Current Situation and Challenges for Children with Medical Care Needs

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K10990
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Kanagawa Dental University Junior College (2020-2022); Wayo Women's University (2019)
• Principal Investigator: ONDA Kiyomi 神奈川歯科大学短期大学部, 看護学科, 教授 (50574183)
• Co-Investigator(Kenkyū-buntansha): 上松 恵子 和洋女子大学, 看護学部, 准教授 (30612501) ; 中垣 紀子 和洋女子大学, 看護学部, 教授 (10300055)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 医療的ケア児 / 保育所 / 看護師 / 医療的ケア業務分析

Outline of Final Research Achievements

With recent advances in pediatric and perinatal care, the number of children with medical care needs living at home after discharge from hospitals has been increasing. In order for children with medical care to grow and develop in society, securing a place to care for them will improve the quality of life of the children and their families.
In this study, we conducted semi-structured interviews with nurses at nursery schoolｓ　that care for children with medical care and analyzed the operations of medical care to clarify the current situation and issues. We believe that this study helped us to examine the ideal form of daycare centers that accept children with medical care in the future.

Free Research Field

小児看護学　家族看護学　医療安全　医療政策

Academic Significance and Societal Importance of the Research Achievements

医療的ケア児を保育する保育所の看護師への半構造化面接調査より、保育所で医療的ケアを実施する困難や戸惑い。その困難を解決するための工夫や心がけていることが明らかになった。
また、医療的ケアの業務分析により1人の医療的ケア児に複数の疾患や障害があり、必要とする医療的ケアは多岐にわたり、医療的ケアの重複する時間帯があることが明らかになった。これらの結果は、今後の保育所における医療的ケア児の受け入れの一助になると考える。