This study examines how clinical Buddhist chaplains are trained to provide spiritual care in terminal care, their situatedness and its challenges, and how they cope with these challenges. For this study, a semi-structured interview outline was used to interview a senior clinical Buddhist chaplain. In addition, a narrative analysis method named whole-content proposed by Lieblich was used to analyze the narrative. The research findings are as follows: (1)Inquiry into the true meaning of existence: the constant feeling of loneliness motivates the continuous search, death brings a deeper understanding of the human world, and the recognition of the mission of service in the Hospice. (2)The challenges of clinical practice: the difficulty of engagement from different cultures within the team, the need to support and teach the hospice team while caring for the patient, and the need to understand the patient's suffering. (3)The "sacred" and "secular" transition and consciousness: religious teachers have their own religious practice, but in the hospital, they need to learn to communicate with the hospice team, trying to find balance of the interaction relationship between a monk and the secular people, also in the process of accompanying patients, they will encounter various kinds of challenges, so they need to constantly being self-awareness within the process of hospice care. (4)Find mission and calling during severe practices: in being with the patient, one is aware of oneself, and one is giving back to the community, and one affirms a sense of mission in giving. It is my wish that the study will expand the vision of terminal care and focus on the formation of a clinical Buddhist chaplain. Finally, based on the findings and conclusions of the study, we propose relevant recommendations.
