TAP CHf PHATTRIEN N H A N Ll/C-56_5(64)20T9
TAO OONG Lire LAM VIEC CHO BAC SI TRONG CAC BENH VIEN CONG TAI VIET NAM
BACSifiAOTHITHilYTRANG'''
TOMTAT
Dong CO lao dongcua ngudi lao dongxudtphdt tu viec mong mudn thda mdn cdc nhu cdu k ngdng tdng cao cua ngudi lao dong. Khi ngudi lao dong duoc thda mdn nhijcng nhu cdu thiet yeu nhdt eua minh, se mong mudn dupc thda mdn them nhieu nhu cdu khdc nhu tu khdng dinh minh, duac tdn tiong dugc phdt tiien.... Chinh vi nhung ly do tiin md viec tao ddng luc lam viec cho ngudi lao dong Id mpt nhiem vu vd cung quan tiong cua to chdc.
Ddng luc Idm viec tao sukhdc biit ve ndng sudt lao ddng cho cd nhdn vd to chdc. Vdn de tao dpng luc doi vdi ngudi lao ddng dd dupc nghiin cdu bdi nhieu tdc gid tien the gidi vd d Viet Nam. Tuy nhien, tiong bdi cdnh hien tai, chu de ndy vdn ludn coy nghia tiong thuc te. Detdt cd ngudi lao dpng hdi Idng vdi cdng viec, tap tiung ndng cao ndng sudt lao ddng ddp dng yeu cdu cua to chdc thi cdng tdc tao ddng luc tiong to chdc cdn dupc quan tdm vd nghien cdu mdt cdch khoa hpc, tien ca sd dd tim ra nhdng gidi phdp hpp ly.
Tir khoa: tao ddng luc cho bdc si, benh vien cdng...
l.Datvande
Nhan luc la nlian td quyet dinh ddi vdi sir phat trien ciia mot td chiic. Trinh do phat trien cua ngudn nhan luc la thude do ddi vdi su phat trien ciia td chiic dd. Chi'nh vi vSy, cac td chiic tren the gidi ciing nhu d Viet Nam deu rat coi trpng \iec dau tu phat trien ngudn nhan iuc trong td chiic ciia minh. Tuy nhi6n, viec dau tu phat trien ngudn nlian luc la ca mpt qua trinh vdi chien lupc tdng the va dai han. Chien lupc ay phai dupc xay dung phu hop nhat vdi bdi canh kinh te - xa hpi the gidi, trong nudc va tinh hinh tliuc te ciia td chiic.
Dpi ngu bac si la ngudn luc quan trpng nhat ciia mdt benh vien. Sii dung hieu qua nguon nhan luc bac si la phat huy tdi da tiem nang ciia con ngudi va tao ra gia tri gia tang cho benh vien. Vl vay, nang cao chat lupng va nang suat
lao ddng ddi vdi dpi ngu nay can dupc quan tam.
2. Cof sor ly thuyet ve tao dong lire lam viec trong mpt td chiirc
Dpng luc lam viec cd anh hudng quan trpng den hieu qua lam viec ciia td chiic. Day dupc coi la mdt trong nhung ydu td mang tinh quyet dinh hieu qua lam \\ec va klia nang canh tranh ciia td chiic. Dpng luc md ta qua trmh ma theo dd dpng CO dupc kich thich va truyen vao hanh dpng. Cd the xem dpng luc lam viec la nhan td ben trong kich tiiich con ngudi nd luc lam viec trong dieu kien cho phep tao ra nang sudt, hieu qua cao. Bieu hien ciia ddng luc la sir sSn s ^ g no luc, say me lam viec nham dat dupc muc tidu ciia td chiic va muc tieu cua ban than nff
lao dpng.''' ngUPi
•Benh vien Cho Ray '''PGS^TS Bui Anh Tuin, TS. Pham Thiiy Huong (d6ng chii
bien): Giao tnnh Qudn Iri hdnh v, to chicc. Nxb. Dai hoc Kinh
BAC si DAOTHJTHUY TRANG-TAP B O N G LUC LAM VIEC...
Til trudc den nay da cd rat nhieu hpc thuye't, quan diem cung nhu each ti^p cSn khac nhau ve tao dpng luc lao dpng, sau day la mpt sd nghien cdu da dupc cdng bd;
2.1. ly thuyet ve cap bac nhu cdu cua Maslow(I943)
Theo Maslow, ve can ban, nhu cau ciia con ngudi duoc chia lam hai nhdm cUnh; nhu cau CO ban (basic needs) va nhu cau bac cao (meta needs).
Nhu cJu cd ban lien quan den cac yeu td the ly ciia con ngudi nhu mong mudn cd du thitc to, nudc uong dupc nghi ngdi.. Nhtmg nhu cau CO ban nay deu la cac nhu cau khdng the thieu, anh hudng va quyet dinh su tdn tai cua con ngubi nen hp se diu tranh de dupc thda man cac nhu cau ay.
Nhiing nhu cau cao hon (cdn gpi la nhu cau bac cao) bao gdm nhiiu nhan td tinh than nhu su doi hdi cdng bSng, an tam, an toan, vui ve, dia vi xa hoi su tdn trpng vinh danh vdi mpt ca nhan...
Cac nhu cau co ban thudng dupc uu tien chd y trudc so vdi nhiing nhu cau bac cao. Vdi bat ky ai, t\iu ddi an, khat uong... hp se khdng cdn dong CO quan tam ddn cac nhu cau ve ve dep, su ton trpng... Tdy nhien, my theo nhan thdc, hen thUc, hoan canh, thd bac cac nhu cau cd ban cb the thay ddi Vi du nhu; ngudi ta cd the han che an, udng ngu ngM de phuc vu cho cac sunghiep cao ca hon.
2.2. Thuyethaiyeu tdcuaHerzberg(1959) Nam 1959, F. Herzberg va cac ddng nghiep cua minh, sau khi thuc Men cac cudc phdng vSn vdi hon 200 ngudi ky su va ke toan cua nginh cdng nghiep khdc nhau vi da rut ra nhiSu ket luan rat bd ich. Ong dat cac cau hdi ve cac loai nhan td da anh hudng ddn ngudi lao dong nhu; khi nao dii cd tac dung dpng vidn hp lam viec va khi nao thi cd tac dung ngupc lai.
BSng kinh nghiem chuyen mdn, ong chia cac
16 Quoc dan,MN9i.2009.
nhu can ciia con ngudi theo hai loai dpc lap va cd anh hudng tdi hanh vi con ngudi theo nhdng each khac nhau; kM con ngudi cam thay khdng thoa man vdi cdng viec cua minh thi hp rat lo Idng ve moi trudng hp dang lam viec, cdn khi hp cam thay hai Idng ve cdng viec thi hp chi quan tam den cMnh cPng vide. Td dd, dng da phan thanh hai nhdm nhan td; duy tri va dpng vien.
Thuyet hai nhan td cua Herzberg chda dung an y quan trpng ddi vdi nha quan ly nhu sau;
- Nhdng nhan td lam thoi man ngudi lao dpng la khac vdi cac nhan td tao ra sit thoa man. Vi vay, khdng the mong dpi su thoa man ngudi lao dpng bang each don gian la xoa bd cac nguyen nhan gay ra sij bat man.
Viec quan ly nhan vien cd hieu qua ddi hdi phai giai quyet thoa dang dong thdi ca hai nhdm nhan td duy tri va dpng vien, chd khdng nen chi chu trpng vao mpt nhdm nao.
Nhflng phat hien cda Herzberg cho xhiy ring mpt sd dac diem cua mpt cong viec lien quan tdi su hat long cdng viec, trong khi cac yeu td khac nhau cd lidn quan den su khdng hai Idng cdng vide.
Cdc yiu td cho su hdi Idng: Thanh tini; Su cdng nhan; Ban than edng viec; Trach nhiem;
Tien bp; Su phat trien.
Cdc yeu td cho su khdng hdi Idng: CMnh sach cdng ty; Su giam sat; Mdi quan he vdi ngudi gam sat va ddng nghiep; Dieu kien lam viec;
Luong Trang thai; Su bao ve.
2.3. Ly thuyet thlit ldp muc tiiu ciia Edwin A Locke
Trong mpt bai bao vidt nam 1960 cd tieu de
"Tien tdi mpt hpe diuye't ve ddng vien va khuyen khich," tien si Edwin A Locke cho rJng lam viec cd muc tidu se mang tdi dpng luc giup nhan vien dat dupc muc tieu dd va cai thien hieu suSt lam viec.
Nghien cdu cua Locke cho thay muc tieu cang cu thd va khd khan thi ket qua thuc Men se tdt hon nhieu so vdi cSc muc tidu md ho hoac
BAC si D A O TH I TH UY TRANG - TAO BONG L1/CLAMVI|C.
H e s d litong Mile ItfOngd^n 30/6/2019 Mile Inong tit 1/7/2019
B a d 6,2
8,618
9,238
BANG LUONG BAC SI CAO CAP Ddn vi: trieu Bac 2
6,56
9,1184
9,7744
Bac 3 6,92
9,6188
10,3108 Bac 4
7,28
10,1192
10,8472 l o n g
Bac 3 7,64
10,6196
11,3836
Bac 6 8,0
11,12
11,92
d^ d^ng.
Ddng vien chung chung ki^u "Cd len" hay
"Cd het siic di" se it hieu qua hon khuyfo khich ngudi khic b^ng mpt muc tieu cu thd nhu "Cd g^ng lam diing it nh^t 80% nhe" hoac "Tap trung Sli dung thdi gian that tdt di" Tuong tu, muc tieu khd khan thudng cd dpng luc thiic day cao hon so vdi muc tieu dd dang bdi \'i ngudi ta phai ho^n th^nh nhieu dieu de dat dupc muc tieu dd.
05 nguyen tAc de thiet lap muc tieu: Rd rang, Thach thUc, Cam ket, Phan hoi, Dp phufc tap ciia cdng viec.
Ngoai ra, cdn cd nghien cuu ciia Melkidezek T. Leshabari va cdng su ve ddng luc Idm viec cua nhdn vien y te (NVYT) d benh vien quoc gia Muhimbih cua Tanzania (2008). Nghien ciiu nay vdi su tham gia ciia ciia 448 nhan vien benh vien. K^t qua nghien cuu cho thay gan mpt niia bac si va didu dudng da klidng hai long vdi cdng viec cua hp. Nguyen nhan la do cac yeu td v^
miic luong thap, khdng dupc trang bj day dii cac tiiiet bi vk dung cu can tliiet de dam bao cham sdc benh nhan, khdng cd su danh gia va phan hdi thudng xuyen, cac kenh giao tiep kem giUa ngudi lao ddng va quan ly, thieu su tham gia vao qua trinh ra quyet dinh, va thieu quan tam ddi vdi phuc Ipi NV-YT cua benh \ien. Nghien ciiu cua Persefoni Lambrou va cdng su (2009)
ve ddng luc lam \iec ciia can bp y te va DD tai Benh vien da khoa Nicosia ciia Cpng hda Sip vdi 67 bac si va 219 dieu dudng tham gia nghien ciiu cho thay rang: yeu td thanh tiai da dupc xep hang la cao nhat trong bdn ddng luc chinh, tiep theo la thii lao, mdi quan he vdi ddng nghiep va cac yeu td vd thupe tinh cdng viec. Nghien ciiU nay cho thay rang ddng luc da bi anh hudng bdi ca hai yeu td tai chinh va phi tai chinh. Cac hoat ddng lien quan den su danh gia cao nhu quan ly hieu suat hien tai khdng thuc hien tdi uu, NVYT nhan thay giam sat/kiem soat, viec lua chpn dd dao tao la khdng rd rang va khdng ddng deu va do ludng liieu suat la khdng huu ich. Cac loai ddng luc phi tai chinh dupc xac dinh nen dupc xem xet khi phat trien cac chien lupc qudn ly nguon nhdn luc.
Nghien cuu ciia Hala Ayyash va cdng sU (2011) ve Dpng luc lam viec cua dieu dudng tai benh vien Gaza dddi Gaza. Cac mau ciia nghidn ci:ru nay bao gdm 170 dieu duong. Ket qua cho thay mtic dp ddng luc giUa cac ddi tupng nghien cuu la 66,2%. NhQng ngudi tham gia nghien ciru cho rang su quan tam va thu hudng la dpng luc cao nhat (75,8%), tiep den la quan ly va giam sat (72,1%), giao tiep (70,0%). cdng nhan va khen thudng (53.9%), mdi trudng va di^u kien l^m
'BAG s i B A O T H j T H C J Y T R A N G - T A P BONG LL/C LAM VIEC...
B A N G L U O N G B A C s i CHfNH
Dan Vi:tri0u dong
Hesdlirnng Mure luungden 30/6/2019 MijTC tuung ti ( l / 7 / 2 019
B $ c l 4,4 6,116
6,556 BlLC2 4,74 6,5886
7,0626 Bac 3 5,08 70612
7.5692 Bac 4 5,42 75338
8,0758 Bac 5 5,76 8.0064
8,5824 Bac 6 6,1 8,479
9,089 Bac 7 6,44 8,9516
9,5956 Bac 8 6,78 9,4242
10,1022
BANG LUONG BAC Si
He so luong Mik luong den 30/6/2019 Miilc liAAig tit 1/7/2019
B^cl 2,34 3,2526
3,4866 Bac 2 2,67 3,7113
3,9783 B&C3 3 4,17
4,47 Bac 4 3,33 4,6287
4,9617 Bac 5 3,66 5,0874
5,4534
Don vi:tri$u d o n g Bac 6 3,99 5,5461
5,9451 Bac 7 4,32 6,0048
6,4368 Bac 8 4,65 6,4635
6,9136 Bac 9 4,98 6,9222
7,4202
viecdmilc thap nhat (53,6%).''>
3. Cac yeu td tac dpng de'n dong luc lam vigc cua bac si trong khu v u t benh vi^n cong talVietNam
3.L Luang
Luong la yeu td rat quan trong ddi vdi ca nhan ngudi lao ddng ndi chung va M c si ndi rieng. Tien luong la gia ca silc lao dpng cua bac si duoc thda thuan thdng qua h o p dong lao dong vdi benh vien. Tien luong la dong liic de Mc si lam viec va cdng hien, ndn khi bk dau c6ng viec d mdt benh vidn n a o hp deu mong mudn tien luong xung dang vdi site lao ddng ban than bd ra. Tidn luong tuong xilng vdi nSng suiit lao dOng giup bac si d a m b a o cudc sdng va tai tao silc lao ddng. Tuy nhien, mure luong hien nay ddi vdi bac si trong cac benh vien cdng rat
'"' fJguyen Thj Kim Hu|: 'Tao dong lire lao dpng cho dieu duoDg vien t^i B?nh vi$n Nhi Trung uong", Luan V5n Th^c sT Quan trj nhan l^rc, m N$i. 2016.
thap so vdi mat bang chung ciia xa hdi, nhat la vdi nhiing bac si mdi ra trudng.
Luong cua bac si hien nay dupc phan hang thanh ba cap: Bac si cao cap (hang I), Bac si chinh (hang II), Bac si (hang III). Tuong ting mdi hang la cac mtic luong khac nhau.
Viec xep luong cua bac si trong don vi sit nghiep c d n g l a p h i e n n a y dupc quy dinh kha cu did tai Thdng tu lien tich 10/2015/TTLT-BYT- BNV Tlieo dd, til ngdy 1/7/2019, mile luong co sd dupc dieu chinh tang len. Tuong tii n h u cac ddi tupng vien chile khac, luong ciia bac si dupc tinh theo mdc luong co sd nhdn vdi he sd. Cii the mu!c tang n h u sau:
-Mdc luong CO sd tir nay den 30/6/2019:1,39 tridu ddng/thang.
- Mile luong CO sd tit 1/7/2019: 1,49 trieu ddng/thang.
Khi mdi ra trudng, luong ciia mdt bdc si chi
BAC si D A O TH! TH OY TRANG - TAO O O N G J J / C L A f ^ ^
6 miic khoang han 2 trieu d6ng. Cung co the cb them khoan tro cap khac nhimg 66 chi la ddi v6i bac si c6ng tac d cac benh viSn Ibn, con nhung bac SI lam tuyen dudi thi r^t it khi c6 them cdc khoan tro cap nao khac. Miic luong n&y khien nhieu bac si ludn cam thay bi h^t hiii vi cong viec vat va ma khong dupc den ddp xiing dang.'^'
Tr6n thuc te, doi vdi dpi ngu bac si, l^m the ndo can b^ng dupc cac nhu cau, vira lao dpng de dam bao eupc sdng, vCta d^u tu phat trien ban thdn va nghien ciru khoa hpc la mpt vl6c h^t siic kho khan. Vi vay, cac hien tupng nhu lam them benh vien khac, md phong mach, lam them nghe tay trai la dieu tat yeu xay ra.
Dieu nay it nhieu lam giam hieu qua cong viec chuyen mOn, phuong hai den hinh anh ciia ngudi bdc si va giam siit long tin ciia benh nhan vd ngudi nhd ddi vdi nhung ngudi chien si do trSng.
3.2. Thudngvdphuclai
Hien nay, ddi vdi khu vuc benh vien cong, phan thudng ddnh cho nhuiig thdnh tich ciia cac bdc si mang tinh khich 1^ tinh than nhifiu hon Id cd gid tn vat chat. Thudng theo quy dinh ciia phap luat hien hdnh tdp trung vdo thudng 1§, tet vd xep loai vien chiic hSng ndm, chua cd quy dinh v^ thudng ddi vdi nhirng thanh tich mang tinh dot phd cho su phdt trien ciia benh vien. Hon nCra, gid tri phan thudng danh cho nhung ca nhan bdc si xudt sac, nhung giai phdp mang tinh mdi ciia benh vi^n khdng cao nen chua thuc su tao dpng luc thuc ddy cung nhir su cdng bang doi vdi cd nhan bac si trong td chiic.
Nhieu bdc s! cho rdng chinh sach khen thudng cac benh vien dang dp dung vdn chua phdn dnh diing ket qua thuc hien cdng viec ciia ngudi lao dpng nen Idm cho mot sd bdc si cam thay mile tien thudng md hp nhan duoc chua tuong xiing vdi cdng site ma hp bd ra. Cdc tieu
'" Huyen Anh: "Luong ca ban cua bac sT tir 01/7/2019 dugc tinh nhir the nao''"; tir website: httpsV/caodangyduocnhatrang.
vn/tm-tuc-doi-song/luong-co-ban-cua-bac-si-tu-172019-duoc- tinh-nhu-the-nao-c25193.html, tmy cap ngay 17/9/2019.
ehuan ddnh gia thuc hien cdng \iec cua ngudi lao dpng cdn chung chung, khdng dinh lupng duac.
3.3. Cong tdc ddnh gid vdxeploqi Viec ddnh gid can bp, cdng chiic, \A^n chiic hien nay dang dupc thuc hien tlieo Nghi dinh sd 56/2015/ND-CP ngay 09/6/2015 vd Nghi dinh sd 88/2017/CP-CP ngdy 27/7/2017 ciia Chinh phii. Tuy nhien. cdc tigu chi danh gid va xdp loai vdn chua lupng hda dupc ket qua cdng viec. Danh gia cdn mang tinh chii quan, da sd ngudi lao ddng deu dupc ddnh gia "hoan thdnh nhiem vu" trii nhungngudi vi pham ky luat hoac khong dam bao ngdy cong, gid cdng mdi bi ha xep hang thanh tich. Cach danh gid tren khdng phdn loai duoc chinh xdc thdnh tich cua ngudi lao dpng, do dd khdng dam bao tinh cdng bang trong phdn phdi thu nhap tang them. Qua trinh ddnh gid chiu su chi phdi nhieu bdi cdc ydu td nhu lanh dao, mdi quan he ddng nghiep, cam tinh... Su khdng cdng bang gdy ndn cdm xuc tieu cue, dnh hudng manh me ddn tdm ly ciia ngudi lao dpng, dan den su bat mdn, tir dd cd cac bieu hien nhu khdng lam viec het siic, khdng hop tdc hoac cao han Id cac hdnh dong khang cu mang tinh chdng ddi,
3.4. Nhu cdu khdng dinh bdn thdn vd nhu cdu duac ton trong
Sau khi da ldnh nghe, trd thdnh bac si gidi, nhi^u ngudi mudn dupc thdng tien, cd chiic vu cao hon, dupc xem trpng hon ve nang luc chuyen mdn, cd dupc vi tri xirng dang han.
Song, m duy "sdng Idu Idn Ido lang" tai cac benh vidn cdng vdn cdn tdn tai, tao nen tam ly chan nan trong dpi ngu bdc si tre, khien hp nay sinh nhu cau thay ddi nidi trudng 1dm viec chuyen sang cac benh vien tu, noi cac bac si cd thuc tai thudng duoc trpng dung xuiig dang.
3.5. Mdi trudng lam viec
Thuc te nhu cau cham sdc benh nhdn ngay cdng tdng. Tuy nhien su ddu tu co sd vat chat cho benh Men Id rat ban che. Co sd vat chat
BACSIPAOTHJTHUYTRANG-TAQPONGLI/CLAMVIEC.
khdng ddp iing kip, nhan luc khdng dii ve sd luang va chat lupng dan den tinh trang qud tai trong bdnh vien. Hien nay, d cdc benh vien cdng, cdc bdc si chiu nhieu dp luc cdng vide vdi sd lupng bdnh nhan ngdy cang Idn nhung lai thidu cdc di^u kien lam viec vd mdi trudng lam viec khdng thoai mdi (dn do, nguy co tiep xuc mam benh cao, thdi gian Idm viec ddi, cang thang)... 1dm cho viec thuc hidn y diic tai benh vien cd nhung han che nhat dinh md bac si khong he mong mudn.
3.6. Phdn cong vd bd tri cong viic hop ly Vi benh nhdn ddng nhung nhan luc bac si chuyen mdn thieu nen viec bd tri chong eheo, phdn cdng cdng viec khdng diing chuyen mdn cung la mdt trong nhung ydu td tac dpng tieu cue den dong luc Idm vide cua bdc si trong benh vien cong hien nay.
3.7. Cdng thdng nghe nghiep
Moi tmdng Idm viec khdng thuan Ipi, su qud tai trong cdng viec, thdi gian lam viec kdo ddi, trach nhiem cdng viec cao, cang thang khi tidp xiic vdi benh nhan vd ngudi nha benh nhdn, ddn den hien tuong bac si rai vdo tinh trang cang thdng nghe nghiep vdi nhung miic dp khac nhau.
Ngoai ra, cdng vide ddi hdi phai true ca ddm va cac ngay nghi, ngdy Id, do vay cdc bdc si, ddc biet la bac si nOt khdng cd nhieu thdi gian cho gia dinh; cdng viec hdng ngay phai tiep xiic vdi benh nhan, thudng xuyen tiep xuc vdi yen to nguy CO gdy benh, dnh hudng den siic khoe...
la nhiing nguyen nhan khien bdc si bat man vdi ngh^ nghiep.
3.8. Thdi gian ddnh cho viec hoc tap vd nghien cdu khoa hoc
Vi luong thdi gian danh cho cdng vide hdng ngay qua Idn ndn thdi gian de cdc bdc si danh cho viec hpc tap vd nghien ciiu khoa hpc la rat it, tham chi bdng khdng. Dieu nay ddn tdi vide mudn cd thdi gian hpc tap phat trien ban than hoac nghien ciiu khoa hpc bdc si phdi rdi bd
cdng viec hien tai ciia minh.
4. Mpt so de xuat de tao dpng luc lam viec cho bac si d cac benh vien cdng Viet Nam
4.1. Ti-d luang tuang xdng sdc lao ddng vd trin CO sd ket qua cong viec cua bdc si
Luong bdc si hidn nay dupc cho la khdng theo CO che thi trudng, chua dam bao duac cudc sdng. Tra luong theo ngach bdc, thdm nien, bdng cap ban Id ket qua cdng viec cdng vdi CO che ddnh gid nhidu bat cap khdng tao ra su cdng bdng giira cac cd nhdn. Dieu ndy d§ tao ra su bat binh va giam ndng sudt lao ddng ciia bac si. Vl vay, thuc hien cai cdch chinh sdeh tien luong ddi vdi khu vuc benh vien cdng Id didu can thiet. Mdc khdc, co che trd luong nen dupc thuc hien tren co sd thdnh qua cdng viec de dam bao tinh cdng bdng.
Cd the tham khdo cdch tra luong theo cdch sau:
Luong = P1+P2+P3 Trong dd:
PI: Nd luc ndng cao trinh dp chuyen mdn ciia cd nhdn (30%): hpc chuyen khoa sdu, tham gia ddo tao y kiioa hen tue (CME), nghien ciiu khoa hpc theo dinh hudng chien lupc chuyen mdn ciia benh vidn.
P2: Nd luc chia se tri thiic va tham gia phdt trien chuyen mdn cho benh vien (40%): tham gia hpi chan, tham gia xir tri ca khd, td chirc workshop chuyen de sdu, huan luyen dao tao bdc si tre. Bien soan phdt do, quy trinh chuyen mon, kiem soat, cdi tien boat ddng chuyen mdn.
P3: Tliu nhap true tiep tir benh nhdn (sd lupng ca kham, ca md) (30%)
Trong ba thdnh phan thi PI, P2 la khdng gidi han, dupc khuyen kich lam dupc cang nhieu thu nhap cdng nhieu. Rieng P3 Id phai dat ngudng, mdi bac si kham tdi da n ca/ngdy, md m ca/ngdy (n, m tiiy thude vao timg noi) de trdnh lupng benh nhan tap trung vao mdt vdi bac SI, va khong cdn co hdi cho cdc bdc si khdc Idm Idm sang, de tranh viec loi keo tranh gldnh.
BAC SI DAOTHI THOYTRANG - TAO OONG u/cj^Aivrvi|o
ddng thdi vdn khuyen khich bdc si chdm sdc chu ddo cho benh nhan. Viec xdp hang (rating) bdc si theo loai A, B, C tuong ung vdi tien khdm vd tien md ma benh nhan phai trd Id can thiet phai ddt ra de dieu tiet vd ddng vien.
Nhdm nhung bdc si cd benh nhan tap trung cao nhat - nhdm A, se cd miic gid khdm va gia md cao hon 30-50% so vdi nhdm B. Va tuong tU cho nhdm C. BangratUig va gia phai dupe niem yet cdng khai cho benh nhan. Mdi quy, benh vien se thdng ke va dieu chinh bang xep hang mdt Ian.
P3 cho trudng hpp bdc si khdng tham gia khdm va md true tiep (bdc si back-office) dupc ddnh gid dua tren miic dp hodn tlidnh cdng viec dupc giao vd dupc do lubng bang cdc chi sd danh gid thanh tich duoc thiet ke ddt trung. Vi du P3 ciia kiem soat nhidm khuan se dupc gan vdi ty le nhidm khuan benh vien. P3 ciia ICU se gan vdi ty le hdi phuc trudc va sau vdo ICU. P3 ciia gay me hdi siic gdn vdi ty le gdy me hdi siic thdnh cdng.
Trong ba thdnh phan thi P2 cd trpng sd cao nhat, de budc mot tri thiic phai ddng gdp tri thiic cho benh vien. Benh vien phdt trien thi bdc si phdt trien, benh vien ton tai thi bdc si tdn tai, tranh tinh trang bac si giau nghe, giu bi quyet khdm chUa benh de phat trien cd nhdn md khdng chia se tri thiic.'"*'
4.2. Khen thudng vd phuc led Khen thudng
Tien thudng nen gan lien vdi thdnh tich ciia bdc si vd la nguon ddng vidn khi hp dat duac thdnh tich. Mudn vay, benh vien phai xdy dung cdc tieu chi khen thudng cu the dua tren ket qua thuc hien cdng ^ c ciia timg bdc si trong ky danh gid de cd the phdn loai va so sdnh dupc
*•*' ThS. Huynh Bao Tuan (Giang vien Khoa Quan !y cong ng- hiep - DH Bach Khoa TP.HCM): "Tra luong theo san phSm va cai gia phai tra qua dat cho nganh Y", tir website: http://www qpsolutions.vn/newsdetail.asp''newsID=]0542&ca£lid=7&- cat2id=18&title=tra-luong-theo-san-pham-va-cai-gia-phai-tra- qua-dat-cho-nganh-y, truy cap ngay 17/9/2019.
cdc mire thudng cho cdc bdc si d ciing vi tri, tii dd cdc bdc si cd co sd phan dau trong cdng viec.
Cdng tac khen thudng can phai dam bao sir khdch quan vd cdng bdng dUa tren ket qua thuc hien cdng viec ciia timg bdc si. thanh tich chung ciia nhdm va miic dp phdc tap cua cdng vide de hp cam thay phan khdi khi hidt nhiing no luc hodn thdnh cdng viec ciia hp iudn dupc to chiic ghi nhdn.
Quyet dinh khen thudng can dupc dua ra mdt cdch kip thdi, dung liic vd phdi dupc tidn hdnh cdng khai mang tinh khuyen khich cao de khich le tinh than ciia ngudi dupc khen thudng Cling nhu neu guong cho ngudi khac noi theo.
Khuyen khich bac si tham gia ddng gdp y kien xdy dung chuong trinh khen thudng de cd the xdy dung dupe chuong trinh khen thudng phu hpp vdi nguyen vpng ciia ngudi lao dpng.
Phuc Ipi
Ap luc cdng vide khidn cdc bac si ludn cam thay cdng thang. Do dd, ngodi cac phiic loi thdng thudng hien nay nhu du lich hdng ndm, giao luu van hda van nghe..., benh vien can xay dung mdt khdng gian giai tri, thu gidn cho bde si. Dd cd the Id phdng dpc sach, phdng xem phim, khu vuc spa thu gian, phdng tap the thao da nang... de sau nhung gid lao ddng chuyen mdn cang thang, bdc si cd noi de nghi ngai, giai tda cang thang, met mdi.
4.3. Cong tdc ddnh gid vd xep loai phdi duac thuc hien cong bdng
Trong mdi trudng benh vien, de xdy dung dupc he thdng ddnli gia dung dan, hpp ly vd cdng bang cho nhdn vien y te ndi chung va bac si ndi rieng thi viec xay dung cac tieu chudn hay chi tieu thuc hien cdng viec mdt each hpp ly vd khdch quan la dieu rat can thiet, tdc la chi tieu phdi phan dnh dupc ket qua va hdnh vi can cd de tiiuc hien tdt cdng viec. Trong benh vidn, tidu ehuan thuc hien cdng vide ciia bac si cd die dua vdo ban md ta vi tri viec lam. Danh gia va xep loai dua vdo cdng vide tren ban md ta
BAC SI P A O TH! THUY TRANG - TAG D Q N G LLfC L A M VIEC...
cong them su tan tam vdi nghe va giup dd dong n^^p- Danh gid chinh xdc, djnh lupng dupc se giiip bac si yen cdng viec va tim thay niem vui tai mdi tiUdng lam viec.
4.4. Nhu cdu khAng dinh bdn thdn vd nhu cdu duac ton trong
Conngudl se dupc thuc day Idm viec hidu qua khi nhin thay con dudng tuong lai vd dich den cu the. Vl vdy, cac Idnh dao benh vien khdng chi hudng bac si den muc tieu ciia td chiic md can giup ho xay dung Id trmh nghe nghidp cho ban than hp. Dieu nay khdng nhiing tao ddng luc cho bdc si md con tao ra mdt mdi trudng 1dm viec phdt trien. Ngodi ra, benh vidn cdn thuc hien hieu qua chinh sdeh ddo tao, bdi dudng de giup bdc si hoan thdnh muc tieu nghe nghiep vd muc tieu phat trien bdnh vidn.
4.5. Cdi thien moi tn^mg lam viec Benh vien can cdi thidn mdi trudng vd didu kien lam viec cho bdc si: phuong tien cdng tdc (may mdc) dupc trang thiet bi theo phuang cham CO ban va chuyen sau, tang cudng td chiic cdc budi sinh hoat chuyen mdn, sinh hoat van hda va gia tdng tiep xiic lanh dao. Ve quan he vdi lanh dao, bdc si mong mudn duoc lang nghe, tdn trpng vd phan hdi true tiep nhidu ban nham dat dupc hieu qua cdng viec tdt hon.
Benh vien cung nen tang cudng phd bien kien thiic quan tri hpc cho nhdn vien quan ly vd 4p dung kien thiic qudn tri cho cdc boat ddng khdm vd di^u tri, tao dieu kien cho bac si chi tdp trung vao chuyen mdn, it mat thdi gian va tdm site trong nhiing cdng viec qudn ly hdnh chinh nhi6u khe.
Ngoai ra, benh vidn can xay dung cdc chinh sach, quy trinh qudn ly... theo hudng lay loi I'ch cua nhdn vien y te ndi chung vd bac si ndi rieng Idm tiring tam va cdng khai, minh bach cac chinh sach, quy trinh quan ly cho loan bd nhan vien.
4.6. Phan cdng vd bo tri cdng viec hap ly Benh vien can tuyen dung day dii nhdn luc
phti hpp vdi nhu cau ciia benh vien, tranh tinh trang de bdc si lam viec qud tai. Nhan vien y td ndi chung vd bac si ndi ridng dupc tuyen dung hay bd nhiem can dam bao cdc tieu ehuan yeu cau cua vi tri viec 1dm. Benh vien cdn quan tdm den viec bd tri dung ngudi diing vide de phdt huy tdi da ndng luc ciia hp. Ben canh dd nen tinh gian bien che de loai bd nhiing thanh phan khdng lam dupc viec ra khdi td chiic, trdnh cac tdc ddng tidu cue cho ngudi lao ddng cd nang luc.
4.7. Han che cdng thang nghe nghiep De ban chd tdi da cang thSng nghd nghiep ddi vdi bdc si, benh vien nen dua ra nhiing gidi phdp nhu gidm thdi gian Idm viec, giam khdi lupng cdng viec bang each vide tdng dpi ngii bdc si; ldp kd hoach phan cdng cdng tdc cu th^ dua tren y kien ciia bac si va lupng benh nhan thuc td; md rpng khu dieu tri tu nguydn nhdm cd thd tien hdnh khdm, chiia benh ngodi gid theo quy dinh; tang miic phu cap cho bac si thuc hien khdm chda benh ngodi gid.
4.8. Tdng thdi gian ddnh cho viic hoc tap vd nghien cdu khoa hoc
Thudng xuyen md hoac c^ bac si tham gia cdc khda hudn luyen ddo tao ngan ban vd dai ban de ndng cao trinh dp, cap nhat kidn thiic mdi ve hoat dpng kham vd dieu tri do cdc chuyen gia gidi true tidp giang day. Khuydn khich bdc si tham gia hoat ddng nghien ciiu khoa hpc, tham du cdc hdi tiido khoa hpc.
5. Ket luan va kien nghi
Bac si la ngudi tiep xuc thudng xuyen vdi benh nhdn nen dpi ngu ndy dupc xem Id dai sii van hda ciia benli Wen. Tao ddng luc Idm viec cho bdc si nghia Id tao ra chat lupng dich vu kham chfla benh ngdy cdng chuyen nghiep cho benh vien.
De tao ddng luc lao ddng cho bac si, bdnh vien can thuc hidn cdc giai phdp sau:
Tra luong tuong xiing sflc lao ddng va tren co sd kdt qua cdng vide cua bdc si;
BAC SIDAOTHI T H O Y T R A N G - T A G DONG LlA^LAMVIfC^
Khen thudng va phuc lai tdt;
C6ng tac danh gia va x6'p loai phai duac thuc hien cOng bang;
Dap ling nhu cau khang dinh ban than va nhu cAu duac ton trpng cua bac si;
Cai thien moi tru6ng lam viec;
Phan cong va bo tri cong viec hap ly:
Han che cSng thang nghe nghiep;
Tang th6i gian danh cho viec hpc tap va nghien cijni khoa hpc.
Kien nghi v6i doi vdi nganh Y te ve cong tac xay dung dpng luc cho bac si
Ng^nh Y te can quan tam hon nua doi vcfi c6ng tac tao dong luc cho bac si de nang cao chat luong kham, chUa benh tai c^c benh vien va cac CO sd y t^ khac.
Can xay dung chinh sach hd trp phti hpp hon vdi nhUng bac si cd nguy ca mdc cac benh ttuyen nhiem, kha nang nhi§m dpc.
Tang trp cap dau dm ddi vdi bac si Can trang bi vh giam sat cac bao hd lao dpng day dii cho bac si. Dau tuva hien dai hda cac trang thidt hi trong cdng tac cham sdc sdc khoe ngudi benh de giup bac si tranh nguy co nhiSm ddc va lay bdnh tU benh nhan.
Cin cd chidn lupc thu hut va phat trien ngudn nhan luc bac si vd cdc benh vien cdng nham giam thieu qua tai nhan Itrc bac si d cac benh vien.
Canto chdc nhieu han cac chuong tilnh giao luu hpc hdi, trao ddi chuyen mdn giua cac benh vien dd bac si cd ca hpi linh hdi cac kien thdc va kinh nghidm tir cac bac si gidi trong cic linh vuc kham chQa bdnh.
TAI LifiU THAM KHAO
1. Quyet dinh sd 122/QD-TTg ngay 10 thang 01 nam 2013 ve Phe duyet Chien Iuoc qudc gia bdo ve chdm sdc vd ndng cao sdc khoe nhdn ddn, tdm nhin den ndm 2030.
2. Nghi dinh sd 72/2D18/NB-CP ngiy 15/5/2018 ciia Chinh phu ve quy dinh mdc luong Cd sd ddi vdi cdn bd, cdng chdc, viin chdc
3. Trudng dai hpc Y te cdng cdng: Gido tiinh qudn ly ngudn nhdn luc, Nxb. Y hpc. Ha Ndi 2015.
4. PGS.TS. Nguyin Tidp: Gido tiinh Tiin luang tiin cdng Nxh Lao ddng xa hdi. Ha Ndi 2007.
5. PGS. TS. BCii Anil Tuan, TS. Pham Thdy Huang (ddng chu bidn): Gido tiinh Qudn tri hdnh vi td chdc, Nha xuat ban Dai hpc Kinh td Qudc dan. Ha Ndi. 2009.
6. Hpang Thi Hdng Ldc, Nguyen Qudc Nhi:
"Xay dung khung ly thuydt ve ddng luc lam vide d khu vuc cdng tai Viet Nam" Tap chi khoa hpc trudng Dai hpc Can Tha, 2014.
7. Bui Dam va Bill Thi Thu Ha: "Danh gia sU hai long ddi vdi cdng vide cua bac si benh vien da khoa Quang Ngai - Nam 2011" Tap chiYhoc thuc hdnh, s6 4 nam20ll.
8. Nguyen Thi Kim Hue: 'Tao ddng lire lao ddng cho dieu dudng vidn tai Bdnh vidn Nhi Trung uong" Luan vdn Thac si Quan tri nhan luc. Ha NdL 2016.
9. Huyen Anh: 'Luong co ban cua bac si ttt 01/7/2019 dupc ttnh nhu thd nao?"; ttt website:
https://caodangyduocnhatrang.vn/tin-tuc- doi-song/luong-co-ban-cua-bac-si-Ui-172019- duoc-tinh-nhu-die-nao-c25193.htinl, truy cap ngdy 17/9/2019.
10. ThS. Huynh Bao Tuan (Giang vien Khoa Quan ly cdng nghiep - DH Bach Khoa TRHCM):
"Tra luong dieo san pham va cai gia phai tra qua ddt cho nganh Y"; ttt website: http://www.
qpsoluHons.vn/newsdetail.asp?newsID=1054 2&catlid=7&cat2id=18&title=tra-luong-theo- san-pham-va-cai-gia-phai-tra-qua-dat-cho- nganh-y, ttuy cap ngay 17/9/2019.
