Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Catherine Garner

Abstract

There is a need for evidence-based nonpharmacological nursing management skills fordementia that are low-cost and effective in managing common symptoms such as agitation. Music-based therapy is a nonpharmacological intervention shown by evidencebased studies to be effective in the management of dementia. The gap in practice is that there was no evidence-based group music therapy programs in this family-based long- term care setting for dementia patients. This project employed a multidisciplinary effort to formulate an evidence-based clinical practice guideline for implementing group music therapy program. The clinical practice question was whether a multidisciplinary team can agree on the guideline for implementing group music therapy for this small group facility. The humanistic theory argues that when a person has dementia they lose basic human needs, such as identity, comfort, and attachment, which are crucial in maintaining their personality. Despite a person’s development of dementia, they should maintain their value, so a person-centered method is crucial. The multidisciplinary team of four, made up of licensed practical nurses, nursing assistants, nurse practitioners, and a local music therapist, met via videoconference and used an evidence-based practice approach to rate and reach consensus on a clinical practice guideline for implementing the music therapy program, using the AGREE II assessment tool. The AGREE II tool finding (M = 7), where 1 indicates strongly disagree and 7 indicates strongly agree, demonstrated consensus. The implementation of this clinical practice guideline has the potential to bring about a positive social change by reducing agitation symptoms and improving the quality of life for persons with dementia.

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