Roles of Yogo Teachers Who Support Children with Chronic Diseases in Interprofessional Collaboration

慢性疾患の子どもを支える養護教諭の多職種連携における役割の検討

Roles of Yogo Teachers Who Support Children with Chronic Diseases in Interprofessional Collaboration

Degree Grantors 山口県立大学

The purpose of this study was to clarify the current status of support for children with chronic diseases through interprofessional collaboration and Yogo teachers’ roles in such collaboration. In inclusive education systems, it isimportant to develop various flexible structures that allow the teaching of children with individual educational needs, with a view to promoting their independence and social participation while fulfilling their needs. However, collaborative systems between schools and related institutions are still insufficient, and Yogo teachers’ roles in interprofessional collaboration remain unclear. Therefore, the need for studies to clarify the current status of support through interprofessional collaboration andYogo teachers’ roles in such collaboration was realized.
This paper consists of 4 chapters. Chapter 1 specifies the background and objective of the present study, and discusses the current status of support through interprofessional collaboration and Yogo teachers’ challenges to carry out their roles in such collaboration based on policy trends for children with chronic diseases and the related literature. Chapter 2details a hypothetic model on Yogo teachers’ roles in interprofessional collaboration formulated from the quantitative analysis of data obtained from interviews with four institutions. Chapter 3 examines Yogo teachers’ roles that affect the outcomes of interprofessional collaboration based the quantitative analysis of data obtained from a questionnaire survey involving Yogo teachers working at public elementary/junior high schools. Chapter 4 describes the findings regarding Yogo teachers’ roles ininterprofessional collaboration.
In the present study, the hypothetic model was evaluated and it was found that [support approaches to fulfill educational needs] lead to [agreement among supporters], and affect the [outcomes of interprofessional collaboration], such as <establishment of trust-based relationships with various other professionals/institutions>,<systems for handover when children are promoted to the next grade or proceed to the next level of education>, <broadened the understanding of children and methods to support them>, and <guarantee of a prosperous life for children with chronic diseases>.
[Support approaches to fulfill educational needs] are part of individualized support, provided through <commitments to nurture self-esteem in children>, <perception of changes in physical condition through daily observations of health and analysis of records>, and <support based on characteristics>. [Agreement among supporters] is the step to build support systems through collaboration with teachers and various other professionals,including <information transmission byYogo teachers>, <development ofin-school support systems by information-sharing>, <understanding of Yogo-teachers by principals> and <acquisition of health management methods focusing on child development>, with this last item having the greatest impact. Specifically, Yogo teachers must provide support tailored to each chronically ill child’s characteristics to assist them in the acquisition of health management methods centered on development in conjunction with multiple professionals.But also to provide education that promotes understanding about children with chronic diseases by recognizing that the children around them are also supporters.
Yogo teachers are expected to play a role as coordinators in promoting cooperation among multiple professions with shared goals of support and normative integration. Furthermore, they must provide support tailored to the children’s characteristics through daily observation and record analysis, disseminate support content for the
educational needs of children with chronic diseases, deepen the understanding of principals and teachers, and develop an environment where the entire school can respond as a team. Above all, it is important to collaborate with multi-professionals to create support that allows children with chronic diseases to acquire their own health management methods as the subject of their own development.

Creators SHINKAI Kanae