Page 667 - alligood 8th edition_Neat

648 UNIT V Middle Range Nursing Theories

problems. Traditionally, Scott might be given a him the self-knowledge he has gained through the
diagnosis of “psychosis” as an explanation of various relationships established in the individual
his situation, with much of the resultant effort and group work. Instead of expecting Scott to be
focused on managing this abstract, invisible “dis- a passive (or compliant) recipient of care or treat-
order.” Within the Tidal Model, the nurse’s focus ment, the nurse expects him to participate as fully
is much more pragmatic. By joining with Scott as possible in constructing the kind of care that he
in exploring his difficulties from his perspective, needs, establishing ownership not only of his
as he describes his experience in his own words, problems but also of the ultimate means of resolv-
the nurse begins to develop a supportive, em- ing them. Clearly, this approach makes significant
pathic relationship. The main aim is to help Scott emotional and intellectual demands on both the
make his own sense of what has happened to him person and the nurse.
(rather than telling him), helping him identify What questions might be asked in a security
what part he has played (if any) in the develop- assessment? The security plan has two questions:
ment of his problems and beginning to work out What can I do that will help me to deal with my
what needs to be done to begin to address them. present problems? And what help can others offer
When a person like Scott eventually moves that I might find valuable? What might Scott’s
outinto the everyday world, he will take with security plan look like?

CRITICAL THINKING ACTIVITIES
1. Select three or four of the Ten Tidal Commit- 2. Where would you find support for each of the
ments, and consider how these might be realized Ten Tidal Commitments within your workplace?
in your practice. 3. What is the key Tidal question?

POINTS FOR FURTHER STUDY
The Tidal Model website at www.tidal-model.com n Barker, P. J., & Buchanan-Barker, P. (2005). The
enables accessibility to and connection with the inter- Tidal Model: A guide for mental health profession-
national Tidal community. als. London: Brunner-Routledge.
n Barker, P. J. (2003b). The 10 Commitments: Essen- n Barker, P. J., & Buchanan-Barker, P. (2007a). The
tial values of the Tidal Model. Retrieved from Tidal Model—Mental health recovery and recla-
http://www.tidal-model.com/Ten%20Commit- mation. Newport-on-Tay, Scotland: Clan Unity
ments.htm. International.
n Barker, P. J. (2001b). The Tidal Model: Developing n Buchanan-Barker, P., & Barker, P. (2008). The
a person-centered approach to psychiatric and Tidal Commitments: Extending the value base of
mental health nursing. Perspectives in Psychiatric mental health recovery. Journal of Psychiatric and
Care, 37(3), 79–87. Mental Health Nursing, 15, 93–100.

REFERENCES
Alanen, Y., Lehtinen, K., & Aaltonen, J. (1997). Need- Barker, P. J. (1987). An evaluation of specific nursing interven-
adapted treatment of new schizophrenic patients: Expe- tions in the management of patients suffering from manic-
rience and results of the Turku project. Acta Psychiatrica depressive psychosis. Unpublished PhD thesis, Dundee
Scandanavica ,83, 363–372. Institute of Technology (University of Abertay), Scotland.
American Nurses’ Association. (1980). Nursing. A social Barker, P. J. (1989). Reflections on the philosophy of caring
policy statement. Kansas City, (MO): American Nurses’ in mental health. International Journal of Nursing Stud-
Association. ies, 26(2), 131–141.