A Unitary Transformative Decision-Making Theory: An International Consensus Approach
Luca Bertocchi1, Rita Gengo, Ana Choperena
1Author Affiliations: The Marjory Gordon Program for Clinical Reasoning and Knowledge Development, William F. Connell School of Nursing, Boston College, Chestnut Hill, MA (Drs Bertocchi, Choperena, Adereti, Emidio, Garcia, and Jones); Department of Oncology and Hematology, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy (Dr Bertocchi); Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL (Dr Gengo); University of Navarra, Pamplona, Spain (Dr Choperena); TIRR Memorial Hermann, Houston, TX (Dr Adereti); Nursing School, Federal University of Juiz de Fora, Juiz de Fora, Brazil (Dr Emidio); and School of Nursing, University of São Paulo, São Paulo, Brazil (Dr Garcia).
Abstract:
Nursing care decision-making is a complex process historically guided by systematic-positivist and intuitive-humanistic models. However, a unified theory grounded within the Unitary Transformative Paradigm has been lacking. This study introduces the Unitary Transformative Decision-Making (U-TIDE) theory, developed through a 6-phase exaptation heuristic inquiry. U-TIDE integrates 10 core concepts: unitary dialogic engagement, unitary appreciative knowing, voluntary mutual patterning, potential for change, communicating, meaning, transformative human experience, consciousness, human betterment, and integrality. Aligned with the Functional Health Patterns and Standardized Nursing Terminologies, U-TIDE frames decision-making as a dynamic, collaborative, and transformative process that bridges Unitary Transformative Paradigm theory with practice, enriching nursing care.
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