Abstract
Within bureaucratic organizations, registered nurses experience environments and situations which are complex in nature. The theory of bureaucratic caring (Ray, 1989) identifies caring as a dynamic concept which is influenced by both bureaucratic and humanistic factors; the ethical and education factors of caring may influence registered nurses’ competency. Continuing competency programs must prepare RNs to deal with the growing challenge of clients with multiple comorbidities seeking care in complex health systems. Recommendations will be suggested to augment current educational programs to ensure continuing competency for RNs.
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