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Transcript

Tidal Model Theory

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.

What is the Tidal Model?

  • The Tidal Model primarily focuses on Mental Health Recovery

  • It is a middle-range theory of nursing that can be used as the basis for interdisciplinary health care

  • The uncertain and limitless nature of human experience and behavior is held in comparison to the power and flow of water and the tides of the sea

  • Helping individual patients create their own voyage of discovery is the main focus of the Tidal Model including sense of self, perceptions, thoughts, and actions

Core Concepts

Core Concepts

  • An holistic model of care which promotes empowerment, self management and recovery based on the personal stories of the users of the service

  • It is person centered

  • Rather than "caring for", it involves "caring with"

  • The experience of the patient is viewed as therapeutic rather than restricting

  • The focus is on the issue of extraordinary experiences or "problems with living" rather than mental illness

Six Key Philosophical Assumptions

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

To begin the process of engagement using the Tidal Model it needs to be accepted that:

What must be accepted?

  • It is possible to recover
  • Change is necessary
  • The patient ultimately knows what is best for him or her
  • The patient holds all the resources required to begin the recovery journey
  • The patient is the teacher and the helpers are the learners
  • The helper needs to be curious, and to learn what needs to be done to help the individual

The process of engaging with the patient takes place in three distinct areas -->

Self

  • Where people "feel" their world of experiences
  • There is a focus on making people feel more secure
  • The patient is helped in developing a security plan to reduce pressures to themselves or those around him or her

World

  • The patient holds his or her story
  • Inquiry is used to explore the story together, illuminating its hidden meanings, the resources available to the patent, and to identify what needs to be done to help the recovery

World

Includes other relationships of the patient (those of the past, present, and future)

E.g. health care team members, friends, family, and other supporters

Others

Values are expressed as

Ten Tidal Model Commitments

Values

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.

A final note

References

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