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Copy of Copy of Tidal Model Theory
Transcript of Copy of Copy of Tidal Model Theory
Tidal Model Theory
Philip Barker, PhD., RN, FRCN
Practicality in Nursing Practice
Setting Nursing Apart from other Professions
Application to Contemporary Nursing
According to Barker (2010) "The tidal model emphasizes ways that we might help people become more aware of the changes going on within them and how they might influence those changes to affect positive changes for them."
Using the Tidal Model Theory in today’s practice would be seen as an individualized process basing all of the procedures, medications, and nursing preparations towards the patient to make a personalized plan of care.
•People, who were on the receiving end of Tidal Care, usually end up benefitting the overall model for others suffering from psychiatric illnesses (Barker & Buchanan, 2008).
•The Tidal Model is based on caring ‘with’ the patient rather than caring ‘for’ the patient by allowing them to participate in their own plan of care. With this, the nurses are then saving the time that is needed to maintain a well put together, active plan of care (Barker & Buchanan, 2008).
•According to Steven Michael, “Having observed the Tidal Model in operation in different care settings, I have always been struck by the powerful impact it has had in enabling service users to take control of their situation and find a path back to a way of living and being that promotes self-esteem and value” (as cited in Barker & Buchanan, 2008).
Set many precedents in Great Britain...
One of the first nurse psychotherapists.
One of the first nurse clinicians to get a Ph.D.
First Professor of psychiatric nursing at Newcastle Uni.
Honorary Doctorate at Oxford University, 2001
Author of 14 books
Developed the Tidal Model Theory
Tidal Model Theory
(Barker & Buchanan, 2010)
Create a sense of security/safety
People hold their story
Practitioner explores the resources in the person's "world"
Past, present, and future relationships
Developed from a 5 year study investigating the 'need for nursing' at Newcastle University (Barker, 2001)
Metaphors: Water is a Core Concept
Does not focus on a 'proper' life course, but rather the support one needs given their life situation.
The Ten Commitments
(Nursing Theory, 2011)
1) Value the voice.
2) Respect the language.
3) Develop genuine curiosity.
4) Become the apprentice.
5) Reveal personal wisdom.
6) Be transparent.
7) Use the available toolkit.
8) Craft the step beyond.
9) Give the gift of time.
10) Know that change is constant.
(4) The person possess all the resources they need to begin the recovery journey.
(5) The person is the teacher and the helpers are the peoples.
(6) The helper needs to be creatively curious in order to learn what needs to be done to help the person.
(1) Recovery is possible
(2) Change is inevitable. Nothing lasts.
(3) Ultimately, people know what is best for them.
The Engagement Process
(Nursing Theory, 2011)
• “Developed for use in the most challenging situations” (Barker & Buchanan, 2010). – Psychiatric health settings, acute care health settings, disruptive patients throughout any healthcare setting, etc.
• “The person is encouraged to retain copies of all the assessments and care plans developed during their stay” (Barker & Buchanan, 2010). – By keeping their own personal reference copies, individuals are better able to prepare family members and loved ones of needed care. If anything is unclear during discharge teaching and the patient is too embarrassed to ask, they can refer to the sent home documentation.
“The Tidal Model gives precedence to the story told by the person…” (Barker, 2001). – As with pain, certain parts of the assessment are subjective in nature. As nurses, we have to take what the patient says at face value
“By embracing the principles of empowering interactions drawn from empirical research…” (Barker, 2001) – As stressed from the beginning, empowering the patient promotes healing and overall comfort of the patient. The more they are aware of, the more they are involved, the more they can handle their own illnesses when discharged.
“Their primary role is not to cure or heal people directly, but to organize the conditions under which the person might be health by Nature or by God” (Barker, 2001). – Nursing specifically focuses on healing the WHOLE person. In order for a body to function properly, all levels need to be intact and healthy. One stressed out area can cause disarray in another. Ex: Betty Neumann Model.
“Given that the recovery is highly individual…” (Barker & Buchanan, 2010). – As with any situation, taking an individualized approached allows for better management of the patient and problems they present. Ex: Nursing care plans