The Tidal Model: the questions answered

Stevenson, Chris; Fletcher, Elaine

doi:10.7748/mhp2002.05.5.8.29.c1721

Cited by 13 publications

(12 citation statements)

References 0 publications

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“…While of small scale and context‐specific, this study is nonetheless significant in that related benefits were experienced by our participants, who work and recover in a different context to that of earlier UK studies (Stevenson et al. 2002, Stevenson & Fletcher 2002).…”

Section: Resultsmentioning

confidence: 89%

“…The Tidal Model is a research‐based nursing model (Stevenson et al. 2002, Stevenson & Fletcher 2002) introduced at Rangipapa, a Regional Forensic Unit in 2000.…”

Section: Introductionmentioning

confidence: 99%

“…The Model's development is relatively recent, and published evaluations (Stevenson et al. 2002, Stevenson & Fletcher 2002) of its clinical effectiveness remain limited.…”

Section: Introductionmentioning

confidence: 99%

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The tidal model as experienced by patients and nurses in a regional forensic unit

Cook¹,

Phillips

Sadler

2005

Psychiatric Ment Health Nurs

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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. Levelling was experienced as an effect emerging from individual and group processes whereby a shift in power enhanced a sense of self and connectedness in their relationships. These interpersonal transactions were noted by the special patients as being positive for their recovery. This enabled effective nurse-patient collaboration expressed simply as working together. The participants reported a feeling of humanity, so that there was a human face to a potentially objectifying forensic setting. Implications arising from this study are that the use of the model enables a synergistic interpersonal process wherein nurses are professionally satisfied and patients are validated in their experience supporting their recovery.

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Section: Resultsmentioning

confidence: 89%

“…The Tidal Model is a research‐based nursing model (Stevenson et al. 2002, Stevenson & Fletcher 2002) introduced at Rangipapa, a Regional Forensic Unit in 2000.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The tidal model as experienced by patients and nurses in a regional forensic unit

Cook¹,

Phillips

Sadler

2005

Psychiatric Ment Health Nurs

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show abstract

“…However, I believe that such a ‘test’ would be of little use to practitioners, far less to the people they serve. The Tidal Model, as several papers have already illustrated (Barker 1998, 2000a, 2000b, 2000c, 2001a, 2001b, 2002, Fletcher & Stevenson 2001, Stevenson & Fletcher 2002), is a philosophical approach to the development of mental health care (it is not, as Gamble and Wellman suggest, a nursing model, or at least not nursing in the narrow sense that they define it). Already, colleagues in the various ‘pilot’ sites in different cultural and national contexts are developing ways of implementing the model, which remain faithful to its overarching philosophy, but which all recognize the importance of creatively engaging with the model, and developing alternative ways of engaging them, constructively ‘caring with’ people in mental distress (Barker & Whitehill 1997).…”

Section: Reply To Gamble and Wellmanmentioning

confidence: 99%

Commentary

STEVENSON¹,

BARKER²

2002

Psychiatric Ment Health Nurs

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“…From this meeting, a planning day was arranged that was attended by members of the executive and staff of the unit including psychiatry and allied health professionals. From the planning day discussions, a decision was made to implement an education and training program centered on the tidal model (Barker, , ) – a recovery‐oriented philosophy of care that provides a framework for nurses to work with individuals to facilitate understanding of their situation, recognize their assets, and develop solutions (Stevenson & Fletcher, ).An advisory panel consisting of key nursing personnel was also formed to facilitate the practice development program. Operationalizing this program involved several “waves” including improvements to the physical environment of the unit and provision of additional resources.…”

mentioning

confidence: 99%