護病有著密切關係，護理人員於護病場域存在價值，亦端視如何看待護病關係的本質與意義，若能建構一套正向、合理、溫馨的關懷關係，便能悠然地感受到護病間的美好與喜悅，這是護病關係給予病人莫大欣慰與勇氣，亦帶給病人決定於維護、預防、促進健康福祉之關鍵所在。於護病關係的探索，始終是人們致力討論重要的議題。本文透過女性主義Noddings關懷倫理學的洞見，詮釋護病關係重拾人類存有的人性關懷，於護病關係的紮根與開展及現今去人性化的護病關係而言，仍是深刻而饒富意義的。全文計六章： 第一章導論：說明論文研究背景 、研究動機與重要性、研究目的與問題，以及研究架構、目標與方法。 第二章論護病關係的緣起：主要探討護病關係的本質。透過當代護病模式的迷失，以瞭解護病模式和說明了其侷限，將尋繹出病人當成人對待的內在意涵，並透過各自不同學科領域的學者，經歷多年不懈的努力與做過甚深的詮釋，爬梳整理出護病關懷一些理念，重拾專業護病關懷關係。 第三章Noddings論關懷的倫理：首先以Chodorow對Freud的批判，其次以Gilligan對Kohlberg的批判，再敘述Noddings立基於關懷倫理思想。 第四章論關懷倫理的護理倫理學奠基：首先說明護病互動系統以及護病關係存在的現象，其次闡釋、分析關懷概念於護病關係扮演的角色，最後論述護病關懷關係的可行性與倡導。 第五章論護病職場的專業倫理改革方針：分別論述國內外護理專家學者，對於良好的護病關係界定論述，共同尋找出理想護病關係倫理的基礎，這是人性關懷具有意義、有效的與普及性，以及對護理教育的啟示與意義。 第六章結論：在綜覽實現護病關係以人性護理照護病人的秘訣在於關懷後，歸納出關懷關係理念為護病奠基在四面向：其一在關懷存有面是人性照護的基礎；其二是關懷在情意面是護病關係的實踐動力；其三為關懷將在社會面是醫護養成教育實踐方法的學習；其四關懷的理想面則是醫療體制改革的價值標準。 The relationship between nursing professionals and their patients is a very close one based on the role that nursing professionals play while bringing health care to patients. The value of nursing professionals depends on how the funda-mentals and the true meanings of the patient-nurse relationships are viewed. A positive and warm patient-nurse relationship would create a comfortable patient -nurse relationship and even reduce the fear, estrangement and tension caused by the health care system. This caring relationship of patient-nurse gives pati-ents great conform and encouragement. Most importantly, a helping -trusting relationship makes patients share decision making on maintaining, prevention and promotion self-health. Patient-nurse relationship has been an important issue over the past decades. Based on the feminist ethics of care theory of Nodding, the paper is to interpret patient-nurse relationships, to regain long-losing human caring and to achieve the provision of caring in health care settings. There are six chapters. Chapter one is Introduction, including background, motivation, purpose and significance of the research, research structure, goals and measures. The history of patient-nurse relationships will be reviewed mai -nly on the essence of caring theories in chapter two. Chapter Three focuses on Nel Noddidngs’ ethics of caring theory and Chapter Four states the found- ation of caring theories on the basis of nursing ethics. Feasible measures of reforming nursing professional ethics in healthcare settings are recommended in Chapter Five. The final chapter concludes that caring concepts lay the foundation of patient-nurse relationships in four aspects. Caring is the base of human care; caring is also the motivation to achieve good patient-nurse relationships. Moreover, caring is a measure to achieve the suc- cess of patient-nurse education and the moral standard of health care reform as well.
