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A study of current situations and issues in After-School Day Services for children requiring medical care

Research Project

Project/Area Number 19K24212
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeMulti-year Fund
Review Section 0908:Society medicine, nursing, and related fields
Research InstitutionAichi Medical University

Principal Investigator

Nitta Misato  愛知医科大学, 看護学部, 助教 (20850655)

Project Period (FY) 2019-08-30 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords放課後等デイサービス / 医療的ケア児 / 小児在宅ケア / 看護 / 看護師配置 / 事業所管理 / 医療連携 / 医療
Outline of Research at the Start

近年、医療的ケア児の重要な受け皿である放課後等デイサービス事業所の安全性向上に向けた環境整備が急務である。放課後等デイサービスは,多様な事業母体で運営されており,小規模事業所が多い一方、必要な医療的ケアは多岐に渡ることが報告されており、医療機関との連携などの多くの課題を抱えていることが予測される。
そこでA県B市にある約300か所の放課後等デイサービス事業所全数を対象に医療的ケア児の受け入れ環境の現状と課題を質問紙調査にて明らかにし、医療的ケア児を安全に受け入れるための具体的な方策を検討する基礎資料とする。

Outline of Final Research Achievements

To clarify the current situation and issues related to the acceptance of children who need medical care in after-school day services, we conducted a self-administered, anonymous questionnaire survey of managers of facilities in City B.
The survey revealed the current status of crisis management at the facilities, the management system of facilities accepting children who need medical care, and the contribution of nurses to infection control and medical safety measures. The recruitment of nurses remains an issue, suggesting the need to consider support for nurses and measures to secure nurses. The respondents were concerned about crisis management at their facilities regardless of whether children who need medical care were accepted, and the results revealed the need to consult with outside medical professionals.

Academic Significance and Societal Importance of the Research Achievements

近年増加傾向にある医療的ケア児を受け入れる事業所の1つである放課後等デイサービス事業所における危機管理の現状や課題,医療的ケア児を受け入れている事業所の管理体制及び,感染・医療安全対策に看護師が寄与していることを明らかにすることができた.また,外部の医療専門職への相談・連携のニーズ等を踏まえた,地域全体での相談・支援体制の必要性や,看護師への支援の必要性も明らかとなった.本研究の結果は,今後,放課後等デイサービスでの医療的ケア児の安全な受け入れ体制について,現状を踏まえてより一層整備するための方策の一助とできると考える.

Report

(4 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (1 results)

All 2022

All Presentation (1 results) (of which Int'l Joint Research: 1 results)

  • [Presentation] Status and Issues Related to Accepting Children Requiring Medical Care into After-School Daycare2022

    • Author(s)
      Misato Nitta , Hiroko Wakimoto
    • Organizer
      The 7th International Nursing Research Conference of World Academy of Nursing Science (7th WANS)
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research

URL: 

Published: 2019-09-03   Modified: 2023-01-30  

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