Study on medical care for children at the general schools

2019 Fiscal Year Final Research Report

• Project/Area Number: 17K12548
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Community health nursing
• Research Institution: Tokai University
• Principal Investigator: ISHIHARA Takako 東海大学, 医学部, 講師 (70580851)
• Co-Investigator(Kenkyū-buntansha): 岡部 明子 東海大学, 医学部, 准教授 (90287053)
• Project Period (FY): 2017-04-01 – 2020-03-31
• Keywords: 医療的ケア児 / 通常学校 / 就学判断 / 看護師配置 / 教育医療連携

Outline of Final Research Achievements

When a medical care child enters a regular school, the Board of Education decided that the main decision to enter a school was based on the condition of the child, the strong desires of parents, and the understanding of the applicable elementary school principal. The principal accepted with equal opportunity for learning, separation of mother and child, and support for independence. The homeroom teacher worked closely with the surroundings and prepared a learning environment like other children, but also had concerns about medical practices and anxiety about safety. Although it is desirable to assign nurses, problems such as difficulty in securing human resources, unstable working environment, difficulty in cooperation, and one-person system were also found. The placement of nurses freed parents from attending and continued their work. It was confirmed that the children with medical care could promote age-appropriate development by interacting with the teacher and other children.

Free Research Field

在宅看護学

Academic Significance and Societal Importance of the Research Achievements

日常的に医療的ケアを要する状態で在宅療養を継続する児童も、地域の他の児童と同様に、その地域の通常学校に通学することが可能となった。障害があるからといって一律に訪問教育や特別支援学校就学を決定するのではなく、教育的視点を主眼に置いて当該児童や保護者に向き合っている教育者の認識・判断・行動が明らかになった。学校で医療的ケアを担当する看護師もケアだけ行っているのではなく、教育的な配慮を重視していることも明らかとなり、教育現場における医療のあり方を示唆している。障害を持った子どもが親と離れ、自立に向けた成長発達をすることも浮かび上がり、親もまた、就労継続や自身の人生を歩むことにつながっている。