Tidal Model of Mental Health Nursing Throughout history, mental health has been difficult to categorize into specific qualities, and outcomes. Due to the notion of uncertainty in defining mental health, the recovery process for mental health has been lost in the convoluted perception. Phil Barker developed the Tidal Model of Mental Health theory, a philosophical approach to illuminate recovery within the ill patient in order to find one’s true self. The implication of this theory emphasizes the importance of the nurse’s ability to use the patient’s journey through their sickness to help find the patient’s voice again, and not create a stagnant template for recovery. Discussion of Theorist To begin, Phil Barker was a former professor at the …show more content…
The Tidal Model was developed over a four-year period refocusing on the significance of patients’ needs in mental health care (Barker, 2001). The model consists of six specific interpersonal interactions that help enable the patient’s empowerment and aid in recovery. The first assumption consists of inferring that every mental health patient has a belief in the virtue of curiosity (Barker, 2001). I.E. The ability of the nurse to express curiosity allows the patient to reveal the mystery behind the patient’s story, which will help the patient find a recognizable voice within (Barker, 2001). The second assumption recognizes the power of resourcefulness though communication with the patient, rather than focusing on the patient’s weaknesses (Barker, 2001). I.E. Allow the patient to convey their complete journey, even if the information does not seem relevant to the circumstance, this is all very crucial in the discovering of the patient’s mental health. The third assumption focuses on the importance of the nurse respecting the patient’s wishes, rather than being paternalistic (Barker, 2001). The fourth assumption is acceptance of the paradox of crisis as an …show more content…
In order for the Tidal Model to be implemented three distinct, yet interrelated domains must be identified. I.E Self, World, and Others represent the dimensions of human existence and overall relationship to the person’s story (Barker & Buchanan-Barker, 2010). If the patient is highly disturbed the initial focus may need focus on a personal security plan that identifies the concerns deep within the patient’s private world (Barker & Buchanan-Barker, 2010). Once personal security is intact, the nurse can encourage the patient to tell their story. Consequently, if the patient is reluctant to engage in revealing their past experiences the nurse should encourage the patient to join groups, and listen to other patients’ stories (Barker & Buchanan-Barker,
As medical advances are being made, it makes the treating of diseases easier and easier. Mental hospitals have changed the way the treat a patient’s illness considerably compared to the hospital described in One Flew Over the Cuckoo’s Nest.
Recovery and professional caring both are integrated in everyone’s career as a nurse. As nurses we need to aid individuals in the recovery process, as well as promoting a professional and caring environment for them to strive in. Jean Watsons Theory of Human Caring and the Repper and Perkins recovery model both inter-relate in recovering from an illness. In all three of the recovery models components that are inter-related, authenticity is needed to make the connections with the patients, especially with the model being based on individual adaption and preference (Bennet et al., 2014, p. 39). This is more of a contemporary way of thinking as it more relates to change and growth of the individual (Collier, 2010, p. 17). To be able to aid a patient to make a full recovery, the patient must have the resources and support, with good intentions and authenticity from those who are enabling them, such as nurses.
Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
The Egan Model of counseling can be integrated into one of the principles of psychiatric nursing called motivational interviewing. Egan Model is used to help the counselor use structured and specific skills to assist the client to move forward. Motivational Interviewing “is a client centered, directive therapeutic style to enhance readiness by helping clients explore and resolve ambivalence” (Hettema, 2005, page 91). These models can easily be integrated into each other; there are many ideas and steps that overlap and complement each other.
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
middle of paper ... ... However, there is a large portion of mental health ill people that are able to find stability and maintain stability in their illness. Many of these people overcome their illness to some extent and manage to play an important role in society. Work Cited: Claire Henderson, Sara Evans-Lacko, Clare Flach, Graham, Thornicrofi.
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
Nursing care is delivered to all clients recognizing that each individual as having different things working together as one unit. Nursing clients can be individuals, family, friends or a community of people. A person is a whole, a biophysical being who is clear and sensible, social, emotional, sexual, and deep down healthy. A person possesses possible ability to discover and give knowledge and skills to others, and to learn, grow, and change. As a clear and sensible being, a person uses their brain to seek out knowledge and truth. In a social setting, a person communicates with others and establishes various roles within society. Emotionally a person is able to offer empathy and compassion in certain situations that bring forth those feelings. Spiritually, a person is always pondering why we are here
The Mental Health Nurse (MHN) role has changed over the last thirty years with scientific experiences suggesting that modern MHNs have further autonomy (Whittington & McLaughlin, 2000). Models of nursing have been offered throughout the history as pathways to empowering practice between the MHNs and service users. The Tidal Model
Giving verbal instructions, guidance and reassurance to mental health patients is essential for nurses. Teaching patients how to cope with their mental disorders helps them feel more empowered and in control, in a situation where they have very little control over their
Wrycraft, N, 2009. An Introduction to Mental Health. 1st ed. Glasgow: Bell and Bain Ltd.
One in five Americans, approximately 60 million people, have a mental illnesses (Muhlbauer, 2002).The recovery model, also referred to as recovery oriented practice, is generally understood to be defined as an approach that supports and emphasizes an individual’s potential for recovery. When discussing recovery in this approach, it is generally seen as a journey that is personal as opposed to having a set outcome. This involves hope, meaning, coping skills, supportive relationships, sense of the self, a secure base, social inclusion and many other factors. There has been an ongoing debate in theory and in practice about what constitutes ‘recovery’ or a recovery model. The major difference that should be recognized between the recovery model and the medical model is as follows: the medical model locates the abnormal behavior within an individual claiming a factor that is assumed to cause the behavior problems whereas, the recovery model tends to place stress on peer support and empowerment (Conrad and Schneider, 2009). This essay will demonstrate that the recovery model has come a long way in theory and practice and therefore, psychological well-being is achievable through this model.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
Mental health can be seen as a continuum where illnesses are defined as patterns of behaviour that cause psychological suffering, distress and disability preventing adequate functioning with the potential of risk of harm to the self or others (Martins-Mourao, 2010, p. 92).
According to the C.D.C ( Centers for Disease Control) the term mental health is commonly used in reference to mental illness. However, knowledge in the field has advanced to a level that completely separates the two terminologies. But even so mental health and mental illness are indeed in fact related, they represent different psychological state of mind with in a person. Mental health refers to our physical and emotional well being. Mental health is mainly all about how we behave, interact, and think. It c...