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Practices and Perspectives of Music Therapists Working With Infants in Canadian Neonatal Intensive Care Units

Title:

Practices and Perspectives of Music Therapists Working With Infants in Canadian Neonatal Intensive Care Units

Hastings, Laura (2019) Practices and Perspectives of Music Therapists Working With Infants in Canadian Neonatal Intensive Care Units. Masters thesis, Concordia University.

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Abstract

This qualitative descriptive research investigated the current practices and perspectives of certified music therapists (MTA) working in neonatal intensive care units (NICUs) in Canadian hospitals. The Canadian context is important to consider because of this country’s unique healthcare landscape, and because the use of NICU music therapy in Canada is relatively new. Three individual interviews were recorded, transcribed, and analyzed according to qualitative content analysis procedures. Results include nine overarching categories containing multiple themes. These categories include: weekly workload, referrals, assessment, evaluation, music therapy interventions, challenges of the job, rewards of the job, evolution of NICU music therapy practices, and recommendations for advancing Canadian music therapy practices. Implications for the music therapy profession, practice and continuing education, as well as implications for Canadian hospitals and recommendations for research are presented. Limitations of the study are identified. It is the researcher’s hope that this study will help to promote the development of Canadian NICU music therapy programs, thus increasing Canadians’ access to this type of innovative service.

Divisions:Concordia University > Faculty of Fine Arts > Creative Arts Therapies
Item Type:Thesis (Masters)
Authors:Hastings, Laura
Institution:Concordia University
Degree Name:M.A.
Program:Creative Arts Therapies (Music Therapy)
Date:September 2019
Thesis Supervisor(s):Young, Laurel
Keywords:NICU Canada Music Therapy Premature Infant Neonatal Intensive Care Unit
ID Code:985913
Deposited By: Laura Hastings
Deposited On:15 Nov 2019 15:24
Last Modified:15 Nov 2019 15:24

References:

Arnon, S., Shapsha, A., Forman, L., Regev, R., Bauer, S., & Litmanovitz, L. (2006). Live music is beneficial to preterm infants in the neonatal intensive care unit environment. Birth-Issues in Perinatal Care, 33(2), 131-136. https://doi.org/
10.1111/j.0730-7659.2006.00090.x

Bieleninik, L., Ghetti, C., & Gold, C. (2016). Music therapy for preterm infants and their parents: A meta-analysis. Pediatrics, 138(3). https://doi.org/10.1542/peds.2016-
0971

Caine, J. (1991). The effects of music on the selected stress behaviors, weight, caloric and formula intake, and length of hospital stay on premature and low birth weight neonates in a newborn intensive care unit. Journal of Music Therapy, 28(4), 180-192. Retrieved from http://0search.ebscohost.com.mercury.concordia.ca/login.
aspx?direct=true&db=eue&AN=61019259&site=eds-live

Caine, K. (2016). A conceptual framework for a music-based bonding intervention for fathers with premature infants in the NICU (Master’s thesis). Retrieved from ProQuest Dissertations and Thesis database. (UMI No. 10139239).

Canadian Association of Music Therapists. (2019a). About music therapy. Retrieved
From https://www.musictherapy.ca/about-camt-music-therapy/about-music-therapy/

Canadian Association of Music Therapists. (2019b). Canadian association of music therapists homepage. Retrieved from http://www.musictherapy.ca/

Canadian Counselling and Psychotherapy Association. (n.d.). Retrieved from ccpa-accp.ca/profession/

Canadian Premature Babies Foundation – Foundation pour Bébés Prématurés Canadiens. (2014). Premature birth in Canada: An environmental scan. Retrieved from http://cpbf-fbpc.org/wp-content/uploads/2017/05/2014-07-23-CPBF-Premature-Birth- environmental-scan_Final.pdf

Cassidy, J. W. (2009). The effect of decibel level of music stimuli and gender on head circumference and physiological responses of premature infants in the NICU. Journal of Music Therapy, 46(3), 180-190. Retrieved from http://0- search.ebscohost.com.mercury.concordia.ca/login.aspx?direct=true&db=rih&AN=A635287&site=eds-live

Chapman, J. S. (1978). The relationship between auditory stimulation and gross motor activity of short gestation infants. Research in Nursing and Health, 1(1), 29-36.

Cheng, M. L. Tseng, Y. H., Hodges, E., & Chou, F. H. (2016). Lived experiences of novice male nurses in Taiwan. Journal of Transcultural Nursing, 29(1), 46-53. https://doi.org/10.1177/1043659616676318

Chorna, O. D., Slaughter, J. C., Wang, L., Stark, A. R., & Maitre, N. L. (2014). A pacifier-activated music player with mother’s voice improves oral feeding in
preterm infants. Pediatrics, 133(3), 462-468. https://doi.org/10.1542/peds.2013-
2547.

Cleary, B. J., Donnelly, J., Strawbridge, J., Gallagher, P. J., Fahey, T., Clarke, M., & Murphy, D. J. (2010). Methadone dose and neonatal abstinence syndrome: Systematic review and meta-analysis. Addiction, 105, 2071-2084. https://doi.org/ 10.111/j.1360- 0443.2010.03120.x

Clements-Cortès, A. (2012). The pacifier activated lullaby device. Canadian Music Educator / Musicien Educateur au Canada, 54(2), 55-57. Retrieved from http://0- search.ebscohost.com.mercury.concordia.ca/login.aspx?direct=true&db=eue&AN =85112641&site=eds-live

Clements-Cortès, A. (2015). Music therapy with premature infants in the NICU. Canadian Music Educator / Musicien Educateur au Canada, 56(3), 31-32. Retrieved from http://0search.ebscohost.com.mercury.concordia.ca/login.aspx?
direct=true&db=eue&AN=109155615&site=eds-live

Cohen, N. S. (2016). Principles of objectivist research. In B. L. Wheeler & K. Murphy (Eds.), Music therapy research (3rd ed.) [Electronic version]. Retrieved from
http://web.a.ebscohost.com.libezproxy.concordia.ca/ehost/ebookviewer/ebook/bmxlYmtfXzEyODk1OTdfX0FO0?sid=63ac9c37-7f6e-481a-a4ce-bee82612c92d@sdc-v-sessmgr01&vid=0&format=EK&rid=1

Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory (4th ed.). Thousand Oaks, CA: Sage.

Dudley, A. (2017). Exploring Canadian music therapy graduates’ experiences of transitioning into professional practice (Master’s thesis). Concordia University, Montréal, QC. Retrieved from https://spectrum.library.concordia.ca/982982/1/
Dudley_MA_F2017.pdf

Edwards, J. (2011). The use of music therapy to promote attachment between parents and infants. The Arts in Psychotherapy, 38(3),190-195. https://doi.org/10.1016/j.aip.2011.05.002

Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107-115.https://doi.org/10.1111/j.1365-2648.2007.04569.x

Ettenberger, M., & Ardila, Y. M. B. (2018). Music therapy song writing with mothers of preterm babies in neonatal intensive care unit (NICU) – A mixed-methods pilot study. The Arts in Psychotherapy, 58, 42-52. https://doi.org/10.1016/j.aip.2018.03.001

Florida State University. (2019). National institute for infant & child medical music therapy. Retrieved from https://www.music.fsu.edu/NICU-MT

Gooding, L. F. (2010). Using music therapy protocols in the treatment of premature infants: An introduction to current practices. The Arts in Psychotherapy, 37, 211-214.https://doi.org/10.1016/j.aip.2010.04.003

Gooding, L. F., & Trainor, B. (2018). Working with parents in the neonatal intensive care unit: An analysis of music therapy practices in the United States of America. The Arts in Psychotherapy, 59, 1-6. https://doi.org/10.1016/j.aip.2017.12.005

Government of Canada (2018). Canada’s health care system. Retrieved from https://www.canada.ca/en/health-canada/services/health-care-system/reports-publications/health-care-system/canada.html

Graven, S. N., & Browne, J. V. (2008). Auditory development in the fetus and infant. Newborn and Infant Nursing Reviews, 8(4).

Hanson-Abromeit, D. (2004): A resource guide for establishing a neonatal music therapy program. In M. Nöcker-Ribaupierre (Ed.), Music therapy for premature and newborn infants (pp. 177-190). Gilsum, NH: Barcelona.

Hanson-Abromeit, D. (2012). Aufbau eines Musiktherapie-Programms für neugeborene Kinder [A resource guide for establishing a neonatal music therapy program]. In M. Nöcker-Ribaupierre (Ed.), Hören—Brücke ins Leben. Musiktherapie mit früh-und neugeborenen Kindern (pp. 209-218). 2.akt.Aufl. Wiesbaden: Reichert.

Haslbeck, F. B. (2012). Music therapy for premature infants and their parents: An integrative review. Nordic Journal of Music Therapy, 21(3), 203-226. https://doi.org/10.1080/08098131.2011.648653

Haslbeck, F. B., & Bassler, D. (2018). Music from the very beginning – A neuroscience-based framework for music as therapy for preterm infants and their parents. Frontiers in Behavioral Neuroscience, 12(112). https://doi.org/10.3389/fnbeh.2018.00112

Haslbeck, F., & Costes, T. (2011). Advanced training in music therapy with premature infants: Impressions from the United States and a starting point for Europe. British Journal of Music Therapy, 25(2). 19-31. https://doi.org/10.1177/135945751102500203

Henning, I. (2012). Music therapy with premature infants: Insights and recommendations from the current literature and a German pilot project. Canadian Journal of Music Therapy, 18(1), 26-44. Retrieved from http://0-search.ebscohost.com.murcury/.
concordia/ca/login.aspx?direct=true&db=a9h&AN =76385632&site=eds-live

Hiller, J. (2016). Epistemological foundations of objectivist and interpretivist research. In B. L. Wheeler & K. Murphy (Eds.), Music therapy research (3rd ed.) [Electronic version] (pp. 362-418). Retrieved from http://web.a.ebscohost.com.libezproxy.concordia.ca/id=63ac9c37- 7f6e-481a-a4cxlYmtfXzEyODk1OTdfX0FO0?sid=63ac9c37-7f6e-481a-a4ce-bee82612c92d@sdc-v-sessmgr01&vid=0&format=EK&rid=1

Jayamala, A. K., Lakshmanagowda, P. B., Pradeep, G. C.M., & Goturu, J. (2015). Impact of music therapy on breast milk secretion in mothers of premature newborns. Journal of Clinical and Diagnostic Research, 9(4).

Lai, H. L., Chen, C. J., Peng, T. C., Chang, F. M., Hsieh, M. L., Huang, H. Y., & Chang, S. C. (2006). Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants’ responses. International Journal of Nursing Studies, 43(2), 139-146. https://doi.org/10.1016/j.ijnurstu.2005.04.008

Lavallée, A., De Clifford-Faugère, G., Garcia, C., Fernandez Oviedo, A. N., Héon, M., & Aita, M., (2019). Part 1: Narrative overview of developmental care interventions for the preterm newborn. Journal of Neonatal Nursing, 25(1), 3-8. https://doi.org/10.1016/j.jnn.2019.03.008

Loewy, J. (2015). NICU music therapy: Song of kin as critical lullaby in research and practice. Annals of the New York Academy of Sciences, 1337(1), 178–185. https://doi.org/10.1111/nyas.12648

Loewy, J., Stewart, K., Dassler, A. M., Tesley, A., & Homel, P. (2013). The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics, 131(5).

Louis Armstrong Centre for Music & Medicine. (2019a). Grandparents/Training roster. Retrieved from http://nicumusictherapy.com/Nicumusictherapy/Grandparents
_Training_Roster.html

Louis Armstrong Centre for Music & Medicine. (2019b). About us. Retrieved from http://nicumusictherapy.com/Nicumusictherapy/About_us.html

Louis Armstrong Centre for Music & Medicine. (2019c). Upcoming trainings. Retrieved from http://nicumusictherapy.com/Nicumusictherapy/Upcoming_trainings.html

Malloch, S., Shoemark, H., Črnčec, R., Newnham, C., Paul, C., Prior, M., Coward, S., & Burnham, D. (2012). Music therapy with hospitalized infants: The art and science of communicative musicality. Infant Mental Health Journal, 33(4), 386-399. https://doi.org/10.1002/imhj.21346

Maryring, P. (1983). Qualitative Inhaltsanalyse [Qualitative content analysis]. Weinheim, Germany: Beltz.

McMahon, E., Wintermark, P., & Lahav, A. (2012). Auditory brain development in premature infants: The importance of early experience. Annals of the New York Academy of Sciences, 1252(1), 17-24. https://doi.org/10.1111/j.1749-
6632.2012.06445.x

McLean, E., McFerran, K. S., Thompson, G. A. (2019). Parents’ musical engagement with their baby in the neonatal unit to support emerging parental identity: A grounded theory study. Journal of Neonatal Nursing, 25(2), 78-85. https://0-doi-org.mercury.concordia.ca/10.1016/j.jnn.2018.09.005

McMullen, N. J., Dulski, L. A., Blobaum, P. (2014). Evidence-based interventions for neonatal abstinence syndrome. Pediatric Nursing, 40(4), 165-203. Retrieved from http://0-search.ebscohost.com.mercury.concordia.ca/login. aspx?direct= true&db=eue&AN=101121081&site=eds-live

Mizutani, N. (2016). Parents’ experiences of music therapy in the neonatal intensive care unit (NICU) (Master’s thesis). Molloy College, Rockville Centre, NY. Retrieved from https://pdfs.semanticscholar.org/3277/df082e8663dfdbd1d99d80fe8067dc1f5cbf.pdf

Natarajan, M., Randel, P., Cameron, D., & Frager, G. (2008, October). The effect of music therapy on neonatal intensive care (NICU) nurses. Poster session presented at the 34th Annual Canadian Association of Music Therapists Conference, Quebec City, QC. Retrieved from https://www.cdha.nshealth.ca/system/files/sites
/101/documents/effect-music-therapy-nicu-nurses_0.pdf.

Neuman, W. L. (2006). Analyzing qualitative data. In W. L. Neuman (Ed.), Social research methods: Qualitative and quantitative approaches (6th ed., pp. 457-
489). Needham Heights, MA: Allyn & Bacon.

Neuman, W. L. (2010). Social research methods: Qualitative and quantitative approaches (7th ed.). London, England: Pearson.

Nöcker-Ribaupierre, M. (2013). Premature infants. In J. Bradt (Ed.), Guidelines for music therapy in pediatric care (pp. 66-115). Gilsum, NH: Barcelona.

Palazzi, A., Nunes, C. C., Piccinini, C. A. (2018). Music therapy and musical stimulation in the context of prematurity: A narrative literature review from 2010-2015, Journal of Clinical Nursing, 27(1-2), E1-E20. Accessed July 22, 2019. doi:10.111/jocn.13893.

Preterm Birth. (2018, February 18). Retrieved July 22, 2019, from https://www.who.int/news-room/fact-sheets/detail/preterm-birth

Public Health Agency of Canada. (2017). Perinatal health indicators for Canada 2017: A report from the Canadian perinatal surveillance system. Retrieved from: http://publications.gc.ca/collections/collection_2018/aspc-phac/HP7-1-2017-eng.pdf

Rodríguez, J. J., & Smith, V. C. (2018). Prenatal opioid and alcohol exposure: Understanding neonatal abstinence syndrome and fetal alcohol spectrum disorders to safeguard maternal and child outcomes. Zero to Three, 38(5), 23-28. Retrieved from http://0- search.ebscohost.com.mercury.concordia.ca/login.aspx?direct=
true&db=eue&AN=131428287&site=eds-live.

Schwartz, F. J., Ritchie, R., Sacks, L. L., & Phillips, C. E. (1999). Music, stress reduction, and medical cost savings in the neonatal intensive care unit. In R. R. Pratt & D. E. Grocke (Eds.), MusicMedicine vol. 3: MusicMedicine and music therapy: Expanding horizons (pp. 120-129). Victoria, Australia: University of Melbourne.

Shah, P. S., McDonald, S. D., Barrett, J., Synnes, A., Robson, K., Foster, J., … Canadian Preterm Birth Network Investigators 2018. The Canadian Preterm Birth Network: A study protocol for improving outcomes for preterm infants and their families. CMAJ open, 6(1), E44-E49. doi:10.9778/cmajo.20170128

Shaw, R. J., Bernard, R. S., Storfer-Isser, A., Rhine, W., & Horwitz, S. M. (2013). Parental coping in the neonatal intensive care unit. Journal of Clinical Psychology in Medical Settings, 20(2), 135-142. doi:10.1007/s10880-012-9328-x

Standley, J. (1998). The effect of music and multimodal stimulation on responses of premature infants in neonatal intensive care. Pediatric Nursing, 24, 532-538.

Standley, J. M. (2002). A meta-analysis of the efficacy of music therapy for premature infants. Journal of Pediatric Nursing, 17(2), 107-113. https://doi.org.
mercury.concordia.ca/10.1053/jpdn.2002.124128

Standley, J. (2012a). A discussion of evidence-based music therapy to facilitate feeding skills of premature infants: The power of contingent music. The Arts in Psychotherapy, 39(5), 379-382. https://doi.org/10.1016/j.aip.2012.06.009

Standley, J. (2012b). Music therapy research in the NICU: An updated meta-analysis. Neonatal Network, 31(5), 311-316.

Standley, J. (2014). Premature infants: Perspectives on NICU-MT practice. Voices: A World Forum for Music Therapy, 14(2). https://doi.org/10.15845/

Standley, J. (2016, November). NICU-MT. PowerPoint slides presented at the West Coast NICU Music Therapy Collaborative NICU-MT Training, Vancouver, BC.

Standley, J. M., Cassidy, J., Grant, R., Cevasco, A., Szuch, C., Nguyen, J., … Adams, K. (2010). The effect of music reinforcement for non-nutritive sucking on nipple feeding of premature infants. Pediatric Nursing, 35(3), 138-145. Retrieved from http://0- search.ebscohost.com.mercury.concordia.ca/login.aspx?direct=true&db+a9h&AN=51841370&site=eds-live

Standley, J., & Walworth, D. D. (2005). Cost/benefit analysis of the total program. In J. Standley (Ed.), Medical music therapy (33-40). Silver Spring, MD: American Music Therapy Association.

Standley, J., & Walworth, D. (2010). Music therapy with premature infants: Research and developmental interventions (2nd ed.). Silver Spring, MD: American Music Therapy Association.

Sublett, J. (2013). Neonatal abstinence syndrome: Therapeutic interventions. MCN, The American Journal of Maternal/Child Nursing, 38(2), 102-107. Retrieved from http://nursing.ceconnection.com/ovidfiles/00005721-201303000-00008.pd

Taheri, L., Jahromi, M. K., Abbasi, M., & Hojat, M. (2016). Effect of recorded male lullaby on physiologic response of neonates in NICU. Applied Nursing Research, 33, 127-130. https://doi.org/10.1016/j.apnr.2016.11.003

Teckenberg-Jansson, P., Huotilainen, M., Pölkki, T., Lipsanen, J. & Järvenpää, A-L. (2011). Rapid effects of neonatal music therapy combined with kangaroo care on prematurely-born infants. Nordic Journal of Music Therapy, 20(1), 22-42. doi:10.1080/08098131003768123

Thomas, D. R. (2017). Feedback from research participants: Are member checks useful in qualitative research? Qualitative Research in Psychology, 14(1), 23-41. https://doi.org/10.1080/14780887.2016.1219435

Trainor, B. (2015). Addressing parent needs in the neonatal intensive care unit: A survey of music therapists (Master’s thesis). Retrieved from ProQuest Dissertations and Thesis database. (UMI No. 1590292).

Viasmoradi, M., Jones, J., Turunen, H., Snelgrove, S. (2016). Theme development in qualitative content analysis and thematic analysis. Journal of Nursing Education and Practice, 6(5), 100-110. doi:10.5430/jnep.v6n5p100

Walworth, D., Standley, J. M., Robertson, A., Smith, A., Swedberg, O., & Peyton, J.J. (2012). Effects of neurodevelopmental stimulation on premature infants in neonatal intensive care: Randomized controlled trial. Journal of Neonatal Nursing, 18(6), 210-216.

Wheeler, B. L., & Kenny, C. (2005). Principles of qualitative research. In B. L. Wheeler (Ed.), Music therapy research (2nd ed., pp. 59-71). Gilsum, NH: Barcelona.

Whipple, J. (2000). The effect of parent training in music and multimodal stimulation on parent- neonate interactions in the neonatal intensive care unit. Journal of Music Therapy, 37(4), 250-268. Retrieved from: https://0-doiorg.mercury.
concordia.ca/10.1093/jmt/37.4.250
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