title: Realities and Challenges of Support for Children with Special Needs in Nursery Schools.
abstract: BACKGROUND
  Nursery schools and kindergartens have been struggling to cope with increasing numbers of children with special needs. Hence, we conducted a study on what nursery school teachers (NSTs) will require regarding learning and societal resources for supporting such children in the future.
  
  
  METHODS
  A questionnaire survey was conducted for 2,476 NSTs employed in 154 nursery schools in Shimane and Kochi Prefectures. The questionnaires were sent by post to officials at each nursery school. The completed questionnaires were collected by the school officials and returned by post. In addition to statistical processing of the survey results, the content of the free description responses was analyzed using the KJ method.
  
  
  RESULTS
  Responses were obtained from 1,509 NSTs at 118 nursery schools. Of the respondents, 90.7% had experienced difficulties coping with children with special needs, and 83.9% were in charge of caring for such children. Such children were enrolled in every childcare facility participating in the survey. The NSTs primarily needed to learn about specific coping methods, the illness, and skills for supporting parents; concerning the societal resources, they needed the addition of assistant NSTs, the implementation of age-five check-up, and the recruitment of mentors. The free description responses were categorized into the following five categories: demand for child care administration, cooperation with professional staff, support for parents, developmental health checkups, and on-site needs for nursery childcare. One of the specific demands was to develop human resources capable of providing parents with appropriate advice.
  
  
  CONCLUSIONS
  The results have shown that all NSTs are required to deal with children with special needs. Future challenges for providing support for such children are: ⅰ) to raise awareness of such children; ⅱ) to eliminate regional disparities; ⅲ) to provide professional training for NSTs specializing in developmental disorders; ⅳ) to train and re-educate assistant NSTs and ⅴ) to enhance infant screening.
authors.affiliation: Graduate School of Medical Sciences, Tottori University, Yonago 683-8503, Japan; †Matsue Co-medical College, Matsue 690-0265, Japan.
authors.forename: Kaori
authors.initials: K
authors.lastname: Ishiguro
authors.affiliation: ‡Department of Nursing Care Environment and Mental Health, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.
authors.forename: Shin-Ichi
authors.initials: S
authors.lastname: Yoshioka
keywords: children with special needs; developmental disorder; nursery school; nursery school teacher