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Author (up) Cook, N.; Phillips, B.N.; Sadler, D. openurl 
  Title The Tidal Model as experienced by patients and nurses in a regional forensic unit Type Journal Article
  Year 2005 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue 5 Pages 536-540  
  Keywords Psychiatric Nursing; Nursing models; Evaluation; Nurse-patient relations  
  Abstract This study looks at the effect of implementing the Tidal Model at Rangipapa, a regional secure mental health forensic unit. 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.  
  Call Number NRSNZNO @ research @ Serial 941  
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