Nursing care in mental health based on the TIDAL MODEL: an integrative review

Abstract

Objectives: to identify the applicability of the Phil Barker’s Tidal Model in mental health nursing care. Methods: an integrative literature review carried out by LILACS, MEDLINE, Scopus and Web of Science. Data were collected from December 2017 to March 2018. After selecting the studies, the sample totaled 24 articles. Results: the articles are in English (91.7%), were published in nursing journals (87.5%), are reflective and/or theoretical (50%) and have level of evidence VII (79.2%). The model brings contributions to nursing science, enabling person-centered care, with an emphasis on interdisciplinary work, nurses’ protagonism and the empowerment of subjects in mental suffering. Final considerations: the use of the Tidal Model enables changes in nurses practice working in the context of mental health. Its application by nurses who work in mental health services in Brazil is recommended.

Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients

“…Moreover, most patients do not know enough about treatment knowledge, resulting in negative emotions [17][18][19]. Relevant studies have shown that the common problems in hemodialysis patients are anxiety and depression, which seriously affect the treatment of patients [20,21]. How to reduce patients' negative emotions through effective nursing has become a key topic of clinical medical staff.…”

Reflections based on the Tidal Model about the concept of psychosis

“…The Tidal Model has influences from other Nursing theorists, such as Hildegard Peplau and Joyce Travelbee, indicating a position within the field of interactionist theories. As it is a middle-range theory, with fewer concepts and less abstraction, it becomes advantageous for implementation in the care routine (3,8) . This implementation of care seems to be being materialized, considering its application in several countries, such as Australia, Canada, New Zealand, Japan, Scotland and Wales.…”

“…As a way of providing new subsidies to understand the phenomenon of psychosis in the context of mental health, the Tidal Model is used as a theoretical framework that considers the human experience as something natural, with its own flow and in constant change. This theory values the singularity of the person and their capacity for intrinsic resolution, enabling the achievement of new horizons of human experience (3)(4)(5) .…”

“…Within this perspective, the terms used to label the phenomena of mental illness, mental disorders, neurosis, psychosis and others, represent forms of manifestations of human life, with a person-centered view, which is often overshadowed by signs and symptoms. This view allows us to understand that mental health changes are transversal to human psychological processes, and it is not an exceptionality restricted to a group of individuals (3) .…”

“…The authors (3)(4)(5) approached the Tidal Model developing studies with integrative review methods, theoretical reflection and theory analysis, however, in none of the studies the concept of psychosis was included in the results presented. In the references (6,7) the author of the theory approaches psychosis, but does not treat this concept in a central way, characterizing gaps in knowledge to be developed.…”