Music Therapy and Pain Management in Patients with End-Stage Liver Disease: An Evidence-Based Practice Quality Improvement Project

Sonia Pathania, Larry Slater, Courtney Vose, Ann-Margaret Dunn-Navarra

Research output: Contribution to journalArticle

Abstract

Background: Pain can negatively affect the inpatient hospitalization experience; however, in patients with compromised metabolic pathways who are more vulnerable to medication side effects, pain control becomes even more challenging. Aims: This evidence-based practice quality improvement project explored the feasibility of implementing a music therapy intervention for improved pain management (pain intensity, analgesic volume) and patient satisfaction among patients with a diagnosis of cirrhotic end-stage liver disease in the acute care setting. Design: The plan–do–check–act cycle served as the implementation framework. Four nurse champions were trained to implement a 30-minute music intervention. Self-selected musical selections were delivered via unit-based iPads with earbud headphones during 3 consecutive days. Methods: Data collection was performed using unit-based measures for pain and patient satisfaction and an investigator-developed audit tool. Bivariate analyses and descriptive statistics were used to assess the effect of the intervention on the three outcomes of interest. Results: Overall results from data collected with eight participants during a 6-week period indicated a 10% reduction in pain intensity and a 30% improvement in patient satisfaction with pain management care. Conclusions: Findings from this evidence-based practice quality improvement project provide support for the effectiveness of music therapy as an adjunct to traditional pharmacologic modalities for pain management of the end-stage liver disease patient population.

Original languageEnglish (US)
JournalPain Management Nursing
DOIs
StateAccepted/In press - Jan 1 2018

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Music Therapy
End Stage Liver Disease
Evidence-Based Practice
Pain Management
Quality Improvement
Pain
Patient Satisfaction
Music
Metabolic Networks and Pathways
Analgesics
Inpatients
Hospitalization
Nurses
Research Personnel
Population

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

Cite this

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title = "Music Therapy and Pain Management in Patients with End-Stage Liver Disease: An Evidence-Based Practice Quality Improvement Project",
abstract = "Background: Pain can negatively affect the inpatient hospitalization experience; however, in patients with compromised metabolic pathways who are more vulnerable to medication side effects, pain control becomes even more challenging. Aims: This evidence-based practice quality improvement project explored the feasibility of implementing a music therapy intervention for improved pain management (pain intensity, analgesic volume) and patient satisfaction among patients with a diagnosis of cirrhotic end-stage liver disease in the acute care setting. Design: The plan–do–check–act cycle served as the implementation framework. Four nurse champions were trained to implement a 30-minute music intervention. Self-selected musical selections were delivered via unit-based iPads with earbud headphones during 3 consecutive days. Methods: Data collection was performed using unit-based measures for pain and patient satisfaction and an investigator-developed audit tool. Bivariate analyses and descriptive statistics were used to assess the effect of the intervention on the three outcomes of interest. Results: Overall results from data collected with eight participants during a 6-week period indicated a 10{\%} reduction in pain intensity and a 30{\%} improvement in patient satisfaction with pain management care. Conclusions: Findings from this evidence-based practice quality improvement project provide support for the effectiveness of music therapy as an adjunct to traditional pharmacologic modalities for pain management of the end-stage liver disease patient population.",
author = "Sonia Pathania and Larry Slater and Courtney Vose and Ann-Margaret Dunn-Navarra",
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