“We can solve the hardest challenges with just singing”. A qualitative study of healthcare staff’s experiences of Music-Based Care (MBC) in nursing homes

Purpose: Music-based care (MBC) is a resource-oriented method that systematically uses music, singing, and movement in healthcare services. A cluster-randomized trial (RCT) has previously examined the use of Music-Based Care (MBC) over an eight-week period in Norwegian nursing homes, focusing on its impact on patients' pain levels. While the study did not show any significant effect on pain, the healthcare staff reported finding value in using MBC for improving patient and work environment outcomes. Building on healthcare staff reports, the current study was conducted following the completion of the RCT. The study aimed to explore healthcare staff’s own experiences with using MBC. Method: A qualitative design was employed. Semi-structured group interviews were performed with healthcare staff (n=15) from five nursing homes who previously participated in the previous RCT. Braun and Clarke’s thematic analysis was utilized to assess the interview data. Findings: Healthcare staff experienced MBC training as valuable, initially enhancing the use of music in dementia care. They described music as an effective tool for reducing patient agitation and anxiety. However, they also experienced several challenges in sustaining long-term implementation, including technical difficulties, lack of ongoing support, and insufficient infrastructure. Time constraints and inconsistent integration of MBC into daily routines were highlighted as key barriers. Value: Without continuous training, better documentation systems, and integration into daily routines, the full benefits of MBC may not be realized. Strong organizational and infrastructure support is crucial for sustainable long-term impact, ensuring MBC becomes a regular and effective part of dementia care.