1. Tidal Model of Psychiatric Nursing Barb Henry, MSN, APRN-BC Northern Kentucky University DNP Student-2012

2. Objectives Introduce the Tidal Model Describe the rationale for choosing the Tidal Model Present key concepts of the Tidal Model Discuss application of the Tidal Model to practice

3. Phil Barker & Poppy Barker Buchanan Architects of the Tidal Model “Life is a journey taken on an ocean of experience” (Barker & Buchanan Barker, 2012).

4. In the Tidal Model The person is represented in 3 domains Self Domain World Domain Others Domain Conceptual model courtesy of: http://www.tidal-model.com/Theory.htm

5. Photo from Flickr Commons

6. Rationale for choosing the Tidal Model TORN: Effects of a Therapeutic Retreat for Oncology Nurses on Burnout & Compassion Fatigue A Net of Wonder: Lessons for Nurse Scientists from Exploring the Sea Susan L. Beck Professor and Robert S. and Beth M Carter Endowed Chair in Nursing University of Utah College of Nursing 2012 ONS Distinguished Nurse Researcher

7. The Tidal Model… helps people reclaim the story of their problems of human living, as a first step towards recovering the story of their lives. helps the person to navigate her or his own way to recovery. uses specific human values to guide the helping and enabling practice of mental health recovery. is a philosophical and theoretical template upon which to build and develop the practice of mental health recovery.

9. Application of Tidal Model to Practice Frustrations of Dual Diagnosis-Alcohol /Drug Dependence Need to improve cultural sensitivity Empathy lacking for non cancer patients Need to look at the individual not the diagnosis

10. References Barker, P., & Buchanan Barker, P. (2012). Tidal model of mental health nursing. Retrieved from: http://currentnursing.com/nursing_theory/Tidal_Model.html Barker, P. (1999). Phil Barker: The philosophy and practice of psychiatric nursing. Churchill Livingston: Edinburgh, Scotland. Barker, P. (2002). The tidal model: The healing potential of metaphor within a patient narrative. Journal of Psychosocial Nursing & Mental Health Services. 40(7), pp. 40-50. Barker P. (2001). The tidal model: developing a person-centered approach to psychiatric and mental health nursing. Perspectives in Psychiatric Care, Jul- Sep;37(3):79-87. Barker, P., & Buchanan-Barker, P. (2011). First do no harm: Confronting the myths of psychiatric drugs. Nursing Ethics. 19(4), pp. 451-463. Barker, P., & Buchanan-Barker, P. (2008). Reclaiming nursing: Making it personal. Mental Health Practice. 11(9), pp. 12-17.

11. References Brookes, N., Murata, L., & Tansey, M. (2008). Tidal waves: Implementing a new model of mental health recovery and reclamation. Canadian Nurse. October, 2008, pp. 22-27. Beck, S. (2012). Distinguished researcher award: A net of wonder: Lessons for nurse scientists from exploring the sea. Connections: Advancing Care Through Science. November 17-19, 2012, Phoenix, Arizona. Gordon, W., Morton, T., & Brooks, G. (2005). Launching the tidal model: evaluating the evidence. Journal of Psychiatric and Mental Health Nursing. 12, pp. 703-712. Morse, G., Salyers, M.P., Rollins, A.L., Monroe-DeVita, M., & Pfahler, C. (2011). Burnout in mental health services: A review of the problem and its remediation. Administrative Policy in Mental Health. 39: pp. 341-352. Todaro-Franceshci, V. (2013). Compassion fatigue and burnout in nursing: Enhancing the quality of life. Springer Publishing Company: New York, NY. Wright, S.G. (2005). Burning the candle at both ends: A spiritual crisis. Nursing Standard. 19(46) pp. 1-23.

12. Thanks to colleagues & instructors for calming the tides of DNP Theory & Research!