Development and Evaluation of a Nurse Support System for After-School Day Services

2023 Fiscal Year Final Research Report

• Project/Area Number: 21K10953
• 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: Tokyo Kasei University
• Principal Investigator: Fujita Atsuko 東京家政大学, 健康科学部, 准教授 (70721851)
• Co-Investigator(Kenkyū-buntansha): 齋藤 正子 清泉女学院大学, 看護学部, 准教授 (30738232) ; 福井 郁子 帝京科学大学, 医療科学部, 講師 (50759842) ; 葛原 誠太 西九州大学, 看護学部, 講師 (60610631) ; 立石 和子 産業医科大学, 産業保健学部, 教授 (80325472) ; 両角 理恵 東京家政大学, 健康科学部, 期限付助教 (80829226)
• Project Period (FY): 2021-04-01 – 2024-03-31
• Keywords: 放課後等デイサービス / 看護師 / 支援システム

Outline of Final Research Achievements

The roles of the after-school day care service nurses were diverse, ranging from "providing care for children with medical care and a variety of other children," "collaboration within and outside the workplace," "dealing with family members," "concurrent duties of nursing and non-nursing," and "providing staff guidance," to "interacting with children from the perspective of medical care-centered medical education. The challenges included the burden caused by the shortage of nurses, the lack of a working environment, and conflicts in practice, suggesting the need for training to address the lack of knowledge and for collaboration within and outside of after-school day care services. Based on these results, a support system that can be used by after-school day-care service nurses on the web consists of knowledge utilization, base formation, a database of narratives, and expectations of nurses (family voices).

Free Research Field

小児看護学

Academic Significance and Societal Importance of the Research Achievements

放課後等デイサービス看護師支援システムを作成したことにより、看護師一人ひとりが経験値で行っていた支援の質が保たれ、本来の放課後等デイサービスの役割である発達支援、家族支援へつながると考えられる。学齢期の障害のある子どもにとって、放課後という地域における居場所の保障と、発達の保障となり、豊かな人格形成の一助になると思われる。