Project | Music in Dijklander Hospital
The Muziekmaatjes (Music Buddies) project brings live music to children and their families in the pediatric ward of the Dijklander Hospital in Hoorn. From November 2024 to October 2025, specially trained music teachers from Boedijn Music School in Hoorn make music ‘with and for’ children and their families in the ward.
The musical sessions take place twice a week. The music teachers are briefed by the hospital’s medical pedagogical staff, and personalise the music for each patient, for example, gentle sounds for a newborn, an upbeat and fun song for an eight-year-old, and a ukulele lesson for a teenager. Throughout, parents are encouraged to join in the creativity.
The Music Buddies programme supplements the care provided by medical and nursing staff, supporting the wellbeing of both the children and their families. Read more about Muziekmaatjes in the article by the Noordhollands Dagblad.
According to Music Buddies project leader Ciska Ruitenberg, when she participated in the Arts in Health Summer School in June 2024, the idea for the programme was already brewing. An experienced musician and music teacher, Ruitenberg had been in conversation with Dijklander pediatrician Noud Drewes, who wanted to use live music to help his young patients feel more human and alive during treatment and recovery. Ruitenberg says, “As a teacher I know how live music can lift the spirits of young people. The idea of a hospital pilot program takes that to the next level”.
Working with Drewes and hospital staff, Ruitenberg developed a proposal for the Music Buddies pilot and submitted it to the VSB fund, which specializes in social domain projects. VSB is partnering with Arts in Health Netherlands and Music Buddies to evaluate the pilot.
The evaluation research is being conducted by Arts in Health Netherlands science director Ferdinand Lewis and research associate Nina van den Berg. Researcher van den Berg says, “We are evaluating the implementation and outcomes of the programme. We will be able to say how the programme works, what needs to be adjusted, and how to make it sustainable for the future.” In the long term, the project partners hope to expand Muziekmaatjes to other departments, including the pediatric ward in the Dijklander Hospital location in Purmerend.
Decades of scientific research show that the arts can reduce patient stress and pain, promote a sense of comfort and safety in hospital environments, and even shorten hospital stays. Music can also help patients deal with difficult treatments, and feel more engaged and ‘human’ in the high-tech hospital environment. “Especially for children in treatment, the arts can help build connections with their ‘hospital family’ Van den Berg adds, “including their loved ones, caregivers and the musicians”.
The goal of the programme is to promote a sense of connectedness and normality for patients. Ferdinand Lewis says, “These artists are trained to be highly sensitive to the patient’s needs, and they never pressure anyone to participate: If a child feels well enough to hear some music––and especially if they want to join in––that child is identifying with the part of themselves that is curious, joyous, and free to make choices”. Lewis adds that for parents, “Seeing their child being well, even in this small way, can also help families feel normal and connected”.
For Ciska Ruitenberg and her Music Buddies team, the project is about much more than music. “We don’t go in with a set routine,” Ruitenberg says. “It’s about being present and responding to what a child or family needs at that moment. Sometimes that means playing quietly, sometimes it means making up a song together. It’s small, but it can really make a difference.”
Want to learn more about music for children in hospitals?
Scientific studies show that live music can help children in hospitals regulate emotions, reduce anxiety, and feel more at ease in the stressful environment (Giordano et al., 2020; Blackburn, 2020a; Bush et al., 2021). Music can have the effect of lowering heart rate and breathing, or creating a calmness that can reduce the need for medication in some cases (Colwell et al., 2013; Grebosz-Haring & Thun-Hohenstein, 2018).
Live music can help children shift their focus away from the pain and discomfort of medical procedures (Sundar et al., 2016; Uggla et al., 2019). In cases where children are hospitalized for longer periods, live music has been associated with reduced feelings of passivity and an increased sense of control—especially when music is personalized or improvised (Colwell et al., 2013).
Music can create a sense of normalcy and connection even in a clinical environment, leading families and caregivers to report feeling more like a “hospital family” (Blackburn, 2020b; Giordano et al., 2021). For parents, participating in the intervention can strengthen their sense of involvement in the child’s care, which in turn helps the parent––and the child––feel safer and more supported (Preti & Welch, 2011; Yates et al., 2018).
Blackburn, C. (2020a). Family members' perceptions of a Singing Medicine project in a children's hospital. Nursing Children and Young People, 32(1), 23–29.
Blackburn, C. (2020b). Music-making for hospitalized children and their families: A qualitative thematic analysis of Music-Making Sessions in a UK children’s hospital. Music and Medicine, 12(1), 45–56.
Bush, A. M., O'Malley, A., & Peterson, B. M. (2021). Music therapy as an adjunctive treatment in the management of stress for patients being weaned from mechanical ventilation. Journal of Music Therapy, 58(1), 14–36.
Colwell, C. M., Edwards, R., & Hernandez, E. (2013). The use of music therapy in pediatric oncology: A case review. Music Therapy Perspectives, 31(2), 162–166.
Giordano, F., Rutigliano, C., De Leonardis, F., Rana, R., Neri, D., Brienza, N., & Santoro, N. (2021). COVID-19 and absence of music therapy: Impact on mother-child dyad during invasive procedures in pediatric oncology. The Arts in Psychotherapy, 75, 101839.
Grebosz-Haring, K., & Thun-Hohenstein, L. (2018). Music therapy for children and adolescents. European Journal of Pediatrics, 177(6), 919–923.
Preti, C., & Welch, G. F. (2011). Music in a hospital setting: A multifaceted experience. British Journal of Music Education, 28(3), 329–345.
Sundar, S. S., Kim, J., & Zhang, B. (2016). Music for pain relief: Effects on pain intensity and perceived control over pain. Journal of Music Therapy, 53(4), 441–459.
Uggla, L., Mårtenson Blom, K., Bonde, L. O., Gustafsson, B., & Wrangsjö, B. (2019). An explorative study of qualities in interactive processes with children and their parents in music therapy during and after pediatric hematopoietic stem cell transplantation.
Yates, T., Stanyon, M. R., & Sampson, E. L. (2018). The role of music therapy in the care of hospitalized children: A systematic review of literature. Journal of Pediatric Nursing, 43, 45–52.