DNP 820 Topic 6 Assignment Literature Synthesis for Proposed Intervention

• DNP 820 Topic 6 Assignment Literature Synthesis for Proposed Intervention.

Literature Synthesis for Proposed Intervention

Older individuals in nursing homes suffer from depression, which impairs their quality of life, social relationships, and health. The World Health Organization estimates that 15-25% of nursing home residents are depressed (World Health Organization, 2023). A compelling cure is music listening, which improves mindset and reduces stress. This DPI project aims to examine whether this method reduces depressed symptoms in senior nursing home patients for more than eight weeks contrasted with existing methods.

Problem Statement

“In the grown-up nursing home, how does Lineweaver’s translation of research implementing music listening, contrasted with momentum practice, influence depressive symptoms north of 8 weeks?”

Search Methods

Literature was searched to find studies on music’s influence on depression symptoms among senior nursing home patients. The search strategy steps included:

Databases, Search Terms

PubMed, CINAHL, PsycINFO, and Cochrane Library were the main literature search databases.

Search Terms

1. Music listening
2. Depression
3. Elderly
4. Nursing home
5. Lineweaver
6. Intervention

Exclusion and Inclusion Criteria

Inclusion Criteria

• Population: Studies on 65-year-old nursing home residents were included.
• Intervention studies: Music listening interventions were included.
• Comparison: Similar studies of music listening to conventional consideration or alternative therapies were included.
• Result: Studies that had depressive symptoms as a main or secondary result were included.
• Research design: Experimental, quasi-experimental, descriptive, RCTs, systematic reviews, critical analyses, and near studies were only considered.
• Language: English-language studies were included.

Exclusion Criteria

• Studies that used non-music interventions were barred.
• Studies that didn’t assess depression were barred.
• Non-peer-investigated studies were barred.

Limitations on Search

The search focused on publications published within the previous five years to ensure pertinence and timeliness. Only friend-surveyed papers were searched to ensure study quality and steadfastness.

Decision of Article

The first search created 200 articles. Applying inclusion and exclusion criteria yielded fifteen papers for evaluation. These fifteen papers had different study designs, including:
1. Randomized Controlled Trials (RCTs): This rigorous research gives the most information, comparing music listening to standard treatment.
2. Quasi-Experimental Design: Despite their flaws, quasi-experimental research can give significant insights when RCTs are unrealistic.
3. Descriptive Studies: Descriptive studies discussed nursing home music listening strategies and their effects.
4. Systematic Reviews: Systematic reviews summarized the research on music listening programs’ effectiveness and limitations.
5. Critical Analyses: These articles analyzed earlier studies’ methods and conclusions to better appreciate the study environment.
6. Comparative Studies: These contrasted therapies or contexts to assess music listening’s adequacy.

Synthesis of the Literature

Article by Lineweaver et al. (2021)

Subjects

Lineweaver et al. (2021) examined what personalized music listening meant for dementia symptoms in 282 nursing care patients.

Methods

In a six-month music intervention, subjects listened to individualized playlists 1-3 times each week for 30 minutes. The study assessed emotional, behavioral, and mental outcomes using standardized tests and straightforwardly observed sundowning symptoms, which intensify around evening time.

Key Findings

General neuropsychiatric symptoms, agitation, and depression worked significantly in the first three months of the intervention, yet at the same not in the following three. Music listening significantly improved sundowning symptoms including disengagement, although aggressiveness was less influenced.

Rationale

This study shows that short-term individualized music listening can decrease dementia-related symptoms like agitation, depression, and sundowning behaviors, suggesting its use in long-term care. The findings support the use of music as a therapeutic device in dementia care and its inclusion into therapies to further develop dementia patients’ prosperity.

Article by Huber et al. (2020)

Subjects

Huber et al’s. (2020) crossover study investigated what personalized music listening meant for despair, agitation, and positive feelings in 23 dementia patients.

Methods

Every member listened to individualized music 16 times with a parental figure. Recorded sessions yielded 362 films for emotional and behavioral analysis.

Key Findings

The study indicated that sadness levels fell considerably, although disturbed behaviors remained gentle. In any case, the investigation showed that blissful feelings dwarfed pessimistic ones during music sessions. These findings suggest that dementia patients could minimize sadness and work on their moods with personalized music listening.

Rationale

The study suggests that customized music might advance emotional prosperity and lessen depressed symptoms in dementia patients, regardless of whether it diminishes agitation. This shows that music-based therapies can further develop dementia patients’ quality of life.

Article by Costa et al. (2017)

Subjects and Methods

Costa et al. (2017) examined what most loved music means for pain, sadness, and anxiety in senior consideration home patients. An experimental gathering of 113 individuals listened to their chosen music every day for 30 minutes for three weeks, whereas a control bunch didn’t. Week by week validated and customized tests assessed pain, sadness, and anxiety. After the first phase, the groups exchanged so everyone could encounter the music intervention.

Key Findings

The experimental gathering showed statistically substantial decreases in pain, sadness, and anxiety, with depression and anxiety being the most significant. Control bunch improvements were insignificant. Further investigation indicated that those who valued music listened often and had their musical tastes obliged to help more than those with severe pain.

Rationale

The study suggests that favored music listening might lessen sadness and anxiety among care home residents. This supports the inclusion of custom-fitted music treatments in dementia care programs to work on emotional prosperity.

Article by Belenchia (2023)

Subjects

Belenchia (2023) administered a personalized music listening project to hospitalized Alzheimer’s disease and associated dementia (ADRD) patients to minimize agitation. The sample included 21 ADRD patients at a local area hospital medical-surgical unit.

Methods

In the wake of establishing a custom-made music listening program, the four-thing Pittsburgh Agitation Scale (PAS) monitored agitation before and after the intervention. Clinical professionals assessed four unsettled ways of behaving using the PAS.

Key Findings

A matched t-test showed a significant decrease in agitation ratings from the pre-test (M=4.83, SD=2.10) to the post-test (M=1.38, SD=1.40), with a p-value of less than 0.001.
Rationale
This shows that personalized music programs diminish agitation in hospitalized ADRD patients. This supports the use of individualized music treatments in dementia care plans, showing that they can work on emotional prosperity and diminish agitation even in a hospital setting.

Article by Feneberg et al. (2021)

Subjects and Methods

Feneberg et al. (2021) examined what music listening means for somatic symptoms and stress indicators in ladies with SSD and depression. The study examined day-to-day existence changes in 58 ladies who matured 27.7 years ago using a wandering assessment methodology.

Key Findings

The study discovered that music listening significantly diminished subjective stress levels (p < 0.02), regardless of mental health issues, using staggered models. Lower subjective stress was associated with less somatic symptoms (p ≤ 0.03). Music qualities also impacted somatic symptoms (p = 0.01) and autonomic movement (p = 0.03). These findings indicate that music listening reduces subjective stress and alleviates physical symptoms.

Rationale

This suggests that personalized music interventions can work on prosperity by managing stress and somatic complaints without medication, especially for individuals with complex mental health conditions like SSD and DEP.

Article by Ali and Bhaskar (2020)

Subjects and Methods

Ali and Bhaskar (2020) include fundamental statistical methods for research and information analysis in their work. The course covers quantitative and qualitative variables, mean, middle, mode, sample size estimate, and power analysis. The article discusses parametric and non-parametric statistical tests and their usefulness for precise results and conclusions.

Key Findings

Key findings show that statistical procedures are essential for turning crude information into important insights and improving study validity and reliability. The requirement for comprehensive statistical research to validate customized music listening programs supports therapies. With the right statistical techniques, researchers may precisely evaluate these therapies’ effects on dementia-related symptoms and ensure that the announced improvements are not because of chance.

Article by Lund et al. (2020)

Subjects and Methods

Lund et al. (2020) examined the effects of music listening on sleep quality, depressive symptoms, and quality of life in individuals with depression-related insomnia. This two-arm parallel-bunch RCT follows CONSORT principles. The experimental gathering listens to music for 30 minutes at sleep time for four weeks, while the control bunch receives normal depression treatment according to Danish clinical recommendations. Only one short-term psychiatric unit conducts the analysis.

Key Findings

The significant findings could shed light on music treatments for depression-related insomnia, bolstering music medicine as a therapy option.

Rationale

This information suggests that music training improves depressive temperament and mental performance in older individuals, even those with mental impedance. Therefore, music therapy therapies like individualized music programs might assist older individuals with managing depression, forestalling mental degradation, and working on a social-mental function.

Comparison of Articles

Similarities

1. All articles discussed depression, mental health, and the impact of music therapy on depression.
2. Many papers examined depression’s prevalence and effects.
3. Several publications discussed the comparison of music, CBT, and psychodynamic treatment for depression.

Differences

1. Some publications focused on geriatric or dementia patients, while others addressed depression comprehensively.

Common Themes

1. Music therapy and psychotherapy decrease depression symptoms and work on mental health.
2. Depression is a significant general health issue that affects quality of life.
3. Early identification and treatment are essential for depression the executives and prevention.
4. Depression patients have remarkable demands that require personalized and culturally suitable therapy.

Methods

1. All studies analyzed depression therapies using quantitative approaches like RCTs or standardized measures.

Limitations

1. Small sample numbers, short subsequent periods, and research design biases restrict numerous investigations.
2. Differences in research populations, contexts, and interventions restrict generalizability.

Controversies

1. Pharmacological depression therapies, especially in some groups or with other interventions, might be controversial.
2. Clinicians and researchers might disagree on the adequacy of non-pharmacological therapies, including music therapy and psychotherapy.

Recommendations for Future Research

Based on the literature survey, various gaps and areas requiring future investigation could influence the implementation of individualized music programs for depressed individuals. These future research suggestions are:
Music Therapy Effectiveness in Specific Populations
There is a requirement for more noteworthy studies on music therapy for depression in certain segment groups, such as teenagers, more seasoned adults, or those with dementia or chronic pain. The success of music therapy in various populations could direct individualized therapies and reveal its potential advantages and drawbacks for shifted groups.

Music Therapy’s Long-Term Effects

Many studies have investigated the short-term benefits of music therapy on depressive symptoms, yet there is a deficiency of research on its long-term viability and solidness. To evaluate the intervention’s long-term benefits and prevention of depression relapse, future trials should incorporate expanded follow-up periods.

Music Intervention Effectiveness Comparison

The literature covers music treatments, including playlists, a bunch of music activities, and music therapy. These methods require more testing to determine the best depression treatment. Near research could assist in discovering which music therapies turn out best for various individuals and situations.

Action Mechanisms

Some studies have examined what music therapy means for depressive symptoms, yet the mechanisms are obscure. Music therapy should be studied for its effects on neurotransmitter modulation, emotion regulation, and social connectedness, which are linked to depression. These mechanisms might assist with explaining how music therapy works and inform focused approaches.

Conclusion

The literature survey suggests music therapies might be a feasible supplementary therapy for depression. Numerous studies have shown that music listening, music therapy, and music training lessen depression symptoms and further develop temperament, mental performance, and prosperity across demographics and contexts. Music treatments work, however, their methods, long-term benefits, cultural importance, and relative adequacy are still obscure and require further research. A further investigation on music interventions in depression treatment could further develop results for depressed individuals.

References

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Belenchia, E. J. (2023). An individualized music listening program to reduce agitation in hospitalized patients with Alzheimer’s disease and related dementias. Geriatric Nursing, 52, 157–164.

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Costa, F., Ockelford, A., & Hargreaves, D. J. (2017). The effect of regular listening to preferred music on pain, depression, and anxiety in older care home residents. Psychology of Music, 46(2), 174–191.

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