With a projected global increase in incidence of cancer the need for supportive cancer care is
also on an increase. Nurses are tasked to care for the psychological and social needs of the
patients. However, patients and nurses do not always perceive that these needs are being
fulfilled. Bonny Method of Guided Imagery and Music (BMGIM) has physical, psychological,
social and spiritual effects which can enhance supportive cancer care. However, no research
could be found on the use of BMGIM in the care of cancer patients receiving chemo- or
The aim of this study was to implement and evaluate the complementary effect of the BMGIM
on the physical, psychological and spiritual wellbeing of patients in selected cancer interim
homes in Gauteng, South Africa.
1. To conduct a systematic review to identify methods that have been used to implement
the BMGIM in other health care settings, and evaluate the reported effectiveness of the
BMGIM in cancer care contexts;
2. To implement the BMGIM in selected cancer interim homes in order to introduce an
existing music therapy method into a new setting;
3. To evaluate cancer patients experiences during BMGIM therapy, as well as to evaluate
the effects of the BMGIM on patients physical, psychological and spiritual wellbeing
for the duration of their stay in the cancer interim home.
Within the research design of intervention research a prospective intervention study supported
by a simultaneous qualitative approach, phenomenology, was conducted. The population of the study was cancer patients receiving chemo- or radiotherapy while living
in a cancer interim home or in their private home. Through a purposive sampling, a sample size
of 24 was achieved. In phase one a systematic review was conducted. Evidence gathered
informed the implementation of BMGIM in phase two. Phase three involved evaluation of the
effect of BMGIM through administration of a demographic questionnaire, Symptom Distress
Scale, Psychological General Well Being Index and Spiritual Index of Well Being. Qualitative
data in the form of session summary forms, photographs of the mandala and unstructured
interviews were also used to collect data. Data analysis in the quantitative domain included
adoption of descriptive and inferential statistical methods. While the process of coding and the
development of constituents and the essence of the findings were used in the qualitative
domain. Throughout the study ethical principles were adhered to. Measures of validity,
reliability and trustworthiness ensured quality assurance.
The intervention of BMGIM was found to bring about improvements in the physical,
psychological and spiritual wellbeing of the participants. The quantitative domain indicated
significant improvements in fatigue and quality of pain. Improvements were also found in
psychological and spiritual wellbeing though the small sample size influenced the significance
of the findings. The qualitative domain findings were encapsulated in six constituents namely
Underlying mechanism of action of the BMGIM, Development of coping strategies,
Juxtaposition of images and their meaning, Experience of physical wellbeing, Experience of
psychological wellbeing, and Experience of spiritual wellbeing and in the essence. The
BMGIM was found to be a method through which patients experienced holistic care.
Recommendations in nursing practice, education, administration, research were made.