食物アレルギー起因のアナフィラキシー対応に対する保育所看護職者が認識する困難感  [in Japanese] Difficulties perceived by nurses at day-care centers during the response to food allergy-induced anaphylaxis  [in Japanese]

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Abstract

<p> 本研究は、食物アレルギー児のアナフィラキシーショック発症時の対応に対して保育所看護職者が認識している困難感を明らかにし、保育所内の救急処置体制の構築によりアドレナリン自己注射薬を持参する子どもを受け入れ対応するために必要な支援について検討することを目的としている。研究協力の得られた保育所看護職者9名を対象に、インタビューガイドに基づきインタビューを実施した。内容分析の手法を用い質的帰納的に分析した結果、【職員全体の緊急時の対応力に対する不安】、【緊急時の対応を担う負担感】、【緊急時対応のための体制が不十分】、【保護者・医師と園との対応方針の相違】の4つのカテゴリーが形成された。全保育所への看護師配置を法や指針で明確にし、人件費の補助を負担するなどの具体的な対策が望まれる。また、保育所看護職者が自信をもって保育職員への教育的役割を遂行していけるよう研修体制や法的な権限保護などの支援体制の整備が必要であることが示唆された。</p>

<p> This study aimed to reveal difficulties perceived by nurses at day-care centers during the response to anaphylactic shock in children with a food allergy. It also aimed to investigate the support necessary for accommodating children who are prescribed an adrenalin auto-injector by establishing an emergency system within day-care centers. Nine day-care nurses, who had consented to participate in this study, were interviewed in accordance with an interview guide, and data were qualitatively analyzed using an inductive approach. The following four categories were extracted: worries about the ability of the day-care center as a whole (including all staff) to deal with emergency events; feeling a heavy burden of responsibility in the event of an emergency; an insufficient system for responding to emergency events; differences in action policies among parents/guardians, doctors, and day-care centers. Concrete measures such as stipulation of posting of a nurse at every day-care center in a relevant law or guidelines, and financial support by the government for those expenses are required. A training system and a support system (e.g., legal authority protection) should be established so that all day-care nurses can confidently play an educational role toward staff at day-care centers.</p>

Journal

  • Journal of Japanese Society of Child Health Nursing

    Journal of Japanese Society of Child Health Nursing 25(3), 1-8, 2016

    Japanese Society of Child Health Nursing

Codes

  • NII Article ID (NAID)
    130005464619
  • NII NACSIS-CAT ID (NCID)
    AA11583347
  • Text Lang
    JPN
  • ISSN
    1344-9923
  • NDL Article ID
    027762048
  • NDL Call No.
    Z19-B293
  • Data Source
    NDL  J-STAGE 
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