Journal of Music and Human Behavior (인간행동과 음악연구)

Korean Music Therapy Education Association (한국음악치료교육학회)
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University Hospital Nurses' Experience of a Music-Based Online Burnout Prevention Program: A Qualitative Case Study

대학병원 간호사의 소진예방을 위한 비대면 음악기반 심리정서지원 프로그램 참여경험 연구

  • Yun, Juri (Department of Music Therapy, Ewha Womans University, Ewha Music Wellness Research Center) ;
  • Lee, Jin Hyung (International Master of Arts Program in Music Therapy, Chulalongkorn University, FAA-EMILI Sagol Creative Arts Research and Innovation for Well-being Center)
  • 윤주리 (이화여자대학교 음악치료학과, 이화뮤직웰니스연구센터) ;
  • 이진형 (태국 왕립 Chulalongkorn University 국제음악치료, Chulalongkorn University 에밀리 세걸 창의예술연구 및 웰빙센터)
  • Received : 2024.04.01
  • Accepted : 2024.08.23
  • Published : 2024.08.31
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Abstract

In this study, the authors developed and implemented an online music-based support program to prevent burnout among university hospital nurses. This study involved 40 nurses from three university hospitals who shared their subjective experiences after participating in 8 music-based non-simultaneous online sessions. The responses were collected as qualitative data and analyzed using the qualitative content analysis method. The analysis identified 66 meaning units, 10 themes, and 3 categories, which included: 'Recovery of physical and psychological stability', 'Self-care and acceptance', and 'Rediscovery of pride and meaning as a nurse'. This study is significant for exploring the experiences of university hospital nurses who participated in a remotely implemented music-based psycho-emotional support program, with respect to burnout prevention. For future directions, we suggest a more in-depth exploration of specific burnout factors and an expansion of research through the diversification of research methods to refine programs aimed at alleviating nurse burnout.

본 연구에서는 대학병원 간호사의 소진예방을 위한 비대면 음악기반 심리정서지원 프로그램을 개발 및 실행하였다. 본 연구 참여자는 대학병원에 근무하는 간호사 40명으로 8회기의 비대면 프로그램 참여 직후 참여 경험과 관련한 질문에 답변을 기술하였으며, 수집된 자료를 질적 내용분석(qualitative content analysis)방법을 통해 분석하였다. 연구 결과 66개의 의미단위, 10개의 주제와 3개의 범주가 도출되었다. 3개의 범주는 '신체적·정신적 안정의 회복', '자기돌봄과 수용', '간호사로서의 자부심과 의미의 재발견'으로 나타났다. 본 연구는 대학병원 간호사를 대상으로 비대면으로 실행한 음악기반 심리정서지원 프로그램을 통해 다양한 차원에서 소진예방과 관련한 참여자의 경험을 탐구하였다는데 의의가 있다. 향후에는 간호사 소진완화를 위한 프로그램의 고도화를 위하여 세부 소진 요인과 관련된 현상의 탐색과 연구 방법의 다각화를 통한 확장된 연구를 제안한다.

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References

  1. Aycock, N., & Boyle, D. (2009). Interventions to manage compassion fatigue in oncology nursing. Clinical Journal of Oncology Nursing, 13(2), 183-191. https://doi.org/10.1188/09.CJON.183-191
  2. Baker, F. (2016). Therapeutic songwriting: Developments in theory, methods, and practice. New York, NY: Palgrave Macmillan.
  3. Bruscia, K. E. (2014). Defining music therapy (3rd ed.). New Braunfels, Texas: Barcelona Publishers.
  4. Circenis, K., Deklava, L., Millere, I., Paparde, A., & Kacare, K. (2017). Fatigue and burnout among Latvian nurses. Global Journal of Psychology Research: New Trends and Issues, 7(3), 111-116. https://doi.org/10.18844/gjpr.v7i3.2856
  5. Choi, K. J., & Han, S. S. (2013). The influence of the job stress, job satisfaction and social support of clinical nurse's burnout. Journal of East-West Nursing Research, 19(1), 55-61. https://doi.org/10.14370/JEWNR.2013.19.1.055
  6. Coetzee, S. K., & Klopper, H. C. (2010). Compassion fatigue within nursing practice: A concept analysis. Nursing & Health Sciences, 12(2), 235-243. https://doi.org/10.1111/j.1442-2018.2010.00526.x
  7. Creswell, J. W. (2005). Qualitative inquiry and research design: Choosing among five approaches (H. C. Cho et al., Trans.). Seoul: Hakjisa. (Original work published 1998)
  8. Dewey, C., Hingle, S., Goelz, E., & Linzer, M. (2020). Supporting clinicians during the COVID-19 pandemic. Annals of Internal Medicine, 172(11), 752-753. https://doi.org/10.7326/M20-1033
  9. Diaz, F. M., & Silveira, J. M. (2014). Music and affective phenomena: A 20-year content and bibliometric analysis of research in three eminent journals. Journal of Research in Music Education, 62(1), 66-77. https://doi.org/10.1177/0022429413519269
  10. Fiorillo, A., & Gorwood, P. (2020). The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. European Psychiatry, 63(1), e32.
  11. Garrett, C. (2008). The effect of nurse staffing patterns on medical errors and nurse burnout. AORN Journal, 87(6), 1191-1204. https://doi.org/10.1016/j.aorn.2008.01.022
  12. Grocke, D., & Wigram, T. (2006). Receptive methods in music therapy: Techniques and clinical applications for music therapy clinicians, educators and students. London: Jessica Kingsley Publishers.
  13. Hersch, R. K., Cook, R. F., Deitz, D. K., Kaplan, S., Hughes, D., Friesen, M. A., & Vezina, M. (2016). Reducing nurses' stress: A randomized controlled trial of a web-based stress management program for nurses. Applied Nursing Research, 32, 18-25. https://doi.org/10.1016/j.apnr.2016.04.003
  14. Hetland, B., Lindquist, R., & Chlan, L. L. (2015). The influence of music during mechanical ventilation and weaning from mechanical ventilation: A review. Heart & Lung, 44(5), 416-425. https://doi.org/10.1016/j.hrtlng.2015.06.010
  15. Ji, H. H., & Jo, H. S. (2017). Effects of music therapy on subjective stress response, salivary cortisol, and fatigue for intensive care nurses. Korean Journal of Health Promotion, 17(2), 119-127. https://doi.org/10.15384/kjhp.2017.17.2.119
  16. Kang, S. (2013). The process of overcoming the professional burnout of clinical nurses. Journal of Korean Academy of Nursing Administration, 19(3), 427-436. https://doi.org/10.11111/jkana.2013.19.3.427
  17. Kim, B. N., Oh, H. S., & Park, Y. S. (2011). A study of nurses' resilience, occupational stress and satisfaction. Korean Journal of Occupational Health Nursing, 20(1), 14-23. https://doi.org/10.5807/KJOHN.2011.20.1.014
  18. Kim, J., Kim, S., Han, N., & Jeong, S. H. (2024). Mediating effect of leader-member exchange on the ethical leadership of nursing unit managers and turnover intention of clinical nurses: A nationwide survey using proportional quota sampling. Journal of Korean Academy of Nursing Administration, 30(1), 42-54. https://doi.org/10.11111/jkana.2024.30.1.42
  19. Kruger, V., & Stige, B. (2015). Between rights and realities-music as a structuring resource in child welfare everyday life: A qualitative study. Nordic Journal of Music Therapy, 24(2), 99-122. https://doi.org/10.1080/08098131.2014.890242
  20. Lee, J., Kim, H., & Lim, S. (2019). An integrative review of job stress and mental health intervention programs for experienced nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 28(2), 190-204. https://doi.org/10.12934/jkpmhn.2019.28.2.190
  21. Lee, M., & Jang, K. (2019). Effects of mindfulness-based programs for nurses: A literature review of international nursing journals. Nursing & Health Issues, 24(2), 146-155.
  22. Maslach C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. https://doi.org/10.1002/wps.20311
  23. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2(2), 99-113. https://doi.org/10.1002/job.4030020205
  24. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397-422. https://doi.org/10.1146/annurev.psych.52.1.397
  25. Moon, I. O., Park, S. K., & Jung, J. M. (2013). Effects of resilience on work engagement and burnout of clinical nurses. Journal of Korean Academy of Nursing Administration, 19(4), 525-535. https://doi.org/10.11111/jkana.2013.19.4.525
  26. Murphy, K. M. (2015). Music therapy in addictions treatment. In B. Wheeler (Ed.), Music therapy handbook (pp. 354-366). New York, NY: The Guilford Press.
  27. Ozgundondu, B., & Metin, Z. G. (2019). Effects of progressive muscle relaxation combined with music on stress, fatigue, and coping styles among intensive care nurses. Intensive and Critical Care Nursing, 54, 54-63. https://doi.org/10.1016/j.iccn.2019.07.007
  28. Park, J. (2020). Case study of supportive music imagery for enhancing self-worth. Journal of Music and Human Behavior, 17(2), 57-82. https://doi.org/10.21187/JMHB.2020.17.2.057
  29. Phillips, C. S., Volker, D. L., Davidson, K. L., & Becker, H. (2020). Storytelling through music: A multidimensional expressive arts intervention to improve emotional well-being of oncology nurses. JCO Oncology Practice, 16(4), e405-e414. https://doi.org/10.1200/JOP.19.00748
  30. Rubin, A., & Babbie, E. (1993). Research methods for social work (2nd ed.). Pacific Grove, CA: Brooks/Cole Publishing Company.
  31. Seo, Y., & Yu, M. (2023). Comparative study on work-life balance, nursing work environment, nursing organizational culture, and job satisfaction before turnover among nurses leaving hospital: Current clinical nurses versus non-clinical nurses. Journal of Korean Academy of Nursing Administration, 29(4), 385-396. https://doi.org/10.11111/jkana.2023.29.4.385
  32. Shultis, C., & Gallagher, L. (2015). Medical music therapy for adults. In B. Wheeler (Ed.), Music therapy handbook (pp. 441-453). New York, NY: The Guilford Press.
  33. Solanki, M. S., Zafar, M., & Rastogi, R. (2013). Music as a therapy: Role in psychiatry. Asian Journal of Psychiatry, 6(3), 193-199. https://doi.org/10.1016/j.ajp.2012.12.001
  34. Summer, L. (2002). Group music and imagery therapy: An emergent music therapy. In K. Brucia and D. Grocke (Eds.), Guided imagery and music: The bonny method and beyond (pp. 297-306). Gilsum, NH: Barcelona Publishers.
  35. van der Colff, J. J., & Rothmann, S. (2014). Occupational stress of professional nurses in South Africa. Journal of Psychology in Africa, 24(4), 375-384. https://doi.org/10.1080/14330237.2014.980626
  36. Wei, H., Kifner, H., Dawes, M. E., Wei, T. L., & Boyd, J. M. (2020). Self-care strategies to combat burnout among pediatric critical care nurses and physicians. Critical Care Nurse, 40(2), 44-53. https://doi.org/10.4037/ccn2020621
  37. Wu, S., Zhu, W., Wang, Z., Wang, M., & Lan, Y. (2007). Relationship between burnout and occupational stress among nurses in China. Journal of Advanced Nursing, 59(3), 233-239. https://doi.org/10.1111/j.1365-2648.2007.04301.x
  38. Yun, J., & Chong, H. J. (2019). At-risk adolescents' inner resource through resource-oriented song psychotherapy. Journal of Music and Human Behavior, 16(2), 1-25. https://doi.org/10.21187/JMHB.2019.16.2.001