Premium
The tidal model as experienced by patients and nurses in a regional forensic unit
Author(s) -
COOK N. R.,
PHILLIPS B. N.,
SADLER D.
Publication year - 2005
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/j.1365-2850.2005.00872.x
Subject(s) - feeling , forensic nursing , mental health , optimism , nursing , psychology , perspective (graphical) , unit (ring theory) , dignity , medicine , social psychology , psychotherapist , poison control , medical emergency , mathematics education , artificial intelligence , computer science , political science , law
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.