Summary Of Bureaucratic Caring Theory

Improved Essays
The theories of Bureaucratic Caring and Complex Adaptive provides an awareness of the many challenges nurses faces while attempting to support human caring within the organizational structure. Care as a result of the many difficulties can be threatening and complicated when change is a possible factor, and thus, can lead to many inappropriate behaviors due to the many constraints placed by society. However, the question remains whether such care either formal or structural has an impact on the Magnet Journey of nursing as it relates to the quality of care implemented. The Bureaucratic Caring Theory involves a formal and structural process that is practice by nurses within the organization. The theory was first introduced by Marilyn Ray and …show more content…
In an article published by Burns (2001) the universe provides an interconnectedness between all of it contingents of which unpredictable behavior is produced. Caring according to Burns (2001) represent a whole and a part of the complexity of the organization of the hospital according to this system. Leadership within a complex adaptive system offers opportunities within a chaos environment that focus less on the prediction and control with emphases placed more on the fostering of relationships that allow for the complex adaptive system to expand itself. According to Burns (2001)within the theory of complex adaptive change is driven by regulatory and statutory initiatives, employer mandates, customer expectation, and financial pressure which serve as a dominant part of the leader’s agenda. It was further implied by Burns (2001) that the healthcare leader becomes frustrated within the chaos of their environment thus leading to a frustrating environment. Dominant caring existed within each unit. The primary focus of the complex adaptive theory as stated by Burns (2001) was to seek how order emerges from the complexity of the organization structural while attempting to utilize a nonlinear approach to caring. Chaos according to Burns (2001) often time called the balance point never fits and often time is overlooked and succumbed to the woes of the status quo, or simply give in to it constituents. Structure within a …show more content…
Bureaucracy according to Urrabazo (2006) is the foundation seen with many hospital that is governed by policies and procedures. The Cultures of an organization influences the identity of one’s culture. The roles of management serves as the building blocks of the organization of which trustworthiness is established in both directions up or down in support of empowerment. Cultures identity results from power, roles, task and the person. Nurses within the magnet structure are more positively motivated within their profession with improvement in patient care, low turnover rates with fewer vacancies seen. The bureaucratic caring model serves as a high motivation to such practice as opposed to the complex adaptive model. However, both theory provides a strong support to the magnet journey with the Bureaucratic seen as the more influential of the two. Leader’s qualities and principals can direct change in an ever changing environment and promote healthcare economic that is considered at the national level within the healthcare organization. The attitudes, values and behaviors of an institution begin with its leadership (Urrabazo,

Related Documents

  • Great Essays

    Combining Nurse Leader With Advocacy Nurses have important role in health care setting. Advocacy for other nurses and profession create positive influence at workplace. Nurse’s role as a leader and advocate is very essential to provide safe and quality care to patients. “The IOM specifically recognizes the need for strong and capable leadership if the vision for transforming healthcare is to ever be realized. The report suggests that the nursing profession must produce leader at every level of the system and accept key leadership position in policy, politics, organizations and practice”(Nursing center, 2016).…

    • 1137 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Before delving further into leadership and management theories and styles it is good to understand the difference between a manager and a leader. Bennis and Nanus (1985, p221) state that ‘managers are people who do things right and leaders are people that do the right thing.’ Yukl (2002, p7) goes on to suggest that leadership is the process of influencing others to understand and agree about what needs to be done and how it can be done effectively, and the process of facilitating individual and collective efforts to accomplish the shared objectives. However, Stodgill (1974:7) powerfully stated that ‘there are as many definitions of leadership as there are persons who have tried to define it.’ Although there are varying definitions to leadership…

    • 1531 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    The foundations of BSN programs have been continuing to emphasize research and delivering optimal patient outcomes. There have been multiple initiatives to improve patient outcomes through the use of Magnet Recognition process; these include increasing the number of BSN nurses and patient focused initiatives. The components of Magnet include transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovation and improvement, and empirical quality. Effective leadership will be pivotal in a facilities achievement and success when obtaining Magnet status. A Transformational leader is one who recognizes the need for change and implements a plan.…

    • 299 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Systems theory focuses intently on the environment and how it influences and shapes the organization. The theory promises to effectively handle complexity, perform with precision, see through a holistic lens, and will always arise from any form of chaos. In our case study, the “Crisis in the Zion Emergency Room”, we see the horrible effects of poor communication and teamwork between the divisions of a hospital. The conflict lies in the fact that beds are divided among the emergency room, the heart center and pediatric care unit, and overpopulation in the emergency room leaves patients littered around the hallways in gurneys. Using a wider lens, we can associate the Zion Hospital with the role of environment and the three hospital units, the…

    • 403 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    A complex-adaptive system is a new science that has “emerged as a powerful force influencing many fields and has great potential use in nursing” (Chaffee & McNeill, 2007, p.232). Complex-adaptive systems can be anything that allows individual agents to have the freedom to act in unpredictable ways and whose actions interconnect so that they impact other agents (Plsek, 2001, p.625). A hospital is an example of a complex-adaptive system because patients admitted into the hospital interact with a variety of health care providers, who are agents and members of the complex-adaptive system. Sacred Heart Medical Center is a hospital that is defined as a complex-adaptive system. The medical center is constantly adapting and evolving to providing safe…

    • 1682 Words
    • 7 Pages
    Superior Essays
  • Great Essays

    Patient and employee satisfaction is an essential component of a successful organization. If the patients are unhappy with their care or service they will not return; patients have a choice in where they receive healthcare. Without substantial patient flow the hospital loses revenue and eventually jobs. Patient satisfaction is absolutely necessary and priority for every nurse leader. Employees must also be satisfied with their work.…

    • 1603 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Why do students remember everything that is on television and forget what is taught in lecture? Students’ skills are best improved through practice, but before practice, observation is a key component to learning. For example, even if the students are given the steps on how to perform the return demonstration, they want to see the actual procedure to be more confident that they can accomplish it on their own. Students can use visual media as a way to retain concepts and ideas.…

    • 443 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Nursing Implications The expectation for all stakeholders in healthcare is for safe, quality care at a value cost. Healthcare leaders are responsible for setting the stage for quality outcomes and the largest impacting force is in the hands of nursing. Nurses have a high exposure to patients and processes requiring and buy-in for the activities that lead to positive outcomes as defined by internal financial drivers, the regulatory agencies, the third-party reimbursement agencies and the consumers. Transformational, authentic, and trustful leadership has been shown to a have significant impact on the desired outcomes.…

    • 439 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Defining what leadership is, who leaders are, and what leaders do is not easy (Grossman & Valiga, 2017). Some of the classic theories include Great Man Theory, Trait Theories, Situational Theories, Contemporary Leadership Theories, Transformational Leadership, Authentic Leadership, and Adaptive Leadership. Applicable to this case study is the transformational leadership. This theory was first introduced by Burns (1978), and he described it as being context based, a process for motivating followers believing in similar internal values directed toward the “greater good”, and having an emphasis for leaders and followers to enjoy a close bond (Grossman & Valiga, 2017). In this case study, this type of leadership fits the charge nurse because it emphasizes how nurses need to lead in order to be able to make a difference and consistently provide a high quality of care (Grossman & Valiga, 2017).…

    • 929 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The Professor of Sociology Daniel Chambliss presents insightful theories in his book ‘Beyond Caring’ about the organization dynamics found in his decade-long observation of nurses and doctors in United States hospitals. The following summarizes the argument and finding presented by Chambliss and draws comparisons between his ideas about organizational dynamics and those of. In this Critical analysis, I will recount Chambliss findings from a chapter in his book Protecting the Routine from Chaos; I will also examine and review the article from a critical standpoint and include my interpretation of Chambliss’s theories and how they relate to the Social Order. Summary…

    • 849 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    SWP3UIO Reflection Paper

    • 1365 Words
    • 5 Pages

    My knowledge of human service organisations before commencing SWP3UIO Understanding Organisations for Social Work Practice, is limited and include disability services which I have education and experience in, and other services such as aged care and mental health. They are organisations which work with people; within varying degrees of quality, regardless each system in which they operate has their achievements and flaws partially the difference between small and large scale organisations. The newspaper article I have chosen for reflection on human services organisations is ‘People visibly sleeping rough on Melbourne 's main streets 'just the tip of the iceberg ' of homelessness’ (Anderson, 2015). This article describes the current experiences…

    • 1365 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Managers who have exhibit the theory, have expose the nurses who are staff to initiate and include caring in a new way. Staff nurses now begin to implement this in their own daily practice to influence their relationship with their…

    • 1088 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    The dynamic and challenging nature of the nursing profession has meant that that leadership is a priority in today’s healthcare environment. The nursing leadership concept is complex and multi-dimensional such that it influences the working environment. The leadership method adopted will have a direct bearing on the nursing staff satisfaction, retention and organizational performance (Schwartz, Spencer, Wilson, & Wood, 2011). For quality healthcare provision, it is therefore prudent that an organization adopts the right leadership mechanism and criteria. As a result, numerous theories have been developed to try and address leadership theories that would be prudent in the nursing profession.…

    • 839 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Chaos Theory In Nursing

    • 722 Words
    • 3 Pages

    The way leaders can strive for performance measures is towards, consistency, good deeds, and practice of assisting team players flourish (Curtin, 2013). The logic behind leadership is by gaining knowledge with a vast array of theories along with nursing research with an aim to improve practice, thus, forming strong organizational frameworks (Oden, 2013). Chaos Theory is the basis of an unknown variables that pose problematic situations, in essence, a plan of action needs to warrant immediate removal of the negative variable (Oden, 2013). For instance, during an emergent situation, nurses are assessing the patient’s vital signs, neuro checks, EKG, disease process in order to strategize the underlying problem at hand and come up with a solution. Nurses explore the whole picture of an individual during an emergent situation which are a prime example concerning the application of the Chaos Theory in that, we as nurses try to take into account that there usually are unknown variables existing causing the patient harm that triggers a response to eliminate the problem (Oden,…

    • 722 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Open System Theory in Nursing Service Delivery Health care must always be aware of government regulators, in the context of its position within the larger environment of a national health care system (Meyer & O’Brian-Pallas, 2010, p. 2830). Each system is a set of components working together to accomplish as specified goal or vision (Marquis & Hutson, 2012, p. 40). The system theory combined with the nursing service delivery theory bases the linking of nursing activities, staffing, environments, and outcomes in different settings with the involvement of management in the decision-making process. In healthcare, organizations are considered to be an open system; it must work together with and within an environment to promote growth, vision, and…

    • 1278 Words
    • 6 Pages
    Great Essays