Y HOC VIET NAM SO BAC BIET THANG 10/2010
Danh gia thirc trang nang luc doi ngu Dieu duong truong khoa tai Benh vien Quan y 211
Evaluation the nursing managers in 211 Military Hospital
Pham Thuy Luc Benh vien Qudn y 211
Tom tat
Nhien CLTU thuc trang nSng lUc ciia 16 DDTK tai Benh vien Quan y 211 nhan thay: 100% DDTK chua dUdc hpc qua ldp quan ly dieu duSng. Ti le DDTK c6 trinh do cao d i n g , dai hoc con thap. 25% DDTK la y sichua chuyen doi, Viec dieu hanh nhan lUc con phu thuoc nhieu vao chii nhiem khoa. Cong tac chSm soc ngUdi benh pho bien la phan cong theo cong viec.
Summary
Study on the ability of 16 nursing managers at 211 Military Hospital showed that: 100% nursing managers have not been trained in nursing contro. Almost nurses is undergraduated with 25% out of nurses is undergraduated. Therefore, working control is dependent on the head of the department. Take care for patients has been done under management of the head of nurses.
LDatvande
Trong md hinh td chirc benh vien ndi chung va mo hinh td chirc benh vien trong Quan dpi ndi rieng, Dieu dudng trudng khoa (DDTK) la ngu'di true tiep td chirc boat dpng cham sde benh nhan trong khoa. Chat lirpng ch§m sde ngudi benh phu thudc nhieu vao su quan ly, dieu hanh ciia DDTK. Vi vay, chiing tdi thuc hien nghien ciTu de tai nay vdi muc dich:
- Danh gia thuc trang nang lUc quan ly, dieu hanh cCia ddi ngu DDTK tai Benh vien Quan y 211.
- Kien nghj mdt so bien phap nham tang cudng nSng luc cho DDTK.
3. Ket qua va ban luan
3.1. Ket qua phan loai DDTK theo do tuoi
2. Doi tupng va phuong phap nghien ciiru 2.1. Ddi tugng nghien ciiu
- Cac DDTK, Ky thuat vien trudng khoa (KTVTK) dang cdng tac tai Benh vien 211, Quan doan 3 (thang 09/2010). Tdng sd 16 ngudi (06 Nam, 10 NU) va cd 02 la CNCD.
2. PhUdng phap nghien ciiu
- Dieu tra cat ngang vdi phieu khao sat ed chuan bj s i n bang bd eau hdi.
- Timg DDTK tu danh gia cdng tac quan ly, chf dao boat ddng dieu dudng khoa minh va dUa ra de nghj thiet thUc cho hoat ddng dieu dudng cua benh vien.
Dp tudi 25-35 36-46
>46 Tdng sd
Sd lupng 06 10 00 16
Ti le % 37,50 62,50 00,00 100%
Phan biSn khoa hpc: PGS.TS. MAI H O N G B A N G
153
CHAO MifNG 45 NAM NGAY TRUYEN THONG BENH VIEN QUAN Y 211 - QUAN BOAN 3 (31/12/1965 - 31/12/2010)_
DDTK cd dp tudi tir 36 - 46 chiem ti le cao 62,50% phii hpp vdi mpt benh vien quan dpi, vi lUc lUpng tre hdn thudng phai dap img nhiem vu co ddng cao nhu phuc vu viing sau, viing xa, lam cong tac dan van..., <3dng thdi d lira tudi nay kinh nghiem ve trinh dp chuyen mdn cung nhu nang luc quan ly Pupe tieh luy dii de dap irng yeu cau nhiem vu ciia mdt ngUdi dieu dudng trudng khoa.
3.2. Trinh do quan ly
Bang cap quan ly
Da dupc dao tao qua Idp quan 1^ dieu dudng Chua dupc dao tao ve quan ly dieu dudng
Qua Idp tap huan ngan ngay Tong sd
Sd lupng 00
16 00 16
Ti le % 00.00 100.00
00.00 100%
- 100% DDTK chua dupe dao tao qua Idp quan ly dieu dudng. Day la mdt van de bat cap ddi hdi can khac phuc cang nhanh eang tdt n h l m nang cao chat lupng lupng cham sde ngudi benh cung nhU viec duy tri tdt cac che dp ehuyen mdn trong khoa.
3.3. Trinh do ngoai ngdva tin hgc
Ngoai ngOr Anh van (A)
Khdng biet ngoai Tong sd
Sd lupng 04 12 16
Tl le % 25.00 75.00 100%
Tin hpe Da dao tao trinh dp (A)
Tuhpe, biet sirdung Tong sd
Sd lupng
11 05 16Tl le % 68.75 31.25 100%
• DDTK biet ngoai ngCrcdn it va mdi dimg lai d trinh dp anh vSn A (25%).
• DDTK phan Idn da qua dao tao va biet sd dung tin hpc trinh dp A.
3.4. Mut do hai long cua DDTK trong cong tac quan ly
Mire dp Rat hai Idng
Hai Idng Chua hai Idng
Sd lupng 01 12 03
Tf le % 6.25 75.00 18.75
154
Y HOC VIET NAM SO BAC BIET THANG 10/2010
Rat khong hai long Tong sd
00 16
00.00 100%
- Da sd DDTK hai long vdi cong viec minh dang dam nhan, nhung v i n con 18.75% chUa hai Idng va ly do khien hp chua hai long la vai trd ngudi DDTK chua dupc danh gia dimg mirc.
3.5. Cong tac died hanh nhan luc DDV, KTV tai khoa
Mdc dp dieu hanh
Phu thupc chiJ yeu vao CNK Do DDTK chu ddng
Tong sd
Sd lupng 06 10 16
Tl le % 37.50 62.50 100%
- Tuy da phat huy tdt vai trd ehii ddng eua ngudi DDTK trong cdng tae quan ly, dieu hanh nhan lire nhung van con 37.5% phu thude chu yeu vao chii nhiem khoa.
3.6. Phan cong cham soc tai khoa
Hinh thirc phan cdng Chu yeu theo cdng viecCham sde toan dien Tdng sd
Sd lupng 13 03 16
Tl le % 81.25
18.75 100%
- Cham sde vln ehij yeu la phan cdng theo cdng viec chiem ti le rat cao 81.25%. Cdng tae cham sde toan dien van chUa the trien khai sau rdng ma mdi dimg laj d mirc dp rat khiem tdn.
3.7. Danh gia nhu cau hgc tap ctia DDTK
Nhu cau hpc tap Cur nhan dieu dudng
Quan ly dieu dudng Tin hpc Ngoai ngir Ky nang giao tiep Ky nang giang day & NCKH
Sd lupng 03 07 02 01 01 02
Tl le % 18.75 43.75 12.50 06.25 06.25 12.50
- Nhu eau dupc nang cao trinh dp chuyen mon va nang lUc quan 1^ chUa cao (18.75% va 43.75%) - Rat it DDTK cd nhu cau dupc hpc ngoai ngu, tin hpe va kl nang giao tiep.
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CHAO MifNG 45 NAM NGAY TRUYEN THONG BENH VIEN QUAN Y 211 - QUAN BOAN 3 (31/12/1965-31/12/2010)
4. Ket luan
Qua nghien ciru thuc trang nang lue ciia dpi ngu DDTK tai Benh vien Quan y 211 Quan Doan 3 ehiing tdi thay:
- 100% DDTK chua dupe hpc qua Idp quan ly dieu dudng. Ti le DDTK ed trinh dp chuyen mdn bac cao d i n g cdn thap, chUa cd trinh dp chuyen mdn bae dai hpc, v l n cdn DDTK la y sT chua chuyen ddi (chiem 25%). Trinh dp ngoai ngOr con ban che. NhU vay ve kien thirc chuyen mdn cung nhU nang lUc quan ly cija dpi ngu dieu duong trUdng chua thuc sU dap dng yeu cau nhiem vu.
- Viec dieu hanh nhan lUc DDV, KTV hang ngay tai mdt sd khoa cdn phu thudc nhieu vao chu nhiem khoa, cdng tac cham soc ngudi benh v l n phd bien la hinh thirc phan cdng theo cdng viec.
Kien nghj
De cdng tac Dieu dudng Benh vien boat dpng thuc sU hieu qua thi: Mot trong nhOmg van de then
chdt la phai nang cao nang lUc dpi ngu DDTK. Vdi pham vi de tai nay chiing tdi kien nghj vdi ThCi trudng Benh vien va Thii trudng cap tren mdt sd van de sau:
1. Veto chdc bien che
- Khdng bd nhiem DDTK la y sTchua qua chuyen ddi.
- Viee dieu hanh nhan lUc DDV - KTV hang ngay tai cac khoa nen giao cho ngUdi DDTK chu ddng hoan toan.
2. Ve nang luc chuyen mon va che do chfnh sach
- Benh vien can md Idp chuyen ddi dieu dUdng cho cac ddi tupng la y sT.
- Dao tao dpi ngu DDTK cd trinh dp cao d i n g , dai hpc.
- Dao tao Quan ly dieu dudng eho dpi ngG DDTK, ddng thdi ed ke hoach dao tao kien thirc dieu dudng Pa khoa va dieu dudng chuyen nganh.
- Khuyen khich va tao dieu kien nang cao trinh dp ngoai ngirva tin hpc.
