A study of caring within an institutional culture.

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Publication Type dissertation
School or College College of Nursing
Department Nursing
Author Ray, Marilyn Anne.
Title A study of caring within an institutional culture.
Date 1981-08
Description Caring is central to the profession of nursing, and cross-cultural caring is central to the sub-field of transcultural nursing. This study is an analysis of the meaning of caring expressions and behavior, principally those which are related to nurses within a hospital culture in the United States. Caring was investigated by primarily an inductive research approach through participant observation techniques. Comparative data of different social units (persons, roles, clinical units, and documents) formed the basis from which conceptual categories of caring (a classification system), and theoretical frames of reference were discovered. A classification system founded on 1362 caring responses of 192 participants consisting of four categories with their respective subsets was developed. They are as follows: Psychological (Cognitive and Affective); Interactional (Social and Physical); Practical (Technical and Social Organization); and Philosophical (Spiritual, Ethical, and Cultural). The Psychological category received the largest number of responses, followed by the Practical, the Interactional, and lastly, the Philosophical categories. The classification system reflected the current shift from humanistic-religious dimensions of caring to practical dimensions influenced by the relationship of caring to the bureaucratic dominant American social structures. In an analysis of caring within the hospital clinical units, data reinforced the existence of a logical connection between caring behaviors and the bureaucratic social structure. Contrasting examples of differential caring patterns emerged. A substantive theoretical frame of reference of differential caring was identified. The pattern of differential caring, coupled with the patterns discovered in the cognitive analysis were abstracted into a formal theoretical frame of reference, bureaucratized caring. The theoretical frames of reference of differentiation and bureaucratization demonstrated the complex meaning and structure of caring in a contemporary hospital culture. Ideal nursing models of caring were replaced by a bureaucratic model which produced professional conflict for the majority of nurses. The future of nursing now depends on how well the nature of bureaucratic caring is understood. To help in the development of transcultural nursing awareness and caring knowledge, a list of recommendations for research, education, and practice was suggested.
Type Text
Publisher University of Utah
Subject Care of the sick; Communication
Subject MESH Cross-Cultural Comparison; Nursing Care
Dissertation Institution University of Utah
Dissertation Name PhD
Language eng
Relation is Version of Digital reproduction of "A study of caring within an institutional culture." Spencer S. Eccles Health Sciences Library. Print version of "A study of caring within an institutional culture." available at J. Willard Marriott Library Special Collection. RT 2.5 1981 R39.
Rights Management © Marilyn Ann Ray
Format Medium application/pdf
Identifier us-etd2,233
Source Original: University of Utah Spencer S. Eccles Health Sciences Library (no longer available).
ARK ark:/87278/s6t72xxd
Setname ir_etd
Date Created 2012-04-23
Date Modified 2012-04-23
ID 192690
Reference URL https://collections.lib.utah.edu/ark:/87278/s6t72xxd
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