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About ProMiMiC
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Professional Excellence in Meaningful Music in Healthcare (ProMiMiC), the RAAK-Pro funded research project aimed at expanding and improving the existing practice of MiMiC in collaboration with international partners from music and healthcare, is in full swing despite the pandemic.
This newsletter sheds light on the different locations’ research activities thus far, in which the development of interprofessionality and insights into nurses’ compassion were focal points in so-called ProMiMiC research labs.
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London: Music on the natal ward
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The ProMiMiC project run by the Centre of Performance Science of Royal College of Music London (RCM) is based at the pre- and post-natal wards of Chelsea and Westminster hospital, working in collaboration with a mediator from CW+, the charity at this institution. Musicians connected with patients to create individual musical interactions over Zoom. Patients received a private call on their mobiles that allowed them to participate in sessions from their hospital beds. Zoom had distinct benefits, as it created private moments of connection on busy wards, but there were technical limitations as well. Patients reported it has been 'uplifting' and 'calming', as they are often waiting to be induced into labour. Highlights were e.g. a New Zealand mountain-scape for an expectant mother far away from home and improvising upon mothers’ chosen baby names.
The musicians, all RCM alumni, have enjoyed interacting with patients so close to labour: 'Literally, we have played the last live music that they are going to hear before that baby pops out!' The work has impacted their professional practice, as they become more confident as communicators and patient mediators. They feel this work requires a high level of emotional understanding as well as musical skill.
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More about the project in London
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Vienna: Music therapists and musicians collaborate
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The three ProMiMiC labs in Vienna took place in the radiation therapy ward of the Vienna General Hospital (AKH) / Medical University of Vienna. As the focus in Vienna is on the interprofessional learning processes of musicians and music therapists, a music therapist was part of the trio of musicians. The first two labs, in February and July 2021, were hybrid. The sessions were streamed from a concert hall at the University of Music and Performing Arts Vienna (mdw) and the mediator on the hospital ward - also a music therapist - took care of the technical and emotional support. Involving doctors and nurses proved to be a challenge due to pressures of work. But one doctor described the psychological impact of the music: he would 'instantly be somewhere else'. The head physician said: '[This project] is even better than I expected! These are important elements of patient care.'
The third lab, in September 2021, was the first live project and offered insights into the value of direct contact and connections with patients. In the hall of the ward on the final day, the trio played and lured patients out of their rooms. An older woman in pyjamas sat down and said with a laugh: 'Forgive me for not having put on eveningwear.'
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Click here for videos from Vienna
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The Hague: Compassionate care through live labs
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In September 2021 a live lab took place for the first time in The Hague. Musicians played on the neurology ward of HMC Westeinde, where patients need a lot of care. As in Groningen, the focus is on identifying components of interprofessional learning and collaboration between musicians and staff. And on studying patient contact and compassionate care of nurses. As part of the curriculum of the Royal Conservatoire The Hague, students will participate in the labs at HMC Westeinde hospital in the beginning of 2022.
'In terms of learning from the nurses, I was observing the way they were touching their patients and caring for them during the music making; I was convinced that in those moments their care was intertwined with the musical situation: it was not either care or music, it was both at the same time. Very special to witness.' (Musician)
'Music means so much to the patients.' (Nurse)
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Groningen: Nurses missing musicians
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'We miss our musicians', said the nurses in June 2020, in the wake of the first COVID-19 lockdown, working on the wards where person-centred music making projects had been running since 2015. Due to the restrictions the first two ProMiMiC labs took place virtually in June and July. Virtual person-centred music-making streamed ‘live’ from the musicians’ homes, connecting to patients through Zoom. One nurse saw a male patient, lying on the ward for a long time, experience a moving fado-improvisation. She told to have seen a side of the patient which she had not seen before that might help her in providing even better care for him. So, despite the music and the connections being made online and the burden of COVID-19 restrictions, music could still elicit meaningful moments and offer the nurses a catalyst for compassionate care.
Another four ProMiMiC labs took place on-site at the University Medical Centre Groningen in the autumn of 2020. This time the projects were live ‘on-site' again. Group discussions between musicians and nurses were one of the data collection strategies, which provided insights about the nature of the interprofessional relationship on the wards. A nurse mentioned: 'It feels as if we are equals, as a genuine collaboration'. Possibilities for further developing the relationship were explored in the discussions.
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More about the ProMiMiC project
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Next phase of the project
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The outcomes of these research labs will be used to inform MiMiC projects, where the interprofessional collaboration between musicians and nurses, and musicians and music therapists comes to the fore, based on the research conducted so far.
This stage of the project will start in March 2022. The ProMiMiC researchers are currently processing the data and preparing this new phase.
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ProMiMiC consortium partners
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ProMiMiC is led by the Research group Music in Context (the succesor of Lifelong Learning in Music) of Hanze University Groningen. Partners in the project are University Medical Center Groningen, Research group Nursing Diagnostics of Hanze University, Royal Conservatoire The Hague, Medical Centre Haaglanden, University of Music & performing Arts Vienna, Allgemeines Krankenhaus Vienna, Royal College of Music / Centre of Performance Science London, Chelsea and Westminster Hospital London, and Foundation Mimic Muziek.
The project is co-financed through the RAAK-Pro programme of Regieorgaan SIA, part of the Dutch Research Council (NWO).
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