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The THEORY

Theory of Bureaucratic Caring

  • Ray’s theory focuses on caring in organizations (e.g. hospital) as cultures. The theory suggests that caring in nursing is contextual and is influenced by the organizational structure.
  • Spiritual –ethical caring influences each of the aspects of the bureaucratic system (political, legal, economic,, educational, physiologic, social-cultural, and technological)


·         Example: ICU had a dominant value of technological caring (i.e., monitors, ventilators, treatments), Oncology unit had a value of a more intimate, spiritual caring (i.e., family focused, comforting, compassionate). Furthermore, the meaning of caring was further influenced by the role and position a person held. Staff nurses valued caring in terms of its relatedness to client, while administrator valued caring as system related.











References: http://marilynray.com/wp-content/uploads/2012/10/Theory-of-Bureaucratic-Caring.pdf

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