Marilyn Ray Theory of Bureucratic Care

Marilyn Ray Theory of Bureucratic Caring

Theory of Bureaucratic Caring

The theory was generated from qualitative research involving health professionals and patients in the hospital setting.

The theory implies that there is a dialectical relationship (thesis, antithesis, synthesis) between the human (person & nurse) dimension of spiritual-ethical caring and the structural (nursing, environment) dimensions of the bureaucracy or organizational culture (technological, economic, political, legal and social).  

The Model is holographic, illuminating the holistic nature of caring & synthesis of the humanistic systems and technologic, economic, political, legal systems.

Major Concepts:

  • Caring
  • Spiritual-Ethical Caring
  • Educational
  • Physical
  • Socio-cultural
  • Legal
  • Technological
  • Economic
  • Political 

Major Assumptions


  • Nursing/Caring
  • Person/Cultural Being
  • Health
  • Environment/Culture of Organization 


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