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Tidal model of mental health

Xiaojing Zhang, Pawel Wargocki, Zhiwei Lian
Twenty-five subjects were exposed to different levels of carbon dioxide (CO2 ) and bioeffluents. The ventilation rate was set high enough to create a reference condition of 500 ppm CO2 with subjects present; additional CO2 was then added to supply air to reach levels of 1,000 or 3,000 ppm, or the ventilation rate was reduced to allow metabolically-generated CO2 to reach the same two levels (bioeffluents increased as well). Heart rate, blood pressure, End-Tidal CO2 (ETCO2 ), oxygen saturation of blood (SPO2 ), respiration rate, nasal peak flow and forced expiration were monitored and the levels of salivary α-amylase and cortisol were analyzed...
February 10, 2016: Indoor Air
Natalie Vella, Laura Page, Clair Edwards, Timothy Wand
TOPIC: It is recognized that facilitating change in workplace culture is a significant challenge in healthcare service delivery. Practice development strategies and principles provide a framework for initiating and sustaining programs focused on enhancing patient-centered care by concentrating on the therapeutic attributes of nursing. However, little literature exists on explicating "what worked" in practice development programs. PURPOSE: This paper details the processes, people, resources, and relationships that enabled the successful implementation, and led to the sustainability, of a practice development program employed in an acute adolescent mental health unit in Sydney, Australia...
August 2014: Journal of Child and Adolescent Psychiatric Nursing
Debra L Kilmer, Crystal Lane-Tillerson
The Tidal model, created by Phil Barker and Poppy Buchanan-Barker, metaphorically employs the natural resource of water to describe the person in crisis and offer a model toward recovery. The model, a midrange nursing theory used primarily in mental health settings, is applied to a women in crisis related to failed infertility treatment who attempts suicide.
April 2013: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
Phil J Barker, Poppy Buchanan-Barker
The concept of recovery increasingly dominates mental health policy and practice agendas in most Western countries. However, the many, often conflicting, definitions of recovery have led to theoretical and practical confusion. More importantly, the concept clashes with some of the established assumptions of psychiatric/mental health nursing, especially the traditional notion that the person is "ill" and requires "treatment" or some other active "intervention." The implications of recovery for the further development of person-centered care, especially within a globalized form of mental health nursing, are discussed with specific reference to the Tidal Model, an international midrange theory of mental health nursing...
October 2011: Archives of Psychiatric Nursing
Brenda B Young
Women currently are 30% of the substance abuse recovery population in North America and have gender specific treatment needs as they enter the difficult work of recovery. Important among women's specific needs as they enter recovery is the need for a focus on primary health care. Few models designed to guide the provision of health care for this population are available in the literature. The Tidal Model of Mental Health Recovery and Reclamation is based on the concept of nursing as "caring with" persons in the experience of distress...
September 2010: Issues in Mental Health Nursing
Francis C Biley
Evocative memories of an early career in mental health nursing contextualize an alienation from traditional psychiatric practices. These memories tell tales that center on exploring a personal rejection of mental health nursing practices that were based on a reductive-pharmacological approach. In its place, it is suggested, should be the adoption of more holistic ideology that places the person at the very center of mental health nursing as a holistic, human-centered activity. This process may be guided by, for example, the adoption of the principles of the Tidal Model...
June 2010: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
Jacquie Kidd
In the mental health context, nurses navigate multifaceted boundaries every day in an effort to develop and maintain the therapeutic relationship; an endeavour that is breathtaking in its complexity. In this paper, I adopt an unconventional form of writing to explore the individual nature of cultural boundaries, and uncover hidden messages that impact on our efforts to build connections across cultures and ethnicities in mental health settings. Presented as a play, the conversation between protagonists explores cultural competence alongside the notion of 'discovery', and the potential of the Tidal Model to provide a vehicle for successful cultural boundary surfing...
February 2010: Contemporary Nurse
Phil Barker, Poppy Buchanan-Barker
The development, over the last decade, of the Tidal Model of Mental Health Recovery and Reclamation is described, and a summary of the application of the various Tidal processes of care is provided. Studies of evaluations of the Tidal Model within acute care settings are summarised and the potential contribution that the model makes to the development of person-centred care, within acute settings, is discussed.
March 2010: Issues in Mental Health Nursing
Tine K Jensen, Grete Dyb, Egil Nygaard
OBJECTIVE: To investigate the prevalence of symptoms of posttraumatic stress disorder (PTSD) and factors related to level of these in children who experienced a catastrophe as tourists and were therefore able to return to the safety of their homeland. DESIGN: Face-to-face semistructured interviews and assessments. SETTING: Children and adults were interviewed in their homes 10 months and 2(1/2) years after the tsunami. PARTICIPANTS: A volunteer sample of adults and children aged 6 to 17 years who were exposed to the 2004 tsunami (at 10 months, 133 children and 84 parents; at 2(1/2) years, 104 children and 68 parents)...
September 2009: Archives of Pediatrics & Adolescent Medicine
Susan M Becker
OBJECTIVES: I investigated the effectiveness of Psychosocial Care, a community-based mental health initiative for survivors of the 2004 tsunami disaster in India. METHODS: Mental health teams from the National Institute of Mental Health and Neurosciences (NIMHANS) in India implemented a train-the-trainer model of psychosocial care in one of the worst tsunami-affected areas of south India. Three months of psychosocial care was provided for an intervention group of women, but not for a control group recruited from an exposed neighboring village...
April 2009: American Journal of Public Health
Nancy Brookes, Lisa Murata, Margaret Tansey
The Royal Ottawa Mental Health Centre was the first North American site to implement the Tidal Model of Mental Health Recovery and Reclamation. This empowering approach to practice focuses on learning persons' stories as the key to practising person-centred nursing. The authors, who constituted the Tidal implementation team at ROMHC, describe the journey to excellence in psychiatric and mental health nursing practice following the introduction of the model.
October 2008: Canadian Nurse
P Buchanan-Barker, P J Barker
The emerging concept of recovery in mental health is often only loosely defined, but appears to be influenced more by specific human values and beliefs, than scientific research and 'evidence'. As a contribution to the further development of the philosophical basis of the concept of recovery, this paper reviews the discrete assumptions of the Tidal Model, describes the development of the Model's value base -- the 10 Commitments -- and illustrates the 20 Tidal Competencies, which aim to generate practice-based evidence for the process of recovery...
March 2008: Journal of Psychiatric and Mental Health Nursing
A O'Donovan
It has been suggested that patient-centred care be adopted as the primary method of mental health service delivery. This approach has been widely described in the literature and various frameworks for its delivery have been developed; however, many lack evaluation at present. The primary aim of this study was to gain an understanding of psychiatric nursing practice with people who self-harm using a qualitative descriptive approach. One of its objectives was to explore psychiatric nurses' approach and philosophical underpinnings to care...
September 2007: Journal of Psychiatric and Mental Health Nursing
Poppy Buchanan-Barker, Philip J Barker
The concept of recovery is an important part of contemporary mental health services. During the past 5 years, Tidal Model projects, focused on developing the recovery attitude within nursing practice, have been established in several different countries. The Tidal model emphasizes 10 philosophical assumptions the "Ten Commitments," that are central to recovery-focused practice.
September 2006: Journal of Psychosocial Nursing and Mental Health Services
Maged A Tanios, Michael L Nevins, Katherine P Hendra, Pierre Cardinal, Jill E Allan, Elena N Naumova, Scott K Epstein
OBJECTIVE: Weaning predictors are often incorporated in protocols to predict weaning outcome for patients on mechanical ventilation. The predictors are used as a decision point in protocols to determine whether a patient may advance to a spontaneous breathing trial. The impact of including predictors in a weaning protocol has not been previously studied. We designed a study to determine the effect of including a weaning predictor (frequency-tidal volume ratio, or f/Vt) in a weaning protocol...
October 2006: Critical Care Medicine
N Brookes, L Murata, M Tansey
The Tidal Model of Mental Health Recovery has contributed to the transformation of nursing practice at the Royal Ottawa Hospital (ROH), a psychiatric and mental health facility in Ontario, Canada. Ten commitments affirm the core values of the Tidal Model. These commitments guide person-centred, collaborative, strength-based practice and they facilitate Tidal teaching. In this paper we illustrate fidelity to the values, principles and processes of the model and the commitments while implementing the model. We share how some of the commitments are realized in our Tidal teaching and provide examples of successes and challenges...
August 2006: Journal of Psychiatric and Mental Health Nursing
W Gordon, T Morton, G Brooks
Launching the Tidal Model: evaluating the evidence This paper reports on two evaluations of the Tidal Model, in the context of two separate acute admission wards, one in Birmingham (2004) and the other in Newcastle (2001), and makes recommendations concerning the criteria and type of reasoning appropriate to evaluating the evidence the two projects have generated. In the Birmingham study, results showed that in the year following the introduction of the Tidal Model, the total number of serious untoward incidents such as physical assault, violence and harassment, decreased by 57%...
December 2005: Journal of Psychiatric and Mental Health Nursing
N R Cook, B N Phillips, D Sadler
The Tidal Model has been implemented in Rangipapa, a regional secure mental health forensic unit in New Zealand. A phenomenological study was undertaken to obtain reflective description of the nursing care experience from the perspective's of four Registered Nurses and four Special Patients. Five major themes were identified that appeared to capture the experiences of the participants. The themes show changes to the unit's unique culture and values following implementation of the model. These changes engendered a sense of hope, where nurses felt they were making a difference and patients were able to communicate in their own words their feelings of hope and optimism...
October 2005: Journal of Psychiatric and Mental Health Nursing
P Barker
TOPIC: Overview of the theoretical and practical basis of a new model of psychiatric and mental health nursing practice. PURPOSE: To illustrate the history of the development of the model and some of the processes that aim to re-empower the patient and develop genuinely collaborative approaches to care. SOURCES: Literature review, author's research, and related clinical experience. CONCLUSIONS: The Tidal Model provides a practice framework for the exploration of the patient's need for nursing and the provision of individually tailored care...
July 2001: Perspectives in Psychiatric Care
Phil Barker
Psychiatric research and practice involves the colonization of the personal experience of problems of human living. From a Western perspective, this process shares many similarities with the subjugation of women, people of colour and people embracing non-Christian faiths and cultures. The Tidal Model is a mental health recovery and reclamation model, developed to provide the framework for discrete alternatives to the colonizing approach of mainstream psychiatric practice. The Model asserts the intrinsic value of personal experience and the centrality of narrative in the development of contextually bound, personally appropriate, mental health care...
June 2003: International Journal of Mental Health Nursing
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