Comaru Natália Rocha Chagas, Monteiro Ana Ruth Macêdo, Silva Lucia de Fatima da, Freitas Maria Célia de, Guedes Maria Vilani Cavalcante
Universidade Estadual do Ceará, Fortaleza, CE, Brazil.
Rev Esc Enferm USP. 2025 Apr 4;59:e20240377. doi: 10.1590/1980-220X-REEUSP-2024-0377en. eCollection 2025.
This is a theoretical essay that aims to reflect on the articulations between Phil Barker's Tidals Model and Edgar Morin's Complexity Theory, highlighting Tidals Model adequacy for clinical nursing care in mental health according to the psychosocial care model guidelines. The key concepts of Complexity Theory (dialogic, organizational recursion, hologram and tetragram) were used in an articulated manner with Tidals Model, identifying that this framework is aligned with the following guidelines of psychosocial care: respect for human rights, humanized care, promotion of equity, diversification of care strategies, combating stigmas and prejudices, guaranteeing access to services, and offering comprehensive care and multidisciplinary assistance, under an interdisciplinary logic. Tidals Model represents an alternative to traditional care models, with a care proposal aligned with current public health policies. It is suggested that nurses adopt this framework more effectively, expanding its application to the most diverse audiences and contexts of mental healthcare.
这是一篇理论性文章，旨在思考菲尔·巴克的潮汐模型与埃德加·莫兰的复杂性理论之间的联系，根据社会心理护理模式指南，突出潮汐模型在心理健康临床护理中的适用性。复杂性理论的关键概念（对话性、组织递归性、全息图和四元组）与潮汐模型以一种连贯的方式运用，确定该框架符合社会心理护理的以下指南：尊重人权、人性化护理、促进公平、护理策略多样化、消除耻辱和偏见、保障服务可及性，以及在跨学科逻辑下提供全面护理和多学科援助。潮汐模型代表了传统护理模式的一种替代方案，其护理提议与当前公共卫生政策相一致。建议护士更有效地采用这一框架，将其应用扩展到心理健康护理的更多样化受众和情境中。
