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By Paula Lambert
Athabasca University
NURS 608
March 5, 2019
About the Theorists
Dr. Phil Barker is a psychotherapist and the United Kingdom’s first Professor of Psychiatric Nursing at the University of Newcastle (1993–2002)
A social worker for over 25 years, Poppy Buchanan-Barker is a therapist and counselor.
Assumptions
1. A belief in the advantage of curiosity
2. Appreciation of resourcefulness and the power it holds
3. Respect for the patients wishes
4. Acceptance of the view that crisis is an opportunity
5. Acknowledging that all goals must belong to the patient
6. The benefit of the pursuit of elegance, or seeking the simplest means possible
The process of engaging with the patient takes place in three distinct areas -->
Includes other relationships of the patient (those of the past, present, and future)
E.g. health care team members, friends, family, and other supporters
1. The patient’s story is vital and this voice must be valued
2. Allow the patient to use his or own language and respect the language
3. Show interest in the patient’s story through genuine curiosity
4. Learn from the person you are helping- become the student
5. The patient is the expert in their own story, which reveals personal wisdom
6. Transparency helps to make certain the patient comprehends what is being done
7. The patient's story contains valuable information -like a tool kit for what works and what does not
8. Collaborate on designing a sense of urgency or an appreciation of what needs to be done “now”
9. Provide the gift of time, which allows for change and ensure time is use appropriately
10. A common experience for all is that change is constant
There are twenty competencies (two for each commitment) with a focus on practice. The competencies support with the appraisal of recovery practice and thereby by generating evidence that is practice-based for the theory.
It is from this shipwrecked state (caused by life problems) that the nurse is guided to care for the client.
Once rescued, a journey of exploration is begun to seek out the cause of the “storm” or problems related to human living.
The goal of care is to support the client in understanding what needs to occur for them to return with “full sails” onwards in life’s journey.