A New Expertise in Nursing Institution : On the Treatment of Abused Children in Child Nursing Institution

一、对儿童护理机构工作人员的支持摘要本研究的目的在于探讨保育机构工作人员在照顾受虐儿童时所遇到的困难。我们将通过对儿童护理机构工作人员的支持来推动这项研究。本研究的研究方法是由儿童护理机构工作人员和研究人员参加的调查报告会议。本研究的调查报告结果使我们能够掌握埼玉县儿童护理机构的现状。(1)儿童护理机构中受虐待的儿童占全部儿童的48.2%，各种虐待中最常见的虐待是忽视，占53.8%。(2)个别教学及监护人协助是我们在照顾受虐儿童方面要提倡的。(3)指出加强培训和监督是照顾受虐儿童的必要条件。(4) 3.4%的托儿机构工作人员处于倦怠状态，如果再加上情绪衰竭状态的人，这一比例将达到11.8%。对儿童护理机构工作人员的监管本研究的目的在于探讨孤儿院所需的监督应如何运作。2 .本研究方法为小组监督案例研究（每3个月进行一次监督）。本研究的结果是进行监督，旨在重新整合家庭，以解决儿童生活中的问题，这些问题似乎与重新融入家庭的问题有关。(1)监督是作为员工之间合作的基础进行的。我们把重点放在家庭社会工作上。(3)在社工活动中，我们尽量利用探望父母的机会，让孩子回家。(4)每次督导都明确了帮扶目标。我们进行了角色扮演。

I. Support for Child Nursing Institution Staff1. The purpose of this researchThe staffs in child nursing institution have a trouble caring for abused children. We are going to promote the research through the support for the child nursing institution staff.2. The method of this researchInvestigation report conferences joined by child nursing institution staff and researchers.3. The result of this researchInvestigation reports enabled us to grasp the current situation of child nursing institutions in Saitama prefecture. (1)The ratio of abused children among all children inchild nursing institutions is 48.2%, and the most frequent abuse among all kinds of abuses was the neglect, 53.8%. (2) Individualized teaching and assistance for guardians were pointed out as the things we wanted to promote in caring for abused children. (3) The enrichment of training and supervision was pointed out as a necessary requirement for the care for abused children. (4) 3.4% of child nursing institution staff were in a state of burn-out, and the ratio will be 11.8% if people in a state of emotional exhaustion are added to it.II. The Supervision over Child Nursing Institutions Staff1. The purpose of this researchStudy how the supervision required in orphanages should function.2. The method of this researchThe case study of group-supervision (supervision was carried out once every 3 months)3. The result of this researchThe supervision was performed aiming to reintegrate families in solving the problems of children's lives which seem to be related to the issue of reintegration into family. (1) The supervision was carried out as a base for the cooperation among staff. (2) We focused on family social work. (3) In the social work activities, we tried to take advantage of chances of visiting parents and letting children go home. (4) In each supervision, we clarified the goal of assistance. (5) We utilized a role-play.