A Theoretical Model of Resource-Oriented Music Therapy with Informal Hospice Caregivers during Pre-Bereavement
- 9 February 2018
- journal article
- research article
- Published by Oxford University Press (OUP) in Journal of Music Therapy
- Vol. 55 (1), 27-61
- https://doi.org/10.1093/jmt/thx019
Abstract
Over the past decade, caregiver pre-bereavement has received increased scholarly and clinical attention across multiple healthcare fields. Pre-bereavement represents a nascent area for music therapy to develop best practices in and an opportunity to establish clinical relevancy in the interdisciplinary team. This study was an exploratory inquiry into the role of music therapy with pre-bereaved informal hospice caregivers. This study intended to articulate (a) what pre-bereavement needs are present for informal hospice caregivers, (b) which of those needs were addressed in music, and (c) the process by which music therapy addressed those needs. A constructivist grounded theory methodology using situational analysis was used. We interviewed 14 currently bereaved informal hospice caregivers who had participated in music therapy with the care recipient. Analysis resulted in a theoretical model of resource-oriented music therapy promoting caregiver resilience. The resource, caregivers’ stable caring relationships with care recipients through their pre-illness identities (i.e., spouse, parent, or child), is amplified through music therapy. Engagement with this resource mediates the risk of increased care burden and results in resilience fostering purposefulness and value in caregiving. Resource-oriented music therapy provides a unique clinical avenue for supporting caregivers through pre-bereavement, and was acknowledged by caregivers as a unique and integral hospice service. Within this model, caregivers are better positioned to develop meaning from the experience of providing care through the death of a loved one.Keywords
This publication has 41 references indexed in Scilit:
- Mapping the Process: An Exemplar of Using Situational Analysis in a Grounded Theory StudyJournal of Family Theory & Review, 2012
- Family Caregivers At Risk: Who Are They?Issues in Mental Health Nursing, 2011
- Randomised controlled trial of a family‐led mutual support programme for people with dementiaJournal of Clinical Nursing, 2011
- Advanced Care Decision MakingJournal of Psychosocial Nursing and Mental Health Services, 2010
- Physical and Mental Health Effects of Family CaregivingThe American Journal of Nursing, 2008
- Music, memory, and Alzheimer’s disease: is music recognition spared in dementia, and how can it be assessed?Medical Hypotheses, 2005
- Grounded Theory Methods and Qualitative Family ResearchJournal of Marriage and Family, 2005
- Prospective Patterns of Resilience and Maladjustment During Widowhood.Psychology and Aging, 2004
- Is Caregiving Hazardous to One's Physical Health? A Meta-Analysis.Psychological Bulletin, 2003
- Ordinary magic: Resilience processes in development.American Psychologist, 2001