Telepsychiatric Application of Tidal Model: Case Report

Öz

The use of the tidal model is a recovery model that is becoming more common every year. This model is used in mental health care for prevention, treatment, and rehabilitation services. Mental health services are mainly provided face-to-face, but during the pandemic, there were some limitations in providing these services face-to-face. During this period, the importance of telepsychiatry services became apparent. The aim of this case report is to present an example of the use of the Tidal Model in telepsychiatric applications. The individual who received care based on the Tidal Model is a 22-year-old university student. For about three months, she had been experiencing symptoms of boredom, suffocation, aversion, and decreased interest in her classes. During the holistic assessment of the case, it was noted that she had problems in her family relationships. There is no desire to harm herself or others. As a result of the assessments, six nursing diagnoses were investigated. This case report presents research on the nursing diagnosis of Ineffective Coping in the area of immediate care. At the end of the care process, positive changes in the case’s coping skills were noted, and the difficulties and limitations of the telepsychiatric application of the Tidal Model were discussed and suggestions made.

Anahtar Kelimeler

• Nursing Models
• Telehealth
• Telenursing
• Tidal

Tidal Model’in Telepsikiyatrik Uygulaması: Olgu Sunumu

Öz

Tidal model kullanımı her geçen yıl yaygınlaşan bir iyileşme modelidir. Bu model koruyucu, tedavi edici ve rehabilitasyon hizmetleri kapsamında ruhsal bakımda kullanılmaktadır. Ruhsal bakım hizmetleri ağırlıklı olarak yüz yüze yürütülmektedir ancak pandemi döneminde bu hizmetlerin yüz yüze sunulmasında bazı sınırlılıklar yaşanmıştır. Bu dönemde telepsikiyatri hizmetlerinin önemi ortaya çıkmıştır. Bu olgu sunumunun amacı Tidal model’in, telepsikiyatrik uygulamalarda kullanım durumuna ilişkin bir örnek ortaya koymaktır. Tidal model temelli hemşirelik bakımı sunulan olgu 22 yaşında, üniversite öğrencisidir. Yaklaşık üç aydır sıkıntı, boğulma hissi, isteksizlik, derslere ilginin azalması gibi şikayetleri bulunmaktadır. Olgunun bütüncül değerlendirmesi sırasında aile içi ilişkilerinde sorun yaşadığı belirlenmiştir. Kendine ya da başkalarına yönelik zarar verme isteği bulunmamaktadır. Yapılan değerlendirmeler sonucunda altı hemşirelik tanısı üzerinde çalışılmıştır. Bu olgu sunumunda acil bakım alanında yer alan Etkisiz Baş Etme hemşirelik tanısına yönelik çalışmalar sunulmuştur. Bakım sürecinin sonunda olgunun baş etme becerilerine ilişkin olumlu değişimler belirlenmiş ve Tidal Model’in telepsikiyatrik uygulamasının güçlük ve sınırlılıkları tartışılmış, önerilerde bulunulmuştur.

Anahtar Kelimeler

• Hemşirelik Modeli
• Telesağlık
• Telehemşirelik
• Tidal

Kaynakça

1. Barker, P. (2001). The tidal model: Developing a person-centered approach to psychiatric and mental health nursing. Perspectives in Psychiatric Care, 37(3), 79-87.
2. Barker, P. (2002). The tidal model. Journal of Psychosocial Nursing & Mental Health Services, 40 (7), 42-50.
3. Barker, P., Buchanan- Barker, P. (2005). The tidal model a guide for mental health professionals. Londra ve New York: Routlegde Taylor and Francis Group.
4. Çam, O., Savaşan, A. (2014). Ruh sağlığı ve hastalıkları hemşireliğinde bir model: Tidal (gel-git) model. O. Çam. Editör & E. Engin. Editör, Ruh sağlığı ve hastalıkları hemşireliği bakım sanatı içinde (ss. 85- 102). İstan-bul: İstanbul Tıp Kitabevi.
5. Barker, P., Bunchanan-Barker, P. (2010). The Tidal Model of mental health recovery and reclamation: appli-cation in acure care settings. Issues in Mental Health Nursing, 31, 171-180.
6. Barker, P.J., Buchanan-Barker, P. (2011). Mental health nursing and the politics of recovery: a global reflec-tion. Archieves of Psychiatric Nursing, 25(5), 350-358.
7. Barker, P. (2001).The Tidal Model: The lived- experience in person-centred mental health nursing care. Nur-sing Philosophy, 2, 213-233.
8. Chen, J.A., Chung, W-J., Young, S.K., Tuttle, M.C, Collins M.B., Darghouth, S.L., … Kerner, J.C. (2020). COVID-19 and telepsychiatry: early outpatient experiences and implications for the future. General Hospital Psychi-atry, 66, 89–95.

9. Dursun, O.B., Turan, B., Pakyürek, M., Tekin, A. (2021). Integrating telepsychiatric services into the conventi-onal systems for psychiatric support to health care workers and their children during COVID-19 pandemics: results from a national experience. Telemedicine and e-Health, 27(3), 269–275.
10. Looi, J.C.L., Allison, S., Bastiampillai, T., Pring, W., Reay, R. (2021). Australian private practice metropolitan telepsychiatry during the COVID-19 pandemic: analysis of quarter-2, 2020 usage of new MBS-telehealth item psychiatrist services. Australasian Psychiatry, 29(2), 183–188.
11. Molfenter, T., Heitkamp, T., Murphy, A.A., Tapscott, S., Behlman, S., Cody, O.J. (2021). Use of telehealth in mental health (MH) services during and after COVID-19. Community Mental Health Journal, 57(7), 1244–1251.
12. Sharma, A., Sasser, T., Schoenfelder Gonzalez, E., Vander Stoep, A., Myers, K. (2020). Implementation of ho-me-based telemental health in a large child psychiatry department during the COVID-19 crisis. Journal of Child and Adolescent Psychopharmacology, 30(7), 404–413.
13. Özgüç, S., Hiçdurmaz, D. (2019). Tele-psikiyatri. J Psychiatric Nurs, 10(4), 302-308.
14. Araalan, C. (2023). Sınır ötesi tele-psikiyatri uygulamalarına hukuki bir bakış. Ankara Hacı Bayram Veli Üni-versitesi Hukuk Fakültesi Dergisi, XXVII(2), 273-308.
15. Uzaktan Sağlık Hizmetlerinin Sunumu Hakkında Yönetmelik (Resmi Gazete Tarihi: 10.02.2022, sayı: 31746).
16. Kornbluh, R.A. (2015). Telepsychiatry: ready to consider a different kind of practice?. Current Psychiatry, 4(3), 32-52.
17. Guinart, D., Marcy, P., Hauser, M., Dwyer, M., Kane, J.M. (2020). Patient attitudes toward telepsychiatry du-ring the COVID-19 pandemic: a nationwide, multisite survey. JMIR mental health, 7(12), e24761.
18. Stevenson, C., Barker, P., Fletcher, E. (2002). Judgement days: developing an evaluation for an innovative nursing model. Journal of Psychiatric and Mental Health Nursing, 9, 271–276
19. Cook, N.R., Phillips, B.N., Sadler. D. (2005). The tidal model as experienced by patients and nurses in a regio-nal forensic unit. Journal of Psychiatric and Mental Health Nursing, 12, 536–540.
20. Berger, J.L. (2006). Incorporation of the tidal model into the interdisciplinary plan of care- a program quality improvement project. Journal of Psychiatric and Mental Health Nursing, 13, 464–467.
21. Savaşan, A., Çam, O. (2017). The Effect of the psychiatric nursing approach based on the tidal model on co-ping and self-esteem in people with alcohol dependency: a randomized trial. Archives of Psychiatric Nursing, 31(3), 274-281.
22. Öztürk Turgut, E., Çam, M.O. (2020). The effect of tidal model-based psychiatric nursing approach on the resilience of women survivors of violence. Issues in Metal Health Nursing, 41(5), 429-438.
23. Parlak, B., Dil, S. (2022). Depresyon tanılı aile içi şiddet mağduru kadının tidal (gel-git) modeline göre değer-lendirilmesi ve hemşirelik bakımı: olgu sunumu. Journal of Nursing Science, 5(3), 211-220.