The tidal model: the lived‐experience in person‐centred mental health nursing care

Nursing Philosophy - Tập 2 Số 3 - Trang 213-223 - 2001
Phil Barker1
1Professor of Psychiatric Nursing Practice, University of Newcastle, Department of Psychiatry, Royal Victoria Infirmary, Newcastle Upon Tyne NE1 4LP, UK

Tóm tắt

Abstract Nursing theories and nursing models have a low profile within psychiatric and mental health nursing within the United Kingdom. This paper considers some of the historical, policy and rhetorical issues that may have framed nursing's relative dependency on the medical paradigm, and briefly considers some of the ethical challenges, which proposed ‘extensions’ of the nurse's role might have for a ‘caring’ discipline.The paper describes the philosophical background of the Tidal Model, which emerged from a series of studies of the ‘need for psychiatric nursing’. The Tidal Model extends and develops some of the traditional assumptions concerning the centrality of interpersonal relations within nursing practice, emphasizing in particular the importance of perceived meanings within the lived‐experience of the person‐in‐care and the role of the narrative in the development of person‐centred care plans. The model also integrates discrete processes for re‐empowering the person who is in mental distress, and provides a practical template for the exploration of the spiritual dimensions of the person's lived‐experience, if appropriate.

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