作業療法をもとにした遊びに対する児童デイサービスの保育士の認識

Recognition of nursery teachers working at handicapped-child day services on occupational therapy-based play

要旨：本研究の目的は，児童デイサービスで作業療法士と協業する保育士が，作業療法をもとにした遊び方をどのように認識し療育に応用するのか，その認識プロセスを明らかにすることである．方法は，保育士6名の語りを修正版グラウンデッド・セオリー・アプローチ（M-GTA）で分析した．結果，25の概念と5のカテゴリーが生成された．考察すると，保育士は作業療法士の遊びに興味を持っており，部分的に応用していたが視点の相違やハードルも存在した．また，感覚統合の考え方が，専門職同士をつなぐ共通言語的に使われることも確認できた．今後，作業療法士が行う遊びに対する保育士の認識を踏まえ，協業していくことで良い連携が生まれると考えられる．

　The purpose of this study is to investigate how the nursery teachers recognize the occupational therapy-based play and apply it to improving the quality of child care programs at handicapped-child day services. Six nursery teachers working in a handicapped-child day service were interviewed according to the interview guide provided by the author. Prior to the interview, a videotape (48min) about the occupational therapy-based play was shown to the nursery teachers, and the main concerns of the occupational therapist were predicated and explained. The interviews lasted 324 minutes, and the contents were transcribed, analyzed using M-GTA (Modified Grounded Theory Approach), and 25 concepts and 5 categories were identified. The relationship between 25 concepts and 5 categories analyzed, indicating an understanding about the concepts of nursery teachers on occupational therapy-based play. Although there were some discrepancies concerning the concepts on occupational therapy-based play, or concerning the understandings on the syndromes of the handicapped children between nursery teachers and occupational therapist. Since the nursery teachers and occupational therapist stand on different backgrounds. However, it seems that viewpoints from the Sensory Integration theory would be a sort of junction which connects specialists from different fields. It was also possible to confirm that nursery teachers who are concerned with the therapy, education and nursery of the handicapped children at the day service station have almost the same viewpoints on the cares and education with occupational therapist. The nursery teacher was interested in the occupational therapist as professionals to work with.