MARILYN ANN RAY

Born in Hamilton, Ontario, Canada.
Graduated from St. Joseph Hospital School of Nursing in 1958.
Worked at the University of California as well as in Los Angeles Medical Center where she was assigned in obstetrics and gynecology, emergency department and cardiac and critical care.
Studied BSN and MSN in maternal-child nursing at University of Colorado School of Nursing in 1965.
Was influenced by Dr. Madeleine Leininger whom she met at University of Colorado.
Graduated as a flight nurse from the School of Aerospace Medicine and worked as an aero-medical evacuation nurse in 1960s and served in the US Air Force for 30 years in different positions and eventually promoted as a colonel.
Received several commendation medals for nursing education and research during her service in the Air Force.
Had her first faculty positions at University of California San Francisco and the University of San Francisco.
Completed her Master of Arts in Cultural Anthropology in McMaster University in Ontario where she also joined the nursing academe.
Attended the first transcultural nursing doctoral program at University of Utah as she was invited by Dr. Leininger; her dissertation for her doctoral studies was where the Theory of Bureaucratic Caring emerged.
Was appointed as the Christinne E. Lynn Eminent Scholar at Florida Atlantic University in 1989 to 1994.
Received the Distinguished Alumna Award from University of Utah College of Nursing in 2007(Alligood, 2014).

Major Assumptions

Major Concepts

Caring - Is defined as a complex, transcultural, relational process, grounded in an ethical, spiritual context. Caring is inevitable within a culture or society, such as, personal culture, hospital organizational culture, and society culture.

Spiritual-ethical caring - This pertains a holistic integration of the body, mind and spirit. Spiritual-ethical caring for nursing focuses on the facilitation of alternatives for the good of others can or should be attained.

Education - Education both formal and informal programs make use of audiovisual media to disseminate information, and also other forms of teaching and relaying information are factors related to defining care.

Physical - This factor is related to the physical state of being, which includes, biological and psychological patterns. The reason is that, both the human mind and body are interrelated, showing a pattern that influences the other.

Socio-cultural - Social and cultural aspects are factors related to ethnicity and structures of the family; intimacy with friends and family; communication; interaction and support with a social group, community and society.

Legal - Definition of caring in terms of legal factors are responsibility and accountability; rules and principles as guidance of one’s behavior, such as policies and procedures; informed consent; rights to privacy; malpractice and liability issues; client, family, and professional rights; and the practice of defensive medicine and nursing.

Technological - Factors relating to technology such as non-human resources, like the use of machines to sustain physiological well-being of the patient, diagnostic investigations, pharmaceutical agents, and also the knowledge and skills required to operate the resources.

Economic - Related factors of the definition of caring include money, budget, insurance systems, limitations, and guidelines imposed by managed care. Caring as an interpersonal resource should be considered like goods, money, and services.

Political - How nursing is viewed within a healthcare administration is influenced by political and the power structure. This included the communication patterns, decision making within the organization, role gender stratification among nurses, physicians, and administrators; union activities including negotiation and confrontation; government and insurance company influences; uses of power, prestige, and privilege are, in general, competition for scares human and material resources.

Conclusion:

Marilyn Ray’s theory on bureaucratic caring provides direction and guidance for nurses to understand the way caring is lived and expressed throughout the hospital organization. This theory guides understanding of how nursing can be practiced in the contemporary setting. In bureaucratic nursing, nursing care has been associated to the dominant culture of an organization thereof care varies on the organizational values, beliefs and goals. Bureaucratic caring shows that caring and management can exist side by side as administrators view nursing care as an investment or a resource of the of the organization. The theory serves as a synthesis of the ideas revolving around organizational decisions (from careful consideration of corporate needs) in light of the basic humanistic care needs. Nurses and other healthcare professionals struggles with the paradox of serving the corporate needs of the bureaucracy while serving the caring needs of human beings. Marilyn Ray further illustrated in her theory the issues within the organization today that in some way affect the delivery of quality nursing care and these include economic constraints, the nursing shortage, complex patient, increased workloads and technological advancement.

References:

Alligood, M. (2014). Nursing Theorists and their Work. (8thed). Missouri, MO: Elsevier, Inc.

Davidson, A., Ray, M.,&Turkel, M. (2011). Nursing, Caring and Complexity Science: For Human-environment Well-being. New York, NY: Springer

Constantino, E. (2013). Marilyn Anne Ray’s Theory of Bureaucratic Caring. Retrieved from http://groupcee.blogspot.com/

Davidson, A., Ray, M., &Turkel, M. (2011). Nursing, Caring and Complexity Science: For Human-Environment Well-being. New York: Springer.

Marilyn Anne Ray (n.d.). In Prabook. Retrieved from http://prabook.com/web/person-view.html?profileId=890947

Ray, M. (2010a). Transcultural Caring Dynamics in Nursing and Health Care. Philadelphia: F.A. Davis.

Turkerl, M. (2007). Dr. Marilyn Ray’s Theory of Bureaucratic Caring. [PDF version]. Retrieve from http://marilynray.com/wp-content/uploads/2012/10/Theory-of-Bureaucratic-Caring.pdf