词条 | Tidal Model |
释义 |
The Tidal Model[1][2] is a recovery model for the promotion of mental health developed by Professor Phil Barker, Poppy Buchanan-Barker and their colleagues. The Tidal Model focuses on the continuous process of change inherent in all people. It seeks to reveal the meaning of people's experiences, emphasising the importance of their own voice and wisdom through the power of metaphor. It aims to empower people to lead their own recovery rather than being directed by professionals.[3] The philosophy underpinning the model initially was inspired by a five year research into what people need for care in mental health carried out by Prof. Barker and Dr. Chris Stevenson at the University of Newcastle, UK.[4] Since 2000, it has been put into practice in a number of settings in the UK and abroad.[5] Due to the work of Phil Barker in this area, he is frequently cited as being a prominent contemporary theorist in mental health nursing.[2][3] Six key philosophical assumptionsThe tidal model is applied through six key philosophical assumptions:[5]
The engagement processIn order for the practitioner to begin the process of engagement using the Tidal Model, the following needs to be accepted:
The process of engaging with the person in distress takes place in three discrete domains.[1] With the Tidal Model, the practitioner explores these dimensions to be aware of the situation in the present time and determine what needs to happen now.
The power of metaphorThe Tidal Model uses the metaphor of water and describes how people in distress can become emotionally, physically and spiritually shipwrecked.[1] It sees the experience of health and illness as a fluid, rather than a stable phenomenon, and life as a journey undertaken on an ocean of experience. It proposes that in mental health, the factors associated with a psychiatric crisis, or its more enduring consequences, can be diverse as well as cumulative. It states that by appreciating this metaphor, nurses or other helpers will gain a greater understanding of the person's current situation and the inevitability of change. With this, the helper may, in time, be guided to care with the person beginning their journey from the state of being washed ashore, drowning or being otherwise marooned by their life problems. Following the rescue, exploration can then begin as to what caused the storm in the first place and what needs to be done immediately to set sail again. The Ten CommitmentsThe values of the Tidal Model can be distilled into Ten Commitments.[1]
The Twenty CompetenciesThe Twenty Competencies were introduced to assist with the auditing of recovery practice by generating practice-based evidence for the model. They focus on competencies in practice and there are two related to each of the commitments above.[5] The model in practiceIn 2000, the Tidal Model was first implemented in Newcastle-upon-Tyne, UK in the adult mental health programme covering nine acute admission wards. Almost 100 different Tidal Model projects were established in the UK, Ireland, New Zealand, Canada, Japan and Australia.[5] However, it has yet to be broadly adopted. See also
External links
References1. ^1 2 3 {{cite book |last=Barker |first=P. |author2=Buchanan-Barker P. |title=The Tidal Model: A Guide for Mental Health Professionals |publisher=Brunner-Routledge |year=2005 |location=London |isbn=1-58391-801-9}} 2. ^1 {{cite book |last=Brookes |first=Nancy |title=Nursing Theorists and Their Work |editor=Marriner-Tomey, M |editor2=Allgood, A |publisher=Elsevier Health Sciences |year=2006 |edition=6 |pages=696–725 |chapter=Phil Barker: Tidal Model of Mental Health Recovery |isbn=978-0-323-03010-6}} 3. ^1 {{cite book |last=Barkway |first=Patricia |title=Psychiatric and Mental Health Nursing |editor=Elder, R. |editor2=Evans, K. |editor3=Nizette, D. |publisher=Mosby |year=2009 |edition=2 |pages=119–134 |chapter= Theories on Mental Health and Nursing |isbn=978-0-7295-3877-0}} 4. ^{{cite journal |last=Stevenson |first=C. |author2=Barker, P. |author3=Fletcher, E. |year=2002 |title=Judgement days: developing an evaluation for an innovative nursing model |journal=Journal of Psychiatric and Mental Health Nursing |volume=9 |pages= 271–276 |doi=10.1046/j.1365-2850.2002.00472.x |pmid=12060370 |issue=3}} 5. ^1 2 3 {{cite journal |author=Barker P. |title=The Tidal Commitments: extending the value base of mental health recovery |journal=Journal of Psychiatric and Mental Health Nursing |year=2008 |volume=15 |pages=93–100 |pmid=18211556 |last2=Barker |first2=PJ |issue=2 |doi=10.1111/j.1365-2850.2007.01209.x}} 6. ^Barker 2009 7. ^Barker P., Barker P. B., 2005 The Tidal Model: A guide for Mental Health Professionals. New York: Brunner- Routledge. 3 : Nursing theory|Mental health|Psychiatric nursing |
随便看 |
|
开放百科全书收录14589846条英语、德语、日语等多语种百科知识,基本涵盖了大多数领域的百科知识,是一部内容自由、开放的电子版国际百科全书。