Nursing theory is essential to the continuing evolution of the discipline of nursing. Several trends are evident in the development and use of nursing theory. On a positive note, nursing theories are being embraced by healthcare organizations to structure nursing practice. In relation to my current work of practice, bureaucratic caring is used when political, economic, legal, spiritual caring and technological decisions were made. An example is our case of cerebral palsy with severe weight loss and malnutrition in which Percutaneous Endoscopic Gastrostomy Tube (PEG) was recommended by the doctor to correct patient’s nutritional deficits. Despite of all advantages, health benefits, health teachings imparted to the parents and family, they opted for signing refusal of treatment instead for some socio-cultural concerns.
The essence of caring as mentioned in bureaucratic nursing was applied to this practice as knowledge, compassion, empathy were rendered to the patient and family. Legal concept of bureaucratic caring was also involved when parents took the responsibility and accountability of their decisions in accordance to the hospital’s policies and procedures.
– Asnairah Mamangcao, RN
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