MAJOR CONCEPTS
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- A philosopher who defines his or her own meaning and purpose in life.
- He or she is also defined by relationships and the role one assumes
- Because of the many relationships of every person, their roles will vary in every occasion.
2. HEALTH
- Health is a personal experience with a personal definition.
- It is a result of self-awareness, self-discipline and inner resources.
- It is holistic but is subject to the patient's definition of it.
- Nursing is caring WITH the patient, instead of for the patient.
- It is necessary to build solid relationships to enable the patient to weather the storms of life.
- Collaboration and empowerment are given priority throughout the nurse-patient relationship
- Nurses are to find interventions using solution-based techniques.
4. ENVIRONMENT
- This is composed of family, culture and relationships.
- A stable environment promotes a positive and therapeutic relationship.
- Within the tidal metaphor, the patient find one's self in a stormy environment (where relationships are strained or rocky) or a calm environment (where relationships are constructive and fulfilling).
ASSUMPTIONS
The tidal model is applied through six key philosophical assumptions:
- A belief in the virtue of curiosity : the person is the world authority on their life and its problems. By expressing genuine curiosity, the professional can learn something of the ‘mystery’ of the person’s story.
- Recognition of the power of resourcefulness, rather than focusing on problems, deficits or weaknesses.
- Respect for the person's wishes, rather than being paternalistic.
- Acceptance of the paradox of crisis as opportunity.
- Acknowledging that all goals must belong to the person.
- The virtue of pursuing elegance—the simplest possible means being sought.
References:
- Barker P. The tidal model: developing a person-centered approach to psychiatric and mental health nursing. Perspect Psychiatr Care. 2001 Jul-Sep;37(3):79-87
- Barker P. The Tidal Model: Theory and Practice. University of Newcastle, 2000.
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