Changes in the health care environment have raised many questions related to patient care. Cited an example how I understood Dr. Marilyn Ray Theory of Bureaucratic Nursing. I worked in Kingdom of Saudi Arabia from 2009-2014. As we all know that living in KSA is like almost living in a prison without bars. Not allowed to take pictures in government institution and even in our hospital were not allowed to post pictures without permission of the managers. My 5 years in PICU was so smooth until on my 5th year, we had a CORONA-MERS OUTBREAK. Wherein all of the hospital staffs was affected. The administrators had to come up and decide strict policies to prevent the spread of disease. It was an eye-opener for all of us to be more keen and protect ourselves. The hospital provided a unit only for patients and staff who are affected by the disease and even close relatives not allowed to visit. Nurses were being pulled-out in each unit to take care of them. It was really difficult time. My 2 close friends were even affected but I can’t even visit them since it was hospital policy. If the immediate family members were resisting to come and visit especially during code blue/green situations — really a big fight with the security and ended up giving what they want provided that they will wear all the protective gears ( as shown in my picture above) As much as we want to give the best care to our clients, we are also guided by the policies in every institution that we need to follow. In the theory of Dr. Marilyn Ray it focuses in the right direction to bring about an interdependent relationship between caring and bureaucracy.
– Girlie Domingo Meneses, RN
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