Purpose: To explore, from the perspectives of patients, relatives and nurses, how an observation room in a Department of Cardiology can be redecorated and redesigned to improve the care for and well-being of patients and their relatives.
Background: Patients in modern hospitals are to a large extent met by clinical sensory impressions, such as medical and technical equipment, colourlessness, and randomly designed and furnished surroundings. Sensory impressions from such hospital surroundings are shown to be associated with unfamiliarity, which promote a negative mood and increase feelings of insecurity and vulnerability during hospitalization. It is therefore important to recognize that today’s hospital environment may be interfering with quality of care and experiences of well-being.
Design: A mixed-method approach was used, based on user consultation, in order to inform the redecoration and redesign of the observation room. Data were collected through a combination of questionnaires and participant observations, including informal conversations with a total of 12 participants, including nurses, patients and relatives. Questionnaires were answered by a total of 58 patients and relatives.
Findings: The hospital environment, only sparsely decorated and very randomly designed, was found to negatively influence both the care provided and experiences of well-being. Three themes were identified as important when redecorating and redesigning the observation room: (i) The ambience of the room, including music, wall decorations and colours, (ii) The presence of nature and (iii) Privacy.
Conclusion: The patients and relatives perceive the surroundings in the observation room as significant to their well-being. Nurses identify the sensory impressions in the environment as a significant component in the care offered to the patients and their relatives.
Value: This study describes how a user consultation process can be initiated and offers a valuable contribution to how hospital environments can be redecorated and redesigned to support well-being.
Purpose: Yoik is the traditional vocal art of the Sami, the indigenous people of Fennoscandia. The Sami people, their land and their culture have been subject to colonisation and assimilation for centuries, hence the practice of yoik was lost in many regions. Despite an increasing awareness of the benefits of health musicking, yoik is only sporadically included in musicking practices in dementia care contexts. Therefore, the purpose of this study is to explore Sami caregivers’ yoik experiences in formal and informal care contexts.
Design: Qualitative in-depth semi-structured interviews with 17 Sami relatives of care receivers, and healthcare professionals. Qualitative content analysis from subthemes to main themes was used to identify themes.
Findings: The research revealed two key findings: 1) yoik enlivens, empowers, induces “good feelings” and enables reminiscence functions in elderly persons with dementia or impaired overall functioning, 2) yoik is not systematically applied in in-care contexts due to the history and consequences of assimilation and colonisation.
Originality/value: This study explores some of the consequences of colonisation and assimilation on healthcare services and provides insights into an under-researched topic, the function of yoik as a music-based practice for the well-being of older adults. The study reveals that yoik can act as an attunement tool. Yoik may manifest and enhance connectedness to oneself, to the natural environment and to the community. This type of attunement lies at the heart of person-centered care.
Purpose: Interest in the health relevance of music has been growing rapidly, yet few studies have addressed the protective role of music for music professionals themselves. In the current study, we investigated music professionals’ (music teachers, music therapists, musicians and academics) health, particularly their uses of music as a resource for their psychological health.
Design: An online survey (N = 504) for music professionals was conducted across four Nordic countries. Participants responded to questions on music as a resource for psychological health and assessed their general levels of health and health behaviors. Their self-reported health was compared to similar prior data from the general Danish population (N = 14,022).
Findings: Music professionals demonstrated high levels of self-reported health and health behaviors and approved of the idea of music as a resource for their psychological health. The most important psychological function of music for them was that music provided affective experiences. Music also provided feelings of belonging and supported mood regulation, but did not really offer relaxation or help to concentrate. Music teachers and therapists reported significantly higher use of music as a personal resource for psychological health than musicians and academics.
Value: The results provide new insights into music playing a dual role – professional and personal resource – for different types of music professionals. The findings have relevance for how to address music in the training of musicians and create grounds for dialogue about the role of music for music professionals in comparison to laymen.
Intensjon: Et økende antall kunstmuseer verden over tilbyr demensvennlige omvisninger. Mye forskning på feltet undersøker hvordan deltakelse på slike omvisninger påvirker personer med demens sin psykososiale helse, og mindre hva som skjer i selve kunstrommet. Denne studien bidrar med kunnskap om samhandlingen i selve kunstrommet; mellom kunstformidlerne, personer med demens og kunstverket. I særlig grad retter artikkelen oppmerksomheten mot situasjoner hvor personer med demens sier eller gjør noe som setter samhandlingen i kunstrommet i bevegelse. Hva karakteriserer slike samhandlingssituasjoner, og hvordan kan de forstås?
Forskningsdesign: Studien har et kvalitativt forskningsdesign. Artikkelens empiri består av feltnotater fra deltagende observasjon på KODE Kunstmuseer og komponisthjem, og intervju med kunstformidlerne og publikum.
Resultat: Samhandlingssituasjonene mellom kunstformidlerne, kunsten og publikum preges av at personene i kunstrommet tar hverandre og kunsten på alvor. Personer med demens blir møtt av kunstformidlere som prøver å stille seg ved siden av, ikke foran eller over dem i møte med kunsten. Kunstverkene har en aktiv rolle som omdreiningspunktet for samtalen. Samhandlingssituasjonene viser hvordan publikum får anledning til å påvirke hvordan vi skal forstå og tolke vår felles kulturarv, som kunstverkene på KODE er en del av. Forfatterne argumenterer for at deltagelse og samskaping i kunstrommet kan være en måte personer med demens får utøvd sitt kulturelle medborgerskap på.
Originalitet: Dette er en av de første forskningsartiklene om demensvennlige kunstomvisninger i en norsk sammenheng. Den bidrar med ny innsikt om betydningen av kunstfaglig kompetanse i demensomsorgen, og større forståelse for hvordan kulturelt medborgerskap i relasjon til personer med demens kan forstås og praktiseres.
Purpose: An increasing number of art museums worldwide offer dementia-friendly guided tours. Research in this emergent field tell us that museum programmes can have a range of positive health benefits for persons with dementia. This article contributes to the research by describing and discussing interactions in front of the artworks in the museum space on dementia-friendly guided tours. In particular, the article draws attention to situations where persons with dementia say or do something that sets the relational dynamic in motion. What characterizes this type of interactions, and how can they be understood?
Research design: The study has a qualitative research design. The empirical data consists of field notes from participatory observation, and interviews with the art educators and participants who took part in the guided tours at the art museum.
Findings: This article demonstrates how the reciprocal and co-creative engagement with the art educators provide persons with dementia the opportunity to influence how we understand and interpret our common cultural heritage, of which the works of art at the museum are part. The authors argue that participation and collaboration at the art museum can be a way for persons with dementia to exercise their cultural citizenship.
Originality/value: This is one of the first research articles that describes and discusses the interaction between the art educators, participants, and the art works on dementia-friendly guided tours at a museum. It is the first article of its kind in a Norwegian context. It offers new insights into how cultural citizenship can be understood and practiced in a dementia perspective. It also offers insights into the importance and relevance of art competence in dementia care.
In this personal essay, applied theatre practitioner Emma Lundenmark provides information about and reflections on an ongoing participatory theatre project that Scen Totalnormal (Stage Totally Normal) is facilitating at a psychiatric ward in a hospital in Stockholm.
Nordic Journal of Arts, Culture and Health
1-2020, volume 2
Nordic Journal of Arts, Culture and Health is an open access journal established in 2019, with its first issue published in November 2019. The journal provides a platform for publication and debate in the interdisciplinary field of arts and culture in healthcare and health promotion. The purpose of the journal is to contribute to dissemination of research, knowledge and practice experience in the arts, culture and health field.
The journal aims to
– Strengthen the arts and health field in the Nordic countries and globally
– Contribute to the growing knowledge in the field from Nordic and international points of view
– Document existing projects to make sure that valuable knowledge is maintained and shared
– Provide Nordic politicians and decision-makers with an evidence-base for policy-making
The journal defines ‘health’ broadly which includes physical, mental, emotional, cultural, existential, spiritual, occupational, social and community health.
The journal’s target audience is researchers and students in academic institutions, practitioners working with arts and culture in health and social care, education, government institutions, the media and other stakeholders from the broader public.
The journal publishes articles in Danish, English, Norwegian, and Swedish.
The journal is published by Scandinavian University Press (Universitetsforlaget AS) on behalf of Norwegian Resource Centre for Arts and Health (Norway), Volda University College (Norway), Primary Healthcare, Region Skåne (Sweden), Aalborg University (Denmark), Royal College of Music (Sweden), Uniarts Helsinki’s CERADA Research Center (Finland) and Turku University of Applied Sciences (Finland).
Anita Jensen, Primary Healthcare, Region Skåne, Sweden and Guest Researcher, Department of Communication and Psychology, Aalborg University, Denmark.
Wenche Torrissen, Professor, Drama and Theatre, Volda University College, and Norwegian Resource Centre for Arts and Health
Liisa Laitinen, Adviser, Arts & Health, Arts Academy, Turku University of Applied Sciences
Design and typesetting: Type-it AS, Trondheim
Cover design: KORD AS / Scandinavian University Press, Sissel Tjernstad
ISSN online: 2535-7913
© Scandinavian University Press 2020