Authors: (including presenting author): :
Mo SY (1), Lam WM(1), Chan WL(1), Tang H(1)
Affiliation: :
(1)Accident and Emergency Department, Tin Shui Wai Hospital
Introduction: :
If you have been in an operation theatre, you may have heard some calming music or relaxing songs playing during the surgery. Such a comfortable environment is believed to have a positive effect for both staff and patients. Music therapy is proven to be effective in minimizing pain perception by patients (Kahloul, M., 2017) and aiding efficiency in OT staff (George, S., 2011). In A&E, minor surgery (e.g. suturing) is a quality service for acute wound management. Most of the cases were undergoing surgery with local anesthesia (LA). For the sake of improving patient’s experience and relieving staff from intense working environment, music therapy was introduced to the minor OT in A&E in Tin Shui Wai Hospital.
Objectives: :
The objectives of this project are: 1. Stress relief for operation staff 2. Stress and pain relief for patient 3. Promotion of comfortable environment in minor OT
Methodology: :
A music player is placed in the minor OT. Staff can play music after patient’s verbal consent is obtained. Patient can refuse or request to stop the music anytime. An approved default audio source is available in the player. Staff is recommended to play the default source. Patient is allowed to suggest music or song, which may have better outcome (Leardi, S., 2007), that staff can search and play via wireless connection between staff’s mobile device and the player (song with inappropriate content is forbidden).
Result & Outcome: :
A staff satisfaction survey was conducted after this therapy was being used for 5 months. 37 staff in A&E participated in the survey. Excluded the 4 staff who did not do surgery since this project, there was 5 staff did not use the player as personal decision. The usage rate was 84.8%. 73% staff agreed his or her stress level was decreased. 100% staff agreed a comfortable environment was promoted. Only 1 staff (2.7%) disagreed the music therapy helps patient calm down during the procedure. 94.6% staff preferred to use music therapy in OT setting. 86.5% staff reported never received negative feedback from patients. 32% staff has ever received patient’s verbal feedback that music made them feel relaxed and less pain. Overall staff satisfaction rate was 7.6/10. With a high satisfaction rate, music therapy in A&E TSWH is regarded as an acceptable intervention for staff preference to offer a quality wound management service with better patient’s outcome.
