Palliative Inpatients’ Experiences with Equine Therapy: A Qualitatively Driven Mixed-Method Exploratory Study
AUTHORS
K. J. Cairns,University of New Brunswick, Fredericton NB Canada
K. D. Weaver,University of New Brunswick, Fredericton NB Canada
M. A. McNiven,University of Prince Edward Island, Charlottetown PE Canada
ABSTRACT
With advances in modern medicine, Canadians are living longer with chronic illnesses. While many live at home, those in inpatient units may require comfort measures to complement treatment programs. Anecdotal evidence established that equine (horse) therapy can be beneficial, but there has been limited research about the utilization of horse therapy within the inpatient palliative care population in Canada. The study aimed to understand palliative inpatients’ experiences with equine therapy. Of eight adult palliative care unit inpatients recruited by nursing staff, six (aged 58 – 82) completed the study. A qualitatively driven mixed-methods research design was used to collect qualitative data via individual interviews with participants, and quantitative data through inpatient records and the revised Edmonton Symptom Assessment System (ESASr). The quantitative data, analyzed using a non-parametric sign test, guided the interview questions. Then, narrative analysis of the interview data allowed rich descriptions and exploration of the participants’ real-life experiences. The results of the study identified equine therapy as an effective intervention that allowed participants to "live in the moment." Narrative threads of quality of life, fatigue, distraction, reminiscence, and identification with the therapy horse were examined. This research project outlays an innovative approach for conducting horse therapy within an institutional setting and begins to scientifically address the knowledge gap on the meaning of horse therapy to the adult palliative care inpatient population.
KEYWORDS
Animal assisted therapy, Equine therapy, Mixed-methods, Narratives, Palliative inpatients
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