Barker’s Tidal Model of Mental Health Recovery is a middle-range theory of nursing that can be used as the basis for interdisciplinary health care. The main focus of the model is on helping individual patients create their own voyage of discovery. Show Phil Barker defines the Tidal Model as “a philosophical approach to the discovery of mental health. It emphasises helping people reclaim the personal story of mental distress, by recovering their voice. By using their own language, metaphors and personal stories people begin to express something of the meaning of their lives. This is the first step towards helping recover control over their lives.” It provides a nursing care practice framework for the exploration of the patient’s need for nursing and the provision of individually-tailored care plans. The theory states that an individual’s mental well-being is dependent on his or her individual life experiences, including his or her sense of self, perceptions, thoughts, and actions. The main philosophical metaphor is drawn from chaos theory. That is, the unpredictable, yet unbounded, nature of human behavior and experience is compared to the dynamic flow and power of water and the tides of the sea. There are six key philosophical assumptions in Barker’s Tidal Model:
In order for the nurse to begin the process of engagement using the Tidal Model, the following needs to be accepted:
The process of engaging with the patient takes place in three different domains: self, world, and others. The nurse explores these dimensions to increase awareness of the situation in the present and determine what needs to occur at that moment. The self domain is where people feel their world of experiences. This includes an emphasis on making people feel more secure, and the nurse helps the patient develop a security plan to reduce threats to the patient or those around him or her. The world domain is where the patient holds his or her story. The nurse uses a specific form of inquiry to explore the story collaboratively, revealing its hidden meanings, the patient’s resources, and to identify what needs to be done to help the patient recover. The others domain represents the different relationships of the patient, including past, present, and future. This includes the nurse as well as other members of the health care team, friends, family, and other supporters. The Ten Commitments of the Tidal Model are the values it expresses. They are:
There are also twenty competencies associated with the ten commitments. They assist with the auditing of recovery practice by creating practice-based evidence for the theory. There are two for each commitment, and they focus on competencies in practice., The Tidal Model of Mental Health Recovery uses the theme of water throughout. It describes how patients in distress can become “shipwrecked” emotionally, physically, and spiritually. The experience of health and illness is a fluid phenomenon rather than a stable one, and life is considered a journey gone through on an ocean of experience. The theory proposes that in mental health nursing, the factors having to do with psychiatric crisis can be cumulative as well as diverse. It states that by appreciating the water metaphor, nurses can gain a better understanding of the patient’s immediate situation and the inevitability of change. Through this, the nurse can be guided to care with the patient beginning his or her journey in a shipwrecked state caused by life problems. Following the rescue, exploration can begin to find out what caused the “storm” in the first place, then figure out what needs to be done in order to “set sail” again. Which commitment is included under the tidal model that focuses on the individual's personal story?Which commitment is included under the Tidal Model that focuses on the individual's personal story? Recovery occurs by valuing the voice of the client.
Which of the following are part of the 5 stages of the psychological recovery model?THE FIVE STAGES OF THE RECOVERY PROCESS. IMPACT OF ILLNESS. The individual is overwhelmed by the disabling power of the illness. ... . LIFE IS LIMITED. The person has given in to the disabling power of the illness. ... . CHANGE IS POSSIBLE. ... . COMMITMENT TO CHANGE. ... . ACTION TO CHANGE.. What is the basic concept of recovery model?It supports the view that they should get on with their lives, do things and develop relationships that give their lives meaning. The model emphasises that, while people may not have full control over their symptoms, they can have control over their lives.
What is the basic concept of a recovery model quizlet?Rationale: The basic concept of a recovery model is empowerment of the client. The recovery model is designed to allow clients primary control over decisions about their own care. A client experiences an exacerbation of psychiatric symptoms to the point of threatening self-harm.
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