長久以來關懷幾乎等同於護理的代名詞。如何將關懷具體的應用於臨床照護上面，以「全人的觀點」提供病患身心靈整全的照護，一直是護理界所強調也是提升護理照護品質所需企及的目標。但在理論與實務之間總是會出現差距；尤其在精神科臨床照護上，護理人員面對精神病患者處理的不僅是疾病問題，更多的是病患對自我的貶抑、生活的無望，及對生命價值的懷疑；另一方面，因為病情所導致的情緒激動，出現攻擊、謾罵、自我傷害行為等，更讓護理人員承受相當大的壓力，在長期累積的身心負荷下，面臨職業疲潰。關懷倫理是在女性主義的道德意識發展下的倫理學，強調的是人與人的關係與相互間情感的交流，並在彼此情感的回應中認識自我的價值與責任；但護病關係是一不對等的關係，護理人員付出關懷的情感，所得到的回應可能是不堪的對待。在如此情境下，在道德情感與專業倫理之間，護理人員被要求要成為良善照顧者，要提供關懷照護行為，常引發筆者內心的焦慮與衝突。因此，本論文首先要探討的是關懷倫理如何應用於臺灣精神病患的照護？並找出臨床照護的困境與面臨的挑戰；其次，透過關懷照護的反思與覺察，體現護理照護的價值與意義，並在照護過程中，達到諾丁所說關懷的最高境界：幫助他人成長與自我實現。

Caring almost become the synonyms of nursing for a long time. How to apply caring practice to clinical care and to provide holistic care to patients has always been emphasized in nursing. They are also the goals that needed to achieve through the improving of nursing quality. When taking care of psychiatric patients, nurses have to deal with not only patients’ mental illness, but also their self-disparagement, hopeless of life, and doubt of life value. Moreover, patients’ curse, attacking behaviors, and selfhurting due to their intense emotion shifts from the illness, nurses have to put up with a great amount of stress. Care ethics was developed from the feminism. The theory emphasized interpersonal relationships and the bonding of each other. It also helped to learn one’s value and responsibilities through the responses of one another. The nurse-patient relationship is often unequal. Nurses deliver caring to patients and might get extremely opposite responses. However, under the circumstance between moral and professional ethics, nurses are asked to be virtuous caregivers. That often brings out the anxiety and conflicts within nurses. The purposes of this study are first to investigate how to apply care ethics to the care of psychiatric patients, and to look into the difficulties and challenges in Taiwan clinical care. Second, through the reflection and awareness of caring patients, nurses can realize the value and meaning of care, and then achieve the core concept of care ethics helping others grow and self-realization.