著者

亀崎 路子 カメザキ ミチコ KAMEZAKI Michiko

出版者

千葉看護学会

雑誌

千葉看護学会会誌 (ISSN:13448846)

巻号頁・発行日

vol.18, no.2, pp.27-35, 2012-12

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本研究は,地域との連携が必要な子どもの課題の解決に向けて,養護教諭が地域ネットワークづくりを推進し,協働での子ども支援を具体化する接近方法を明らかにした。熟練者の実践より作成した地域ネットワークづくりを推進する指針をアクションリサーチに用いて,地域との連携が必要な子どもの課題の解決に困難感を持つ養護教諭3名における4支援事例に対し,支援検討会を実施した。その対話記録をデータ源に,地域ネットワークづくりの取り組み過程を質的に分析した。 その結果,養護教諭は,地域との連携が必要な子どもの複雑な問題に関わる踏ん切りがつかない葛藤や,学校内外の関係者との関係づくりや問題の共有に困難感を抱き踏み込めない躊躇,さらには,地域や家庭の関係者から援助を引き出せない困難に直面している特徴が捉えられた。これに対して,養護教諭は,7つの接近方法「意識を解放する」「視点を転換する」「関係をつくり変える」「場をつくる」「支援を共有する」「子ども支援の根をはる」「立ち位置を解放する」により,地域ネットワークづくりを進展させて,協働での子ども支援を促すことが明らかになった。さらに,接近方法について,推進の鍵となる7つの性質を考察した。 本研究の知見は,困難感を持つ養護教諭に有用と考えられ,接近方法に関与している研究者の働きをさらに追究することにより他の養護教諭への活用に貢献できると考える。In the present study, I elucidated the approaches through which school nurses promote the establishment of communitynetworks and realize support for children based on collaboration with the objective of resolving issues relatedto children that require cooperation with the community. The guideline promoting the establishment of communitynetworks that was created based on pioneering research on an expert school nurse were used in action research atthree different community schools. One-on-one meetings were held with three school nurses who had difficulty inresolving issues related to children that required cooperation with the community during which support for four caseswas discussed. Using verbatim records of these meetings as data, the processes of approaches for the establishment ofcommunity networks were qualitatively analyzed.The results showed that school nurses had the following characteristics: conflict resulting from the inability tomake decisions on the complex problems related to children that require cooperation with the community, hesitation intaking action due to difficulties in developing relationships with personnel at and outside schools and sharing problems,and difficulty obtaining assistance from relevant individuals in the community and families. Nonetheless, school nursesadvanced the establishment of community networks through the seven approaches of "loosening awareness", "switchingperspectives", "modifying relationships", "creating opportunities", "sharing support", "securing support for children",and "loosening stance", and thereby promoted support for children based on collaboration. Seven key properties forpromoting these approaches were also discussed.The present findings were considered useful for school nurses experiencing difficulties, and further elucidation ofthe actions of the researcher involved in approaches is expected to contribute to their application by other school nurses.Note: School nurse( Yogokyouyu): Tea