Study on establishment of continuation support system for medical care children

2024 Fiscal Year Final Research Report

• Project/Area Number: 20K10845
• 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: 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): 2020-04-01 – 2025-03-31
• Keywords: 医療的ケア児 / 通常学校 / 看護職 / 保護者 / 医療・教育連携

Outline of Final Research Achievements

The current situation of medical care for children in regular schools in Japan faces numerous challenges, placing a significant burden on all parties involved. School nurses often have unstable employment statuses and unclear job descriptions, with notable disparities in support systems across different regions. Difficulties in information sharing and a persistent lack of understanding from school staff are also significant issues. Parents struggle to balance childcare and work, and they also face barriers to enrolling their children in daycare centers, along with a general lack of accessible information. Consequently, an environment where children requiring medical care can learn and grow safely and with peace of mind is not yet adequately established. The development of comprehensive support systems and a deeper societal understanding are urgent and critical issues that need to be addressed.

Free Research Field

地域看護学

Academic Significance and Societal Importance of the Research Achievements

日本の通常学校における医療的ケアの実態を、看護職、支援体制、保護者の視点から多角的に明らかにした点に大きな学術的意義がある。特に、看護師の不安定な雇用形態や業務範囲の曖昧さ、地域による支援格差、情報共有の難しさといった具体的な課題を実証データに基づいて浮き彫りにしている。
医療的ケア児とその家族が直面する困難を社会に広く伝え、看護師の待遇改善や専門性の向上、多職種連携の強化、学校側の理解促進、切れ目のない支援体制の構築、そして法整備といった具体的な政策提言へと繋がる貴重なエビデンスを提供する。医療的ケア児がインクルーシブな環境で安心して学び、成長できる社会の実現に向けた議論を喚起する。