Development a medical , school nursing model to support children with technology-dependent to attend school

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19142
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Tokyo Medical University
• Principal Investigator: Nanako Okamoto (松崎奈々子) 東京医科大学, 医学部, 助教 (60761781)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 医療的ケア / 就学 / 家族看護

Outline of Final Research Achievements

Result of review of Japanese articles, it suggests that to support children with technology-dependent to attend school consider individuality but the system is not systematized.
A survey using an anonymous, self-administered questionnaire was conducted for families raising primary-school-age children who are dependent on technology. I distributed 174 questionnaires and collected 62 . Ten categories related to difficulties were identified including a poor understanding of the people around them, and the fact that the school cannot provide certain types of medical care. Eight categories related to supportive measures were identified including the desire for effective multi-institutional and multi-professional collaboration. Construction of a system to implement individualized medical care in schools, enhancement of social resources related to transportation and after-school, creation of a support system for families on school enrolment procedures, etc, were deemed as important.

Free Research Field

小児看護

Academic Significance and Societal Importance of the Research Achievements

医療的ケア児の就学においてその家族が体験している困難や求めている支援から、医療的ケア児の就学に関する課題が明らかになった。医療的ケア児に応じた学校での医療的ケア実施体制の構築、通学や放課後を支える資源の充実化、就学するための仕組みの明瞭化、家族が行う手続きをサポートする体制、看護職が家族とともに医療的ケア児の体調管理やケアの調整を行うことの重要性が示唆された。本研究の結果は医療的ケア児に関わる多職種や多機関の支援者が就学期における支援や、学校における医療的ケア児の安全な受け入れ体制等を構築する一助とできると考える。