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要旨:作業療法士が学童保育クラブへ訪問し,アドバイスを行う取り組み(以下,OTコンサル)による放課後児童支援員(以下,支援員)のスキルアップの構造を明らかにする.支援員6名にOTコンサルの実施前と実施後に半構成的インタビューを行った.データ分析は,修正版グラウンデッド・セオリー・アプローチを採用した.実施前インタビューは,支援員の普段の関わり方にまとめられた.実施後インタビューは,OTコンサルで得た新たな知識・技術と知識の活用などと共に,職員間の連携や子ども全体への支援向上となる構造にまとめられた.OTコンサルでは,支援員個々とクラブ全体への効果の相互作用がスキルアップの構造につながることが明らかとなった.
Purpose:To determine skill improvement in after-school childcare workers following occupational therapist (OT) consultation. Method:Semi-structured interviews were carried out for six participants (3 males, 3 females;mean age 37.8 ± 9.9) before and after OT consultation. These interviews were analyzed using a modified grounded theory approach. Results: Before OT consultation, interview data reflected the extent of childcare approach of study participants. After OT consultation, interview data determined new concepts and categories provided to childcare workers by the consulting OT. The OT consultation provided new skills and utilization of general knowledge. Additionally, childcare workers improved collaboration among themselves and support for all children. Conclusion: This study showed that OT consultation of childcare workers leads to skill improvement through an interaction of the effect on each participant and the club as a whole.
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