{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T14:18:18Z","timestamp":1788013098646,"version":"build-2784847793"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Holist Nurs"],"abstract":"<jats:p>Diabetes burnout is an emerging psychosocial phenomenon characterized by emotional, physical, and mental exhaustion associated with the continuous demands of diabetes management, adversely affecting self-care and wellbeing. This study aimed to develop a theoretical reflection on how the principles of the Tidal Model, interpreted through the lens of holistic nursing, may inform nursing care for individuals experiencing diabetes burnout. This theoretical reflection was based on an analytical and interpretive approach using The Tidal Model: A Guide for Mental Health Professionals, integrated with the scientific literature on diabetes burnout and holistic nursing. The analysis was organized into four thematic sections: understanding diabetes burnout, the foundations of the Tidal Model, its application in nursing practice, and a holistic interpretation of diabetes burnout. The reflection suggests that diabetes burnout is a multidimensional experience capable of disrupting healing processes and that relational and narrative mechanisms of the Tidal Model may promote meaning reconstruction and re-engagement in care. An original conceptual model and theoretical propositions were developed to clarify these mechanisms. This study advances holistic nursing knowledge by integrating person-centered care, the therapeutic relationship, and healing processes in the context of diabetes burnout.<\/jats:p>","DOI":"10.1177\/08980101261476298","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:52:24Z","timestamp":1787766744000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Holistic Nursing Care for People Experiencing Diabetes Burnout: A Theoretical Reflection Using the Tidal Model"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6699-5109","authenticated-orcid":false,"given":"Marcelino Maia","family":"Bessa","sequence":"first","affiliation":[{"name":"Graduate Program in Clinical Care in Nursing and Health, State University of Cear\u00e1 (PPCCLIS\/UECE), Fortaleza, CE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5528-2995","authenticated-orcid":false,"given":"Rodrigo J\u00e1cob Moreira de","family":"Freitas","sequence":"additional","affiliation":[{"name":"Graduate Program in Health and Society, State University of Rio Grande do Norte (PPGSS\/UERN), Mossor\u00f3, RN, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria C\u00e9lia de","family":"Freitas","sequence":"additional","affiliation":[{"name":"Graduate Program in Clinical Care in Nursing and Health, State University of Cear\u00e1 (PPCCLIS\/UECE), Fortaleza, CE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa de Araujo Lima","family":"Freire","sequence":"additional","affiliation":[{"name":"Graduate Program in Clinical Care in Nursing and Health, State University of Cear\u00e1 (PPCCLIS\/UECE), Fortaleza, CE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourival Veras de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Graduate Program in Clinical Care in Nursing and Health, State University of Cear\u00e1 (PPCCLIS\/UECE), Fortaleza, CE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherida Karanini Paz de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Graduate Program in Clinical Care in Nursing and Health, State University of Cear\u00e1 (PPCCLIS\/UECE), Fortaleza, CE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-021-01392-6"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000615776.64043.be"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14047"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcte.2021.100251"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/08980101261458422"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01517-0"},{"key":"e_1_3_2_8_1","volume-title":"The tidal model: A guide for mental health professionals","author":"Barker P.","year":"2005","unstructured":"Barker P., Buchanan-Barker P. (2005). The tidal model: A guide for mental health professionals. Routledge."},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-024-03760-0"},{"key":"e_1_3_2_10_1","volume-title":"Holistic nursing: A handbook for practice","author":"Dossey B. M.","year":"2016","unstructured":"Dossey B. M., Keegan L. (2016). Holistic nursing: A handbook for practice (7th ed.). Jones & Bartlett Learning.","edition":"7"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2018-0177"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/08980101211006615"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-020-00198-3"},{"key":"e_1_3_2_14_1","volume-title":"IDF diabetes atlas","author":"International Diabetes Federation","year":"2025","unstructured":"International Diabetes Federation. (2025). IDF diabetes atlas (11th ed.). International Diabetes Federation. https:\/\/diabetesatlas.org\/media\/uploads\/sites\/3\/2025\/04\/IDF_Atlas_11th_Edition_2025.pdf","edition":"11"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-025-01965-6"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101118"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.2174\/17450179-v18-e2209010"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311x00076120"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/26350106241249746"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1590\/1983-1447.2022.20210308.pt"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1590\/1983-1447.2023.202210340.en"},{"key":"e_1_3_2_22_1","unstructured":"United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. https:\/\/sdgs.un.org\/2030agenda"}],"container-title":["Journal of Holistic Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08980101261476298","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08980101261476298","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08980101261476298","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T13:49:39Z","timestamp":1788011379000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08980101261476298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,26]]},"references-count":21,"alternative-id":["10.1177\/08980101261476298"],"URL":"https:\/\/doi.org\/10.1177\/08980101261476298","relation":{},"ISSN":["0898-0101","1552-5724"],"issn-type":[{"value":"0898-0101","type":"print"},{"value":"1552-5724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,26]]},"article-number":"08980101261476298"}}