Phil Barker’s Tidal Nursing Model
Phil Barker and his colleagues developed Tidal Nursing Theory which is widely used in mental health nursing by both nurses and medical practitioners (Norman & Ryrie, 2009). Tidal Nursing theory looks at health and illness as a fluid and also views life as a journey undertaken on an ocean of experience ( Barker & Cutcliffe, 1999). According to Barker, nurses can use the metaphor of water to gain a better understanding of the current situation of the patient as well as appreciate the inevitability of change.
Kurt Lewin’s Change Theory
Kurt Lewin came up with Change Theory which identifies six components of change in human life. According to Schein (1996), the following components of Lewin’s Change theory constitute human change throughout life:
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Recognition of area that requires change.
Analysis of the situation so as to determine the forces that exist to maintain the situation and those that are working to change it.
Identification of methods through which change can take place
Recognition of the influence of group mores or customs on change.
Identification of the method used by the reference group to bring out change.
The actual change
Integrating Tidal Nursing Model with Field Theory
Both nursing Phil Barker’s Tidal Nursing model and Kurt Lewin’s Change theory can be integrated by applying Kurt Lewin’s theory in the healthcare centers where Phil Barker’s theory is applied to deliver medical and other healthcare services to patients. Kurt Lewin’s theory focuses more on how change is taking place rather than change itself (Burnes, 2004). On the other hand, Phil Barker’s Tidal Nursing model features widely on the current situation of the patient and places more emphasis on the patient’s needs, interests and freedom ( Alligood, 2014). Ideas of Barker and Lewin brought together, brings a sense of completeness in the needs of the patient as well as inevitability of change. Additionally, Barker’s model emphasizes more on the need for engagement than the need for observation. This is opposite to Kurt who focuses on the need for observation than the need for engagement. But both engagement and observation are essential and brings about completeness (Barker & Cutcliffe, 1999). The two theories can therefore be applied in the same situation to serve a purpose of completeness to each other.
References
Alligood, M. R. (2014). Nursing theorists and their work . Elsevier Health Sciences.
Barker, P., & Cutcliffe, J. (1999). Clinical risk: a need for engagement not observation: A crisis of confidence in acute settings offers nurses opportunities to reappraise the fundamental basis of their practice, say Phil Barker and John Cutdiffe. Here, they argue against the'defensive'practice of observation, and call for the development of a new model of engaging clients. Mental Health Practice , 2 (8), 8-12.
Burnes, B. (2004). Kurt Lewin and the planned approach to change: a re ‐ appraisal. Journal of Management studies , 41 (6), 977-1002.
Norman, I., & Ryrie, I. (2009). The art and science of mental health nursing: Reconciliation of two traditions in the cause of public health. International journal of nursing studies , 46 (12), 1537-1540.
Schein, E. H. (1996). Kurt Lewin's change theory in the field and in the classroom: Notes toward a model of managed learning. Systemic Practice and Action Research , 9 (1), 27-47.
