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.

【摘要】目的：明确菲尔·巴克潮汐模型（Phil Barker’s Tidal Model）在精神卫生护理中的适用性。方法：依托LILACS、MEDLINE、Scopus、Web of Science数据库开展整合性文献综述，文献检索时段为2017年12月至2018年3月。经筛选后最终纳入24篇文献作为研究样本。结果：纳入文献中91.7%以英文发表，87.5%刊载于护理学术期刊，50%为反思性或理论性研究，79.2%的研究证据等级为VII级。该模型可为护理学科提供理论与实践支撑，助力实现以患者为中心的护理模式，核心涵盖跨学科协作、护士的主导角色以及精神痛苦服务对象的赋权。最终结论：应用潮汐模型可推动精神卫生护理场景下护士执业实践的变革，建议巴西精神卫生服务机构的护理人员采用该模型开展工作。