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Models and Framework

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Models and Framework
Nursing model is a collection of ideas, knowledge and values about nursing which determines the way nurses, as individuals and groups, work with their patients or clients (Hogston et al. 2002). Models therefore help nurses to organise their thinking about nursing and then set about their practice in an orderly and logical way (Hogston et al. 2002). A nursing framework is a structure used to organise care given to patients (Siviter,2))000)

This essay will explore a needs orientated approach to the care that is delivered to a patient and examine the significance of the use of models and frameworks in the nursing process. The nursing process is a framework for organising individualised care. It involves four phases: assessment, planning, implementation and evaluation (Richards and Edwards 2003). For the intention of this essay the above mentioned phases would be used to enable continuity of care through documentations of information, to provide continuous observation and ensure effective interventions (Hogston et al. 2002).

The model discussed in this essay is the Tidal model; the underpinning philosophy of this model is that people can recover their lives after it has been interrupted by the experience and stress of breakdown (Barker 2005). This has been chosen because of the branch specific nature.

In this essay the pseudonym ‘Mary’ will be used, to protect the patient’s confidentiality, which is in line with the NMC code of conduct guidelines (NMC 2008).
Being a student on the ward the nurse in charge asked me, under her supervision, to admit Mary and allocate her to a room. Before I approached Mary I had a few minutes to look at her hospital notes. Mary is a 38-year-old lady who resides in a three bedroom flat. She has 2 children aged 9 and 11 years old. She lost her husband 1 year ago in a car accident and since his death she has had difficulty grieving. I noticed that this was her first onset admission into a psychiatric ward.
Mary was accompanied to



References: 1. Adler, R.B and Towne, N. (1999) Looking Out. Fortworth: Harcourt Brace College Publishers. 2. and nursing care:, British journal of nursing, Vol 18, ( 22), pp. 1370 3 4. Glasper, A. et al. (2009) Foundation studies for caring. London: Palgrave Macmillan 5 6. Kavanagh, A. McLoughlin, D. (2009) Electroconvulsive therapy 7 8. Newton, C. (1991) The Roper-Logan-Tierney: Model in Action. Basingstoke: Palgrave McMillan 9 10. OPSI: Data protection Act (1998). [online]. Available from: http://www.opsi.gov.uk/acts/acts1998/ukpga_19980029_en_1. [Accessed 29/06/2010] 11 13. Roper, N., Logan, W. & Tierney, A. (1986). Learning to use the Process of Nursing, Edinburgh: Churchill Livingstone. 14. Roper, N., Logan, W., and Tierney, A. J. (2000) The Roper, Logan and Tierney Model of Nursing based on the activities of Living. Edinburgh: Churchill Livingston 15 16. Siviter, B. (2004) The student nurse handbook: A Survival Guide. London: Bailliere Tindall

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