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Music Therapy and Spiritual Care in End-of-Life: A Qualitative Inquiry into Ethics and Training Issues Identified by Chaplains and Music Therapists.

Abstract

BACKGROUND

Music therapists are increasingly employed by hospices. As such, they are often called upon to provide additional spiritual care to patients receiving end-of-life care. However, researchers have not yet examined the appropriateness of music therapists providing spiritual care as part of the hospice team, or ethics and training issues related to music therapist-led spiritual care.

OBJECTIVE

The purpose of this study was to explore the thoughts and attitudes of hospice chaplains and music therapists (MTs) about ethics and training issues related to music therapists providing spiritual care as part of the hospice interdisciplinary team.

METHODS

The study used semi-structured interviews with a purposive sample of music therapists and chaplains specializing in hospice care as part of a larger exploratory mixed methods study. Each interview was recorded, transcribed, and analyzed using a two-step process including both a modified phenomenological inductive approach and thematic analysis.

RESULTS

Participants discussed ethics and training issues related to the provision of music therapist-led spiritual care as part of the hospice team. These issues included scope of practice, cultural competence and maintaining personal boundaries, and spiritual care training topics such as educational content and educational methods.

CONCLUSIONS

While it was clear that both chaplains and music therapists felt it was appropriate for music therapists to provide spiritual care as part of the hospice team, there is a need for formal and informal spiritual care training for music therapists doing this type of work. Training should potentially include information about comparative religions, cultural competence, scope of practice, and maintaining personal boundaries.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    Indiana University-Purdue University Indianapolis megannekmasko@gmail.com.

    Source

    Journal of music therapy 53:4 2016 pg 309-335

    MeSH

    Clergy
    Emotions
    Female
    Hospice Care
    Hospices
    Humans
    Interdisciplinary Studies
    Interviews as Topic
    Male
    Middle Aged
    Music
    Music Therapy
    Outcome Assessment (Health Care)
    Patient Care Team
    Qualitative Research
    Spirituality
    Terminal Care

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    27354450

    Citation

    TY - JOUR T1 - Music Therapy and Spiritual Care in End-of-Life: A Qualitative Inquiry into Ethics and Training Issues Identified by Chaplains and Music Therapists. A1 - Masko,Meganne K, Y1 - 2016/06/28/ PY - 2015/04/21/received PY - 2016/05/16/revised PY - 2016/05/30/accepted PY - 2016/6/30/pubmed PY - 2017/2/28/medline PY - 2016/6/30/entrez KW - ethics KW - hospice KW - interdisciplinary team KW - qualitative research KW - spiritual care KW - training SP - 309 EP - 335 JF - Journal of music therapy JO - J Music Ther VL - 53 IS - 4 N2 - BACKGROUND: Music therapists are increasingly employed by hospices. As such, they are often called upon to provide additional spiritual care to patients receiving end-of-life care. However, researchers have not yet examined the appropriateness of music therapists providing spiritual care as part of the hospice team, or ethics and training issues related to music therapist-led spiritual care. OBJECTIVE: The purpose of this study was to explore the thoughts and attitudes of hospice chaplains and music therapists (MTs) about ethics and training issues related to music therapists providing spiritual care as part of the hospice interdisciplinary team. METHODS: The study used semi-structured interviews with a purposive sample of music therapists and chaplains specializing in hospice care as part of a larger exploratory mixed methods study. Each interview was recorded, transcribed, and analyzed using a two-step process including both a modified phenomenological inductive approach and thematic analysis. RESULTS: Participants discussed ethics and training issues related to the provision of music therapist-led spiritual care as part of the hospice team. These issues included scope of practice, cultural competence and maintaining personal boundaries, and spiritual care training topics such as educational content and educational methods. CONCLUSIONS: While it was clear that both chaplains and music therapists felt it was appropriate for music therapists to provide spiritual care as part of the hospice team, there is a need for formal and informal spiritual care training for music therapists doing this type of work. Training should potentially include information about comparative religions, cultural competence, scope of practice, and maintaining personal boundaries. SN - 2053-7395 UR - https://www.unboundmedicine.com/medline/citation/27354450/Music_Therapy_and_Spiritual_Care_in_End_of_Life:_A_Qualitative_Inquiry_into_Ethics_and_Training_Issues_Identified_by_Chaplains_and_Music_Therapists_ L2 - https://academic.oup.com/jmt/article-lookup/doi/10.1093/jmt/thw009 ER -