Page 651 - alligood 8th edition_Neat

632 UNIT V Middle Range Nursing Theories

BOX 32-1 The Ten Tidal Commitments: Essential Values of the Tidal Model—cont’d
common story for all people. However, al- process, the professional’s pen can all too
though change is inevitable, growth is optional. often become a weapon: writing a story that
Decisions and choices have to be made if risks inhibiting, restricting, and delimiting
growth is to occur. The tasks of the professional the person’s life choices. Professionals are in
helper are to develop awareness of how change a privileged position and should model confi-
is happening and to support the person in dence by being transparent at all times, help-
making decisions regarding the course of the ing the person understand exactly what is
recovery voyage. In particular, we help the per- being done and why. By retaining the use of
son to steer out of danger and distress, keeping the person’s own language, and by completing
on the course of reclamation and recovery. all assessments and care plan records together
10. Be transparent: If the professional and the (in vivo), the collaborative nature of the pro-
person are to become a team, then each must fessional-person relationship becomes even
put down their “weapons.” In the story-writing more transparent.

Barker, P. J. (2003b). The 10 Commitments: Essential Values of the Tidal Model. Retrieved from http://www.tidal-model.com/Ten%20Commitments.htm.

MAJOR CONCEPTS & DEFINITIONS
The Theoretical Basis of the Tidal Model * effective nursing happens, as W. B. Yeats
The Tidal Model begins from four simple, yet impor- (1928) might have remarked, “How do we tell
tant starting points: the dancer from the dance?” This reminds us
1. The primary therapeutic focus in mental health that genuine caring encounters involve “caring
care lies in the community. A person’s natural with” the person, not just “caring about” the
life is an “ocean of experience.” The psychiatric person, or doing things that suggest we are
crisis is only one thing, among many, that might “caring for” them.
threaten to “drown” them. Ultimately, mental The Three Domains: A Model of the
health care is aimed to return people to that *
“ocean of experience,” so that they might con- Person
tinue their life voyage. In the Tidal Model, the person is represented by
2. Change is a constant, ongoing process. Although three personal domains: Self, World, and Others. A
people are constantly changing, this may be be- domain is a sphere of control or influence, a place
yond their awareness. One of the main aims of where the person experiences or acts out aspects of
the approaches used within the Tidal Model is private or public life. Simply, a domain is a place
to help people develop their awareness of the where one lives.
small changes that, ultimately, will have a big The domains are like the person’s home address.
effect on their lives. Their house or flat has several rooms, but the person
3. Empowerment lies at the heart of the caring is not found in each of these rooms all the time;
process. However, people already have their rather the person is sometimes in one room, and
own “power.” We need to help people “power sometimes in another. The personal domains are
up,” so they can use their own personal power similar. Sometimes the person is mainly in the Self
to take greater charge of their lives, using this Domain, and at other times the person is mainly in
in constructive ways. the World or Others Domain.
4. The nurse and the person are united (albeit The Self Domain is the private place where the
temporarily) like dancers in a dance. When person experiences thoughts, feelings, beliefs, values,