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要旨
目的：医療的ケア児の児童発達支援等の利用開始に向けた訪問看護実践を明らかにする．
方法：小児訪問看護の熟練者10人に半構造化面接を実施し，Berelson（1952/1957）の内容分析を参考に分析した．
結果：【子どもの就学や母親の社会参加を考慮し，好機を逸することなく児童発達支援等の利用を提案する】【両親の希望に応じた児童発達支援等の施設検討に向け，見学の提案や調整を行うとともに，関係者とのやり取りを促す】【児童発達支援等の利用開始に伴う生活の変化への適応に向け，子どもと家族の準備や訪問看護日の調整について提案する】等の15コアカテゴリが形成された．
結論：児童発達支援等の利用ニーズがある医療的ケア児の看護には，子どもの将来を考えつつ児童発達支援等の利用への親の関心を高め，利用についての親の意思決定を支援し，申請手続きを見守りながら，利用による影響の予測に基づき多職種と連携し準備を行う必要性が示唆された．
Purpose: This study aimed to clarify home-visit nursing practice toward using child development support or day care for technology-dependent children.
Methods: A semi-structured interview was conducted with 10 experienced pediatric home-visit nurses, and an analysis was performed with reference to the content analysis method of Berelson (1952/1957).
Results: Home-visit nursing practice toward using child development support or day care for technology-dependent children was formed from fifteen core categories such as (a) considering a child's school attendance and mother's social participation, and suggesting the use of child development support or day care without missing an opportunity, (b) suggesting and adjusting visits to consider suitable child development support or day care according to the parents' wishes, and encouraging communication with concerned parties, and (c) preparing the children and their families for and adjusting home-visit nursing days to adapt to the changes in life associated with using child development support or day care.
Conclusion: For nursing technology-dependent children needing child development support or day care, it is necessary to raise parents' interest in using it, while considering the future of their children. In addition, they need support in their decision-making regarding using it, the application procedures, and preparing in collaboration with multi-professionals based on the prediction of the impact of the use.
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