus under HEE/NIHR ICA Programme Clinical Lectureship, Dr Naomi Farrington, ICA‐CL‐2015‐01‐003). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research, or the Department of Health.
Publisher Copyright:
© 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
Keywords:
art, behavioural activation, haematopoietic stem cell transplant, music, protective isolation
Identifiers
Local EPrints ID: 478512
URI: http://eprints.soton.ac.uk/id/eprint/478512
ISSN: 0962-1067
PURE UUID: d69642d1-2cda-4a0c-ac59-e6bf4fe729ed
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Date deposited: 04 Jul 2023 17:41
Last modified: 18 Mar 2024 02:51
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Author:
Katherine Dantanus Hickey
Author:
Naomi Farrington
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