Conference Proceedings - School of Nursing & Midwifery - Trinity ...

School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference
Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007
Conference Proceedings
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Psychiatric Nurses Satisfaction Levels’ Using the Tidal Model
Holistic Assessment.
Presenter- Mary T Brown
Clinical Facilitator
South Lee Mental Health Services
Unit 4a South Ring Business Park
Kinsale Road
Cork.
Telephone 0214927277
Fax 0214927287
Email maryt.brown@mailp.hse.ie
Qualifications M.Sc BSc (Hons), RMN, DPNS (CPN), SPT, Dip.
Counselling.
Background: Nurses working within acute psychiatric admission
units are key stakeholders in meeting the challenges and reform of
acute inpatient services. A Vision for Change (DOH&C 2006)
highlights the importance and need for therapeutic partnerships to
be an explicit element of care planning and assessment. The Tidal
Model Holistic Assessment is an evidenced based nursing model that
can assist the process of nursing assessment and care planning
(Barker, Jackson & Stevenson, 1999)
Aim: The aim of this study was to investigate psychiatric nurses’
levels of satisfaction using the Tidal Model processes of holistic
assessment within four acute psychiatric admission units of the
Health Service Executive- Southern Region.
Design: A descriptive correlational study design was undertaken for
this study. A self completed questionnaire was distributed to 110
qualified nurses working in the acute psychiatric admission units,
using a convenience sample. The response rate was 90 (82 %) from
across the four hospital sites.
Findings: Through utilising the processes of the Tidal Model Holistic
Assessment satisfaction expressed by nurses achieved high ratings,
90.9 % of respondents indicated it enlisted collaboration with the
client. 93.2% of nurses indicated that through use of the model
they were able to develop their relationships with the client. 93.3 %
of nurses’ felt it supported person centred care also 91.9 % of
nurses felt it supported them developing the nursing care plan.
Conclusion: The implementation of the Tidal Model seems to have
been successful from the point of view of nurses. Findings suggest
that it facilitates a collaborative approach in providing acute inpatient
assessment. This study provides evidence that psychiatric
nurses within one HSE region are working in evidenced based ways
use of the Tidal Model holistic assessment provides a promising
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