Leila Brito Bergold

O lugar da música no espaço do cuidado terapêutico: sensibilizando enfermeiros com a dinâmica musical

The influences of music on the body were the object of this study developed along with a group of nurses in a Graduate discipline. Besides describing these influences, the study’s objective is to interpret the applicability of the dynamic of creativity and Body-Musical sensitivity as a way to make the nurse create sensitiveness when it comes to music in the care process. The Creative-Sensitive Method has been used in the production of research data. The holistic, frolic, and mechanical influences of music on the body were the themes discussed. The group concluded that music acts on the whole body and its influence depends on the context, music style, and listener taste. The research revealed the potential of this dynamic as a wide space of dialogical education, consisting in an important strategy in the action of the nurses about music possibilities as a therapeutic resource. RESUMEN: Las influencias de la música en el cuerpo, fueron objeto de este estudio conducido junto a un grupo de enfermeros participantes de una disciplina del Posgrado. El estudio tuvo como objetivo, analizar la aplicabilidad de la Dinámica de Creatividad y Sensibilidad Cuerpo-Musical como una forma de sensibilización del enfermero respecto al uso de la música en su práctica de cuidar. Se utilizó el Método Creativo-Sensible y el desarrollo del DCS en la producción de datos de investigación. La influencia holística, lúdica, y mecánica de la música sobre el cuerpo, fueron los temas generados en la discusión. El grupo concluye que la música reacciona sobre todo el cuerpo pero influye según el estilo musical para una determinada región gusto del oyente. La investigación reveló el potencial de la dinámica como un rico espacio de la educación dialógica, constituyéndose como una estrategia importante en la sensibilización de los enfermeros, sobre las posibilidades de la música como un recurso terapéutico. PALAVRAS-CHAVE: Música. Enfermagem. Tecnologia. Empatia. Terapêutica.The influences of music on the body were the object of this study developed along with a group of nurses in a Graduate discipline. Besides describing these influences, the studys objective is to interpret the applicability of the dynamic of creativity and Body-Musical sensitivity as a way to make the nurse create sensitiveness when it comes to music in the care process. The Creative-Sensitive Method has been used in the production of research data. The holistic, frolic, and mechanical influences of music on the body were the themes discussed. The group concluded that music acts on the whole body and its influence depends on the context, music style, and listener taste. The research revealed the potential of this dynamic as a wide space of dialogical education, consisting in an important strategy in the action of the nurses about music possibilities as a therapeutic resource.

A música terapêutica como uma tecnologia aplicada ao cuidado e ao ensino de enfermagem

Abstract Resumen 1 Enfermeira. Mestre e Doutoranda em Enfermagem. Musicoterapeuta. Chefe do Setor de Musicoterapia do Hospital Central do Exercito. Membro doNucleo de Pesquisa de Fundamentos do Cuidado de Enfermagem (NUCLEARTE) da EEAN/UFRJ. Brasil. E-mail: leilabergold@terra.com.br,2 Profa DraAdjunta do Departamento de Enfermagem Fundamental da EEAN/UFRJ. Coordenadora do Curso de Doutorado da Pos-Graduacao e Pesquisa da EEAN.Pesquisadora do NUCLEARTE. Brasil. E-mail: titonelli@terra.com.br PESQUISA RESEARCH - INVESTIGACION The dominance of technics in assistance many times makes itimpracticable to establish an expressive healthcare thatpromotes the humanization of the assistance practice. Thisstudy has tackled two researches that investigated the use ofmusic as a therapeutic resource applied to healthcare and nursingteaching: musical visitations and the musical dynamics. The paperwas based on the contributions of Even Ruud on the culturalcontext related to music and healthcare. The Sensitive-CreativeMethodology was used for the data production on bothresearches, carried out respectively with hospitalized clientsand nurses. The music visitation has been constituted as atechnology to the expressive healthcare, promoting comfort,lucidity, emotional expression and integration amongst clientsand of those within the environment. The dynamic music hasmobilized the production of subjectivities within the nurses,who discovered the possibilities of the creative use of music asa great resource in healthcare as well as in nursing teaching.Keywords: Nursing. Music Therapy. Technology. Creativeness.Leila Brito Bergold 2Resumen 1 Enfermeira. Mestre e Doutoranda em Enfermagem. Musicoterapeuta. Chefe do Setor de Musicoterapia do Hospital Central do Exército. Membro do Núcleo de Pesquisa de Fundamentos do Cuidado de Enfermagem (NUCLEARTE) da EEAN/UFRJ. Brasil. E-mail: leilabergold@terra.com.br, 2 Profa Dra Adjunta do Departamento de Enfermagem Fundamental da EEAN/UFRJ. Coordenadora do Curso de Doutorado da Pós-Graduação e Pesquisa da EEAN. Pesquisadora do NUCLEARTE. Brasil. E-mail: titonelli@terra.com.br PESQUISA RESEARCH INVESTIGACIÓN The dominance of technics in assistance many times makes it impracticable to establish an expressive healthcare that promotes the humanization of the assistance practice. This study has tackled two researches that investigated the use of music as a therapeutic resource applied to healthcare and nursing teaching: musical visitations and the musical dynamics. The paper was based on the contributions of Even Ruud on the cultural context related to music and healthcare. The Sensitive-Creative Methodology was used for the data production on both researches, carried out respectively with hospitalized clients and nurses. The music visitation has been constituted as a technology to the expressive healthcare, promoting comfort, lucidity, emotional expression and integration amongst clients and of those within the environment. The dynamic music has mobilized the production of subjectivities within the nurses, who discovered the possibilities of the creative use of music as a great resource in healthcare as well as in nursing teaching.

Visita musical como uma tecnologia leve de cuidado

This study had as purpose to describe hospitalized client’s conceptions on musical visitations and to analyze the importance of these visitations in the hospital context. The theoretical basis used on this study was Jean Watson’s humanistic theory of nursing care and the contributions of Even Ruud related music and cultural context. A qualitative approach was used, and Sensitive-Creative Methodology was used for the data production through three dynamics called Body-Musical. The subjects were 14 clients admitted at a military hospital in Rio de Janeiro, Brazil. Data were analyzed by discourse analysis. The results indicate that musical visitations promote comfort, well-being, expression of emotions, autonomy and stimulate the creation of self resources for the hospitalizated clients. These also point the positive influence of visits to promote communication and the integration of participants at the hospital environment. DESCRIPTORS: Nursing. Music therapy. Technology. LA VISITA MUSICAL COMO UNA TECNOLOGIA LEVE DEL CUIDADO RESUMEN: Este estudio tuvo el objetivo de describir las concepciones de los pacientes hospitalizados acerca de las visitas musicales y analizar la importancia de esas visitas en el contexto hospitalario. La base teorica utilizada en este estudio fue la teoria humanistica del cuidado de enfermeria de Jean Watson y las contribuciones de Even Ruud acerca de la musica y del contexto cultural. Los datos de la investigacion fueron producidos por medio del metodo creativo-sensible a traves de tres dinamicas denominadas cuerpo musical. Los sujetos fueron 14 pacientes internados en un hospital militar de la ciudad de Rio de Janeiro. Para el analisis de los datos fue utilizado el analisis del discurso. Los resultados indican que las visitas musicales producen confort, bienestar, expresion de las emociones, autonomia y estimulan la creacion de recursos propios a los pacientes hospitalizados. Los sujetos tambien senalan el beneficio de las visitas para el ambiente hospitalario al promover la comunicacion e integracion de los participantes DESCRIPTORES: Enfermeria. Musicoterapia. Tecnologia.This study had as purpose to describe hospitalized clients conceptions on musical visitations and to analyze the importance of these visitations in the hospital context. The theoretical basis used on this study was Jean Watsons humanistic theory of nursing care and the contributions of Even Ruud related music and cultural context. A qualitative approach was used, and Sensitive-Creative Methodology was used for the data production through three dynamics called Body-Musical. The subjects were 14 clients admitted at a military hospital in Rio de Janeiro, Brazil. Data were analyzed by discourse analysis. The results indicate that musical visitations promote comfort, well-being, expression of emotions, autonomy and stimulate the creation of self resources for the hospitalizated clients. These also point the positive influence of visits to promote communication and the integration of participants at the hospital environment. DESCRIPTORS: Nursing. Music therapy. Technology.

Influência dos encontros musicais no processo terapêutico de sistemas familiares na quimioterapia

This paper investigated the implementation of music and narratives as a therapeutic care strategy for family systems participating in the Musical Encounters group during chemotherapy. We opted for Converging-Care Research, carried out at a military hospital in Rio de Janeiro involving 27 subjects, including clients and family meeting in a total of eight Musical Encounters. The results, based on the assessment of Musical Encounters by the subjects themselves, showed that the influence of music in the therapeutic process provides distraction and relaxation, as well as promotes acceptance and group interaction. They also pointed to the influence of narratives in producing group knowledge and stimulating the expression of experiences about the illness and its impact on family relationships, thus developing a support networkEste estudio se investigo la influencia de la musica y las narrativas en el proceso terapeutico de los sistemas familiares que participan en los Encuentros musicales durante la quimioterapia. Es una investigacion Convergente Asistencial, realizada en un hospital militar en Rio de Janeiro con 27 sujetos, incluidos los clientes y la familia, despues de haber llevado a cabo un total de ocho Encuentros Musicales. Los resultados, basados en la evaluacion de los Encuentros Musicales por los propios sujetos, mostraron la influencia de la musica en el proceso terapeutico para proporcionar distraccion y la relajacion, la promocion de la aceptacion y la interaccion del grupo. Tambien indicaron la influencia de las narrativas en la produccion de conocimiento grupal y estimulo para la expresion de experiencias sobre la enfermedad y su impacto en las relaciones familiares, y el desarrollo de una red de apoyo

Therapeutic music as a technology applied to healthcare and to the nursing teaching

Abstract Resumen 1 Enfermeira. Mestre e Doutoranda em Enfermagem. Musicoterapeuta. Chefe do Setor de Musicoterapia do Hospital Central do Exercito. Membro doNucleo de Pesquisa de Fundamentos do Cuidado de Enfermagem (NUCLEARTE) da EEAN/UFRJ. Brasil. E-mail: leilabergold@terra.com.br,2 Profa DraAdjunta do Departamento de Enfermagem Fundamental da EEAN/UFRJ. Coordenadora do Curso de Doutorado da Pos-Graduacao e Pesquisa da EEAN.Pesquisadora do NUCLEARTE. Brasil. E-mail: titonelli@terra.com.br PESQUISA RESEARCH - INVESTIGACION The dominance of technics in assistance many times makes itimpracticable to establish an expressive healthcare thatpromotes the humanization of the assistance practice. Thisstudy has tackled two researches that investigated the use ofmusic as a therapeutic resource applied to healthcare and nursingteaching: musical visitations and the musical dynamics. The paperwas based on the contributions of Even Ruud on the culturalcontext related to music and healthcare. The Sensitive-CreativeMethodology was used for the data production on bothresearches, carried out respectively with hospitalized clientsand nurses. The music visitation has been constituted as atechnology to the expressive healthcare, promoting comfort,lucidity, emotional expression and integration amongst clientsand of those within the environment. The dynamic music hasmobilized the production of subjectivities within the nurses,who discovered the possibilities of the creative use of music asa great resource in healthcare as well as in nursing teaching.Keywords: Nursing. Music Therapy. Technology. Creativeness.Leila Brito Bergold 2Resumen 1 Enfermeira. Mestre e Doutoranda em Enfermagem. Musicoterapeuta. Chefe do Setor de Musicoterapia do Hospital Central do Exército. Membro do Núcleo de Pesquisa de Fundamentos do Cuidado de Enfermagem (NUCLEARTE) da EEAN/UFRJ. Brasil. E-mail: leilabergold@terra.com.br, 2 Profa Dra Adjunta do Departamento de Enfermagem Fundamental da EEAN/UFRJ. Coordenadora do Curso de Doutorado da Pós-Graduação e Pesquisa da EEAN. Pesquisadora do NUCLEARTE. Brasil. E-mail: titonelli@terra.com.br PESQUISA RESEARCH INVESTIGACIÓN The dominance of technics in assistance many times makes it impracticable to establish an expressive healthcare that promotes the humanization of the assistance practice. This study has tackled two researches that investigated the use of music as a therapeutic resource applied to healthcare and nursing teaching: musical visitations and the musical dynamics. The paper was based on the contributions of Even Ruud on the cultural context related to music and healthcare. The Sensitive-Creative Methodology was used for the data production on both researches, carried out respectively with hospitalized clients and nurses. The music visitation has been constituted as a technology to the expressive healthcare, promoting comfort, lucidity, emotional expression and integration amongst clients and of those within the environment. The dynamic music has mobilized the production of subjectivities within the nurses, who discovered the possibilities of the creative use of music as a great resource in healthcare as well as in nursing teaching.

Death education: sensibility for caregiving

OBJECTIVE to report the application of a participatory teaching-learning method on the themes death, dying, and associate care to highlight its applicability to the students. METHOD report of application of participatory method in 22 students from the 6th period of the undergraduate program in Nursing and Obstetrics of a public university. The first stage focused on personal experiences of the students and the second on professional prospects. As resources for data collection we used music, drawing, drama, and photography. RESULTS after applying the method, the students assigned meanings to death and nursing care, reflected, criticized, and resignified experiences on the theme. CONCLUSION the method was considered applicable and effective to achieve the objective, that is, it enables learners to act as protagonists of the teaching-learning process, building together a new perspective of end-of-life care.

Laser-acupuntura no cuidado de enfermagem a pessoas hipertensas na atenção primária: relato de casos

Objective: To present the results obtained with the use of laser-acupuncture as a technology applied to nursing care for hypertensive individuals under medication treatment and with difficulties in controlling blood pressure. Method: Case reports accompanied by nurses in primary health care, articulated research project approved by the Research Ethics Committee. Results: Blood pressure control was observed in patients submitted to the proposed technique with a significant reduction in systolic and diastolic blood pressure levels between the first and last interventions. Conclusion: Laser-acupuncture helped in the acute control of the blood pressure of the study participants, announcing itself as a therapeutic possibility within the scope of nursing care for hypertensive individuals.

La influencia de los encuentros musicales en el proceso terapéutico de los sistemas familiares en la quimioterapia

This paper investigated the implementation of music and narratives as a therapeutic care strategy for family systems participating in the Musical Encounters group during chemotherapy. We opted for Converging-Care Research, carried out at a military hospital in Rio de Janeiro involving 27 subjects, including clients and family meeting in a total of eight Musical Encounters. The results, based on the assessment of Musical Encounters by the subjects themselves, showed that the influence of music in the therapeutic process provides distraction and relaxation, as well as promotes acceptance and group interaction. They also pointed to the influence of narratives in producing group knowledge and stimulating the expression of experiences about the illness and its impact on family relationships, thus developing a support networkEste estudio se investigo la influencia de la musica y las narrativas en el proceso terapeutico de los sistemas familiares que participan en los Encuentros musicales durante la quimioterapia. Es una investigacion Convergente Asistencial, realizada en un hospital militar en Rio de Janeiro con 27 sujetos, incluidos los clientes y la familia, despues de haber llevado a cabo un total de ocho Encuentros Musicales. Los resultados, basados en la evaluacion de los Encuentros Musicales por los propios sujetos, mostraron la influencia de la musica en el proceso terapeutico para proporcionar distraccion y la relajacion, la promocion de la aceptacion y la interaccion del grupo. Tambien indicaron la influencia de las narrativas en la produccion de conocimiento grupal y estimulo para la expresion de experiencias sobre la enfermedad y su impacto en las relaciones familiares, y el desarrollo de una red de apoyo

The influence of musical encounters in therapeutic process of family systems in chemotherapy

This paper investigated the implementation of music and narratives as a therapeutic care strategy for family systems participating in the Musical Encounters group during chemotherapy. We opted for Converging-Care Research, carried out at a military hospital in Rio de Janeiro involving 27 subjects, including clients and family meeting in a total of eight Musical Encounters. The results, based on the assessment of Musical Encounters by the subjects themselves, showed that the influence of music in the therapeutic process provides distraction and relaxation, as well as promotes acceptance and group interaction. They also pointed to the influence of narratives in producing group knowledge and stimulating the expression of experiences about the illness and its impact on family relationships, thus developing a support networkEste estudio se investigo la influencia de la musica y las narrativas en el proceso terapeutico de los sistemas familiares que participan en los Encuentros musicales durante la quimioterapia. Es una investigacion Convergente Asistencial, realizada en un hospital militar en Rio de Janeiro con 27 sujetos, incluidos los clientes y la familia, despues de haber llevado a cabo un total de ocho Encuentros Musicales. Los resultados, basados en la evaluacion de los Encuentros Musicales por los propios sujetos, mostraron la influencia de la musica en el proceso terapeutico para proporcionar distraccion y la relajacion, la promocion de la aceptacion y la interaccion del grupo. Tambien indicaron la influencia de las narrativas en la produccion de conocimiento grupal y estimulo para la expresion de experiencias sobre la enfermedad y su impacto en las relaciones familiares, y el desarrollo de una red de apoyo

Music visitation as a light technology of care

This study had as purpose to describe hospitalized client’s conceptions on musical visitations and to analyze the importance of these visitations in the hospital context. The theoretical basis used on this study was Jean Watson’s humanistic theory of nursing care and the contributions of Even Ruud related music and cultural context. A qualitative approach was used, and Sensitive-Creative Methodology was used for the data production through three dynamics called Body-Musical. The subjects were 14 clients admitted at a military hospital in Rio de Janeiro, Brazil. Data were analyzed by discourse analysis. The results indicate that musical visitations promote comfort, well-being, expression of emotions, autonomy and stimulate the creation of self resources for the hospitalizated clients. These also point the positive influence of visits to promote communication and the integration of participants at the hospital environment. DESCRIPTORS: Nursing. Music therapy. Technology. LA VISITA MUSICAL COMO UNA TECNOLOGIA LEVE DEL CUIDADO RESUMEN: Este estudio tuvo el objetivo de describir las concepciones de los pacientes hospitalizados acerca de las visitas musicales y analizar la importancia de esas visitas en el contexto hospitalario. La base teorica utilizada en este estudio fue la teoria humanistica del cuidado de enfermeria de Jean Watson y las contribuciones de Even Ruud acerca de la musica y del contexto cultural. Los datos de la investigacion fueron producidos por medio del metodo creativo-sensible a traves de tres dinamicas denominadas cuerpo musical. Los sujetos fueron 14 pacientes internados en un hospital militar de la ciudad de Rio de Janeiro. Para el analisis de los datos fue utilizado el analisis del discurso. Los resultados indican que las visitas musicales producen confort, bienestar, expresion de las emociones, autonomia y estimulan la creacion de recursos propios a los pacientes hospitalizados. Los sujetos tambien senalan el beneficio de las visitas para el ambiente hospitalario al promover la comunicacion e integracion de los participantes DESCRIPTORES: Enfermeria. Musicoterapia. Tecnologia.This study had as purpose to describe hospitalized clients conceptions on musical visitations and to analyze the importance of these visitations in the hospital context. The theoretical basis used on this study was Jean Watsons humanistic theory of nursing care and the contributions of Even Ruud related music and cultural context. A qualitative approach was used, and Sensitive-Creative Methodology was used for the data production through three dynamics called Body-Musical. The subjects were 14 clients admitted at a military hospital in Rio de Janeiro, Brazil. Data were analyzed by discourse analysis. The results indicate that musical visitations promote comfort, well-being, expression of emotions, autonomy and stimulate the creation of self resources for the hospitalizated clients. These also point the positive influence of visits to promote communication and the integration of participants at the hospital environment. DESCRIPTORS: Nursing. Music therapy. Technology.