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How was the Theory of Bureaucratic Caring developed according to the chapter?

The Theory of Bureaucratic Caring was developed through qualitative research that analyzed the meaning of caring in hospital culture. This involved interviews with over 192 healthcare professionals and patients, leading to a classification of institutional caring. The theory emerged from a dialectical analysis of caring and bureaucracy, synthesizing these concepts into a new framework for understanding caring in complex organizational settings.

The Theory of Bureaucratic Caring was developed by Marilyn A. Ray through her doctoral research focused on the phenomenon of caring within hospital environments. The research included interviews with a diverse group of healthcare professionals and patients, as well as participant observation notes. This qualitative analysis revealed the complexities of caring in bureaucratic settings, leading to the identification of various dimensions of institutional caring. The theory was articulated through Hegelian dialectical analysis, juxtaposing caring as a humanistic value against the bureaucratic context, ultimately synthesizing these elements into the Theory of Bureaucratic Caring.

Key points

  • Developed by Marilyn A. Ray through qualitative research in hospitals.
  • Involved interviews with over 192 healthcare professionals and patients.
  • Focused on understanding the meaning of caring in complex organizational cultures.
  • Utilized Hegelian dialectical analysis to synthesize caring and bureaucracy.
  • Identified various dimensions of institutional caring.
Source:Middle Range Theory for Nursing· Theory of Bureaucratic Caring· p. 126–133
Cover of Middle Range Theory for Nursing

Middle Range Theory for Nursing

Mary Jane Smith, PhD, RN, FAAN,Patricia R. Liehr, PhD, RN

Fourth Edition · Springer Publishing Company, LLC

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