Module 3 (Week 4 - MAR) Flashcards
Marilyn Anne Ray
Theory of Bureaucratic Caring
— She graduated from St. Joseph Hospital School of Nursing, Hamilton
— Worked at the University of California, Los Angeles Medical Center
— Returned to school for her BSN and MSN at the University of Colorado
School of Nursing, where she met Dr. Madeleine Leininger.
— Served more than 30 years in different positions in the U.S. Air Force—flight
nurse, clinician, administrator, educator, and researcher—and held the rank of
colonel.
— Dr. Leininger invited her to apply for the first transcultural nursing doctoral
program at the University of Utah. Ray’s doctoral dissertation was a study on
caring in the complex hospital organizational culture. From this research, the
theory of bureaucratic caring, the focus of this chapter, was developed.
Marilyn Anne Ray
— Re-joined the University of Colorado School of Nursing,
where she worked with Jean Watson.
— With Watson and other scholars, Ray helped found the
International Association for Human Caring, which
recognized her with its Lifetime Achievement Award in 2008.
— In 2013 she was inducted as a Fellow of the American
Academy of Nursing (FAAN).
Marilyn Anne Ray
The theory of bureaucratic caring provides direction and guidance for nurses to understand
the way caring is lived and expressed throughout the hospital organization.
Central concepts:
-Truth
-Caring
- Communication
Theory of Bureaucratic Caring
- grounded in an ethical, spiritual context
- is the relationship between charity and right action, between love as compassion in response to suffering and need and justice or fairness in terms of what ought to be
done
Caring
— focused on the nurse patient relationship.
The ethical-spiritual realm of nursing
proposes how choice making for the good of others can be accomplished in nursing practice.
Spiritual-ethical caring
Use of audio-visual media to convey information, and other forms of teaching and sharing information
are examples of educational factors related to the meaning of caring.
Educational
Physical state of being, including biological and mental patterns. Because the mind and body are interrelated, each pattern influences the other.
Physical
Theory of Bureaucratic Caring Major Concepts
- Caring
- Educational
- Physical
- Social-Cultural
- Legal
- Technological
- Economic
- Political
— Ethnicity and family structures
— Intimacy with friends and family
— Social interaction and support
Social-Cultural
— Responsibility and accountability
— Policies and procedures
— Informed consent, rights to privacy, malpractice and
liability issues
Legal
— Use of machinery
— Diagnostic tests and the knowledge and skill to use these resources.
— Computer-assisted practice and documentation
Technological
— Money, budget, insurance systems
Economic
— Power structure within health care administration
— Decision making in the organization
— Union activities
— Use of power, prestige, and privilege
— In general, competition for scarce human and material resources.
Political
