Tiwaa, Nana A.

Introduction: Inclusive hair and skin care are essential for culturally congruent health care; however, hospitalized patients with textured hair and skin of color experience limited access to appropriate products. Nursing staff also report gaps in knowledge related to culturally responsive care of hair and skin. This initiative aimed to improve care through product access and education. Methods: A quality improvement project was conducted at a Midwestern academic medical center. Surveys of nurses, patient care assistants, and employee resource groups informed product selection and education design. Interventions included stocking products and providing education supported by a webpage and video library. Results: Post-education evaluations showed increased knowledge of hair and skin care, along with improved confidence and ability to provide culturally sensitive care. Discussion: Addressing hair and skin care through access to products and education enhances patient care. This model offers a replicable framework to improve inclusive hair and skin care practices.

Purpose There is emerging evidence that music therapy (MT) is an effective tool within palliative care to manage patients’ complex needs. This performance improvement project aimed to assess palliative care staff members’ attitudes toward the current utilization of MT within the institution’s hospital-based interdisciplinary practices. Methods Eighty-four staff members practicing within hospital-based palliative care teams were invited to complete a voluntary anonymous mixed methods survey about their impressions of current MT integration. Survey questions inquired about reasons for MT referral, most common pertinent symptoms, perceived benefit to patients, future suggestions for growth, unexpected experiences, and perceived personal benefit to staff. Major Findings Fifty-one staff members (61%) responded. Top reasons for MT referral were psychosocial support, pain and symptom management, and coping. The most common symptom-focused indications were anxiety, mood, and existential distress. A variety of factors influenced decisions to refer for MT. Most felt that at least half of their patients could benefit from MT, and nearly all rated MT as “extremely” or “very” effective for improving patients’ quality of life. Suggestions for potential growth for MT in palliative care in the future centered on themes of greater availability, increased variety and collaboration, research opportunities, and staff members’ desire to receive more exposure to MT. Conclusions In this single-institution performance improvement project, staff attitudes were highly favorable toward MT for palliative care patients. MT is utilized for a variety of reasons, can be highly effective for improving patients’ quality of life, and may also be of direct benefit to staff.