TAP CHi CONG THIflfNG
CAC YEU TO ANH Hl/CfNG DEN DONG L d c LAM VIEC CUA NHAN VIEN
TAI BENH VIEN THONG NHAT THANH PHO HO CHI MINH
• DINH KIEM - PHAN TIEU TRAM
TOM TAT:
Nghidn effu dffdc thffc hidn nham muc dich xac dinh cdc yeu td' dnh hffdng dd'n ddng Iffc Iam viec ciia nhan vien (NV) tai Benh vien Thdng Nhd't (BVTN) Thdnh ph6 H 6 Chi Minh. Sd lieu phuc vu d l tai dffdc thu thdp, khao sdt tff 165 nhan vidn dang lam viec tai BVTN. Phffdng phdp md hinh ca'u true tuye'n tinh (SEM) dffdc ffng dung trong nghien cffu nay nham xdc dinh cdc yeu to' dnh hffdng de'n dpng life lam vide cua nhdn vidn y td' dd'i vdi tS chffc. Kd't qua thffe hidn nghidn cffu da cho thd'y cd 7 yd'u td'tae ddng dd'n ddng Iffc lam vide cua NV tai BVTN, dd la: cong viec thu vi, sff cdng nhan, thu nhap va phuc ldi, dao tao va phat trien, mdi trffdng lam viec, mdi quan hd vdi dong nghidp, lanh dao trffc tid'p. Trong dd, yd'u td' mdi trffdng lara vide cd tdc ddng manh nha't d^n dpng lffc lam vide cua NV tai BVTN.
Tiif khoa: Yeu td' anh hffdng, dpng Iffc Iam viec cua nhan vien, Benh vien Thd'ng Nhat - Thanh phd' Ho Chl Minh.
1 Gidi thieu tong quat
Bdnh vien Thd'ng Nha't Id mdtbenh vien trung ffdng loai I trffc thupc Bd Ytd'ddng tai thanh phd Ho Chi Minh. Luc mdi thanh ldp, bdnh vidn chi cd quy md 450 giffdng va chu ye'u la kham vd dieu tri ndi va ngoai chung. Hien nay, Benh vien dd phdt trien va md rdng quy md 1225 giffdng, gdm: 29 khoa Idm sdng, 10 khoa cdn ldm sdng, II cd quan vdi gan 1300 can bd vidn chffc thffc hien nhiem vu chinh la kham va chffa bdnh cho can bp cao cd'p cua Ddng, Nha nffdc, life Iffdng vii trang, nhdn ddn cac tinh phia Nam va khu vffc lan can. Benh vidn eung dffdc Bp Y te' dau tff, quan tam, cd sd vat chd't, nhdn lffc do vay chd't lffdng dich vu y te'ngay cdng tdng. Tuy vay, va'n de nhdn life dang gap nhieu khd khan ca vi chd't Iffdng vdsd'Iffdng. Dd'i vdi cha't Iffdng, va'n de ndi trdi lam han che' de'n hidu qua thffc hidn cong
viec do la ddng Iffc Iam viec ciia nhdn vidn. Hien tai, mdi trffdng lam vide tai cd sd y td' ndi chung chiu dffng nhieu dp Iffc, tid'p xuc vdi benh nhan co nguy cd cao Iam eho nhan vien y te' dd chan nan cdng viec va lam viec se kem hieu qua, tff do cd the gdy ra nhffng sai sdt trong chan doan va dieu tri bdnh dan de'n nhffng hau qua dang tide.
Nghidn cffu nay sff dung md hinh dinh Iffdng PLS-SEM nhdm tap trung phdn tich khdm phd cdc yd'u to'anh hffdng dd'n tao ddng Iffe lam vide cho nhan vidn tai Bdnh vidn Thd'ng Nha't Thanh phd' Ho Chi Minh. Nhffng ke't qua se la cd sd de nhffng nha quan ly tham khdo, de xud't giai phdp nham tang cffdng ddng li;c ldm vide eho bdc sT nham giup dpi ngu nhan vien y te Iam vide ngdy cang hieu qud, gan bd lau dai vdi bdnh vidn vS ndng cao ehat Iffdng cham sdc va bdo ve nhdn dan.
184 So 12-Thang 7/2019
qUANTRj-qUANLY
Phffdng phdp phdn tich ca'u tnic tuyd'n tinh Id cdng cu dinh Iffdng cao cap trong nghidn cffu kinh td', ky diuat PLS-SEM chi mdi dffdc sff dung ra't pho bid'n nhffng nam gin ddy va thffdng dffdc gpi la phffdng phap phdn tich thdng tin the' he diff hai (HuUand & Lam, 1996). Theo Hair et al. (2014), tff nhffng nam 2000, sd nghien cffu sff dung PLS - SEM dffde edng bd tang len theo cd'p sd' nhan.
2. Md hinh nghien cu'u 2.1. Khung ly thuyet nghien cdu
Nghien cffu ve ddng lffc Iam vide eua nhan vien gdn vdi mdt to chffc da dffdc nghien cffu kha phd bie'n ffffdc ddy. Lidn quan dd'n de tai ddng lffc lam viec ttdn did' gidi thi ed md hinh 10 nhan td' tao dong life Iam viec dffdc phdt trid'n bdi Kenneth S.Kovach (1987), nd dffdc pho bid'n rdng rai va difdc nhilu nhd nghidn cffu kiem dinh nham kham phd edc nhdn td' tao ddng life lam viec d nhilu Iinh vu'c khac nhau. Tren thd' gidi da cd nhieu nghidn cffu di sdu vao nganh Y te' nhff: Cdng trinh ciia tac gia Mischa Willis - Shattuck va cdng sff (2008) tid'n hanh nghidn cffu tai mdt sd' qudc gia dang phat tri^n d chau Phi va chau A (cd ca Viet Nam) ve cac ye'u td' anh hffdng de'n dpng life lam vide cua NVYT.
Cong trinh nghien cffu cua Persefom Lambrou (2010) "Cdc yd'u td' anh hffdng den dpng Iffc lam vide ciia nhan vidn y td' d bdnh vidn Nicosia tai Cyprus".
Ngoai ra, d Viet Nam cung cd nhieu nghien cffu ve vdn de ndy vdi nhffng kd't qud tidu bieu nhff cong trinh nghien cffu eua Hodng Hing Hanh (2011) diffc Men cdng trinh "Nghien cffu cac ye'u to lien quan dd'n ddng life lam viec cua bac si Bdnh vidn Y hpc C6 truyen Trung ffdng ndm 2011".
Cdng trinh cua Nguydn Dffe Trffdng (2015) nghien cffu "Ddng lffc lam vide cua nhan vien y td' khd'i lam sang vidn phdp y tam than trung ffdng vd mpt so yd'u to lidn quan nam 2015". Cdng trinh nghien cffu cua Nguydn Viet Trieu (2015) nghien cffu
"Dpng life lam vide vd mdt sd'yd'u to lien quan eua nhan vidn y td', tai Bdnh vidn Da khoa Hoan My - Cd Mau nam 2015". Nhin chung, cac nghien cffu trong nffdc deu difa tren cd sd md hinh 10 nhan td' ciia Kovach, cac tdc gid da so sanh nhffng net tffdng ding va di biet dd'i vdi nghidn cffu dae thu cua minh, tff dd gan loc hoac bd sung cdc nhdn td mang tinh thffc tien va phu hdp hdn.
Kd' thffa ke't qua nghien cffu ciia cac tdc gia hdn, md hinh nghien cffu dffdc de xud't bao gom 7 yeutd(frmh 1).
Hinh 1: M6 hinh nghien cOu Cong w$c thu v|
Su cong nh$n
Thu nhSp va phuc ldi
£)ao tao va phat trien
Lanh dao trffc tiep
2.2. Thang do cdc khdi niem nghien cdu Thang do cac bie'n quan sat (Bdng 1).
2.3. PhiiOngphdp phdn tich vd kich thi^c mdu 2.3.1. Phucmg phdp phdn tich
Theo Henseler & Chin (2010), md hinh nghien cffu dffdc danh gid qua 2 bffdc la danh gid md hinh do Iffdng vd md hinh ca'u tnic. Diu tien, md hinh do Iffdng dffdc ddnh gid thdng qua ddnh gid dd tin cdy, gid tri hdi tu vd gia tri phan biet ciia cdc khdi nidm do Iffdng trong md hinh.
Trffdc tidn tie'n hanh do Iffdng mffc dd phu hdp eiia md hinh vdi dff lidu nghidn cffu, sff dung chi sd' SRMR (standardized root mean square residual) de so sdnh. Ye'u can ehi sd' SRMR phai dat gid tn nhd hdn 0.08 hoac 0,1 (Hu and Bentier "(1999)).
Ngoai ra, Henseler et al. (2014) cung eho rang chi sd' SRMR la ehi so' md hinh phu hdp (Goodness of fit) cua md hinh PLS-SEM, cd the dffdc sff dung nd d l tranh hidn tffdng sai lech didng sd trong rad hinh.
Vdi dd tin cay (rehability) eiia cdc bien quan sat phai cd he so' tdi ngodi (outer loading) ldn hdn hodc bang 0,5 Uii dat yeu cau vl dd tin cdy va hd sd tin cdy tdng hdp (composite rehability) phai ldn hdn hodc bang 0,7 thi dat dd tm cay trong md hinh (HuUand, 1999).
Vdi dp gia tri hdi tu (convergent validity) dffdc sff dung d l ddnh gid sff dn dinh cua thang do. Theo Fornell and Larcker (1981), hd so' AVE (average variance extracted) phai ldn hdn hoac bang 0.5
So 12-Thdng 7/2019 185
TAP CHi CONG IHIfdNG
Bang 1. Thang do cdc bien quan sdt Nhan to
Congviec thuvi
Sucdng nh^n
Thu nhSp va phuc ldi
Oac tao va phat trien
lam vi§c
Moi quan h$
vdi ddng nghi^
Lanh dao trffc tiep
Ma hda CV1 CV2 CV3 CV4 CNI CN2 CN3
CN4
TNI TN2 TN3 TN4 DTI DT2 DT3 DT4 DT5 MT1 MT2 MT3 MT4 DN1 DN2 DN3 DN4 LDI LD2 LD3 LD4
Bien quan sat Anh/chi luon chu dpng trong cdng viec dUOc giao
Anh/ch! ludn nd'luc lam viec nham dat muc tieu chung ciia Benh vien Anh/chj cd tinh than trach nhiem doi vdi cdng viec ma minh dam nhan Anh/ ch! cho rang minh cd mot cdng viec on dmh va an toan Lanh dao san sang ddn nhan nhQng sang ki§n cai ti€'n cua anh/ chj Lanh dao ludn ghi nhan nhOng ket qua ma anh/ch; dgt dupc Anh/cht thffdng xuyen dong gdp y kien vao cac quySt dmh quan trpng cua benh vien
Phffdng phap binh xet thi dua va khen thudng hien nay cua benh vien la cdng bang hop ly.
Anh/chj cam thay minh dupc tra luong tUdng xdng vdi nhQng viec ma anh chj lam
Anh/chj cam thay minh cd dupc nang IUdng dung hgn va dung quy djnh Anh/chj cam thay hai Idng vdi cO hdi tang IUdng
Che dd phu cap, dac thu cong viec cua anh chj la phu hpp Kinh nghiem lam viec cua anh/chj dUdc nang cao qua qua trinh iam viec Anh/cht duoc benh vien tgo dieu kien, cd hpi de hoc tap nang cao trinh dp Benh vien dam bao cdng bSng trong vide hpc tap, bdi dudng nhan vien Cdng tac quy hogch can bp dUdc thffc hidn tdt
Vide bd nhidm lanh dao khoa, phdng dam bao cdng bang hpp ly Thdi gian lam viec phu hpp
Ndi lam viec dam bao su an toan thoai mai Cdng viec cua anh/chi on dmh, khdng lo mat viec
Anh/chi dupc cung cap day du phuong tien may moc va thiet bi phuc vu cho cdng viec
Dong nghidp cua anh/chj luon san Idng giup dd \Sh nhau
Cac dong nghiep ludn hdtrp. Chia se kinh nghiem chuydn mon vdi anh/chi trong cdng viec
Dong nghidp cua anh/chj la ngudi thdn thien trung thffc Anh/chi dupc hoc hoi chuyen mdn, kinh nghiem tCf dong nghidp Lanh dao cua anh/chi giai quye't tdt nhUng khd khan vudng mac trong ddn Vj khoa, phdng.
Lanh dao quan tam ddn tam tu, nguyen vong cua nhan vien cap dffdi Lanh dao cd ddng vien kip thdi khi anh/chi hoan thanh nhiem vu Lanh dao hudng dan nhiet tinh cho anh/ chi trong cong viec
Nguon
Hoang Hdng Hanh (2011)
Hoang Hdng Hanh (2011)
Nguyeh Viet Trilu (2015)
Hoang Hdng Hanh (2011)
Nghien cdu dmh linh
Nghien cdu dinh tinh
Nguyeh Vidt Trieu (2015)
186 So 12-Thang 7/2019
QUAD TII-QUAN IV
Nhan to
SUthoa man cdng
vi§c
D$ng life lam vl^c
Ma hoa TM1 TM2 TMS TM4 DL1 DL2 DL3 DL4 DL5
Bien quan sat Anh/chi hai long vdi cdng viec dang lam Anh/chi mong mudn gan bo lau dai vdi benh vidn Anh/chj ludn coi benh vien la mai nha thU hai cua minh Anh/chj cam thay tu tin khi gidi thidu ve noi lam viec Anh/chj iudn cam thay hUng thu khi lam viec Anh/chi thay dupc dpng vien trong cdng viec Anh/chi thudng lam vide vdi tam trang tdt nhat
Anh/chj ludn noHuc het sUc minh de hoan thanh cdng viec dupc giao Anh/chi luon tich cue tham gia cac hoat dpng cua benh vien
Nguon
Nguyeh Viet Trieu (2015)
Nghien cUu dmh tinh
variance extracted) se khdng dinh dffdc dp gia tri hdi tu. He sd' tai cua mdi bie'n quan sdt ldn nhan tdldn hdn hodc bang 0,7 va cd y nghia Id bang chffng ve dp tin cay cua cdc thang do.
Dd gia tri phdn biet (discriminant vahdity) dffdc kiem dmh de do Iffdng dp gia tri phan bidt giup dam bao sff khac bidt, khdng cd md'i quan he tffdng quan giffa cdc ye'u td' sff dung do Iffdng cde nhdn td' (Haff vd edng sff, 2014) bang each binh phffdng tdng phffdng sai trich AVE.
Ki^m dinh Bootstrapping v^ dd tin cay cua md hinh, cde ky thudt phan tich va danh gid md hinh d trdn, chung ta e^n phai ddnh gid chung ve dp tm cay eua cdc tham so' ffdc Iffdng la hd't sffc c^n thid't Trong NCKH, cd nhieu phffdng phap khac nhau de danh gia dd tin edy cua cdc ffdc lffdng trong md hinh, nhffng dffdc sff dung tffdng dd'i phd bid'n Id phffdng phap kiem dinh Bootstrapping. Npi dung nay chu yd'u diing ky thudt thay the' de chpn lffa sff
Ngudn: Ket qud thdo ludn nhom cua tdc gid, 2019 phii hdp (Schumaker va Lomax (2004)), Bootstrapping diing Id'y mdu lap lai, trong dd mau ban dau ddng vai trd tong the.
2.3.2. Kich thudc mdu phdn tich
Kich thffdc mau eho phffdng phdp ffdc Iffdng dffde sff dung trong md hinh ca'u true tuye'n tinh (PLS-SEM) cd 3 loai Id mdu nhd < 100, mdu trung binh 100 - 200 va mdu ldn > 200 (Haff va cdng sff, 2014), Cd mdu cua nghidn ClJu nay la 165, nhff vdy cd bdn da ddp ffng dffdc ydu cau cua phffdng phap phan tich.
3. Kd't qua nghidn cihi va thao luan 3.1. Ddnh gid sdbg do tin cdy cua thang do trong md hinh nghiin cdu
3.1.1. Kiim dinh Cronbach's Alpha Kd't qua kiem dinh dd tin cay bang hd sd' Crdnbach's Alpha cho tha'y cdc thdnh phan cua thang do dffde trinh bdy trong Bang 2. Kd't qua kiem dinh cdc thanh phan cua thang do ddu ed
Bdng 2. Ket qud kj^m dd Hn cqy cua thang do STT
1 2 3 4 5 6 7 8 9
Thang do Cong viec thu vj
Sucdng nhan Thu nhap va phuc loi Dao tao va phat then Moi trudng lam viec Moi quan he v6i dong nghiep
Lanh dao trdc tiep Sd thoa man Ddng luc lam viec
Cronhtiach's Alpha 0 818 0.784 0.815 0 786 0 816 0.847 0.828 0.840 0.865
SS bien quan sat con lai 4 4 4 5 4 4 4 4 5 Nguon: Ket qud phan tich tif sd lieu khao sdt, 2019
So 12-Thang 7/2019 187
TAP CHi CQNG THIftfNG
Cronbach's Alpha > 0,6 va khdng ed bid'n do Iffdng ndo ed tffdng quan be hdn 0,3. Nhff vdy, 38 bid'n quan sdt cdn lai tid'p tuc dffdc dffa vdo phan tich nhan td'khdm phd EFA.
3.1.2. Phdn tich nhdn td'EFA
Ket qud phdn tich nhdn td'EFA cho cdc bie'n doc lap
Phffdng phdp trich nhan td' dffdc sff dung Principal Component Analysis va phep quay Varimax. Thang do dffdc chd'p nhdn khi 0.5 < KMO
< 1 (Hair & cong sff, 1998); he sd Sig. = 0.000 cua kiem dinh Bartiett cho bid't cac bie'n quan sat tffdng quan vdi nhau cd y nghia thd'ng kd; tdng phffdng sai trich cd gia tri > 50% (Gerbing & Anderson, 1988).
Kd't qua phan tich trich nhdn to' EFA dffdc trinh bay trong Bang 3 cho tha'y cd 1 bid'n quan sdt bi loai do bie'n nay tai Idndca 2 nhan to'la bid'n quan sat cua thang do "Dao tao vd phdt tridn" (DT4) sau khi loai I bid'n quan sat ndu tren, ta thffe hidn lai qua trinh phan tich EFA eho ke't qud nhff sau:
+ Hd sd KMO dat 0.771 eho thd'y phdn tich nhan td' EFA phii hdp vdi dff lieu. Thd'ng ke Chi-Square cua kiem djnh Bartiett dat 1833.394 vdi mffc y
nghia Sig = 0.000 cho dia'y cdc bien quan sdt c6 tffdng quan vdi nhau xet trdn pham vi tdng thd.
+ Kd't qua phdn tich EFA eho tha'y tdng phffdng sai trich TVE Id 65.548% (>50%), dieu nay th^
hidn rang 7 nhdn to' dffdc trich ra nay cd thd gidi thich dffdc trdn 65.548% sff bid'n thidn cua dif lieu.
Ddy la ke't qua chd'p nhan dffdc va viec xdy dffng md blnh la phu hpp.
+ He so' tai nhan td' giao ddng tff 0.720 dd'n 0.847 (>0.5), khdng cd bie'n nao cd he sd^tai cao ddng thdi tren hai nhan to'. Nhff vay, cac thang do dat gia tri hdi tu.
+ Diem dffng khi trich cdc nhdn to' tai nhdn t^
thff 7 vdi Eigenvalue la 1.422 > I cho thd'y ke't quit phdn tich nhan td la phii hdp.
+ Cde bid'n quan sat cd he so' tai deu dat yeu cau.
Ket qud phdn tich nhdn to EFA cho cdc bien trung gian
Phffdng phap trich nhdn td' duac sff dung la:
Principal Axis Factoring vdi phep xoay Promax.
Ke't qua hd sd KMO = 0.779 > 0,5. Thd'ng ke Chi- Square ciaa kiem dinh Bartiett dat 262,089 vdi mffc
Bdng 3. Ket qud EFA thang do cdc nhan to dnh tiUdng den dpng lUc lam vr§c
STT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Bien
DN2 DN4 DNS DN1 LD4 LDI LD2 LD3 CV2 CV4 CV1 CV3 TN3 TN1 TN2 TN4
Nhintd 1
0.847 0.845 0.814 0.795
2
0.801 0.798 0.755 0.739
3
0.826 0.786 0.764 0.768
4
0.789 0.772 0.757 0.760
5 6 7 TSn nhfiin to
Moi quan he vdi ddng
nghidp
Lanh dao trgc tISp
Cdng viec thu Vj
ThunhSpv^
phuc 101
188 Sd 12-Thdng 7/2019
QUAN IRj-QUAN l y
STT
17 18 19 20 21 22 23 24 2S 26 27 28 29 30
31
Bien
MT2 MT1 MT3 MT4 CN2 CNI CN4 CN3 DTI DT5 DT3 DT2 Eigenvalue Phddng sal dude gicil thich (%) PhUdng sai dddc giai thich lich luy (%)
Nhan to 1
5.425 19.376
19.276 2
2.896 10.343
29.719 3
2.764 9.873
39.692 4
2.158 7.707
47.300 5 0.809 0.768 0.753 0.731
2.031 7.255
54 554 6
0.796 0.787 0.742 0.720
1657 5.917
60.471 7
0.787 0.767 0.763 0 743 1.422 5.077
65 548 T§n nhin t5
Ivldi trudng lam viec
Sucdng nhan
Dao tao va phat tnen
y nghia Sig = 0.000. He so Eigenvalues dat 2,704.
Tong phifdng sai trich cua thang do "Si/ thoa man cdng viec" = 67.605% > 50%.
Ket qua phan tich nhan to' EFA cho cac bien phu thuoc
Phddng phap trich nhan td' diTdc su" dung la:
Principal Component Analysis va phep quay Varimax. He so KMO = 0.835 > 0.5. Thong ke Chi-Square cua kiem dinh Bartiett dat 366.114 vdi mu'c y nghia Sig = 0.000. He so Eigenvalues dat 3,251. long phrfdng sai trich cua thang do "Suthoa man cong viec" = 65.018% > 50% (Bang 4).
Nguon: Ket qud phdn tich tH: sd'lieu khdo sdl. 2019 Nhan to' thu" nhat co 4 bie'n quan sat la CVl, CV2, CV3, CV4 diJdc lap hdp tiir 4 bien cua nhan to
"Cdng viec thii vi" dUdc vie't tat la CONGVIEC.
Nhan to' thiJ hai cd 4 Men quan sat CN 1, CN2, CN3, CN4 dddc tap hdp iij 4 bie'n ciia nhan to' "Sir cong nhan" vie't tat CONGNHAN. Nhan to' thu- ba cd 4 bie'n quan sat TNI, TN2, TN3, TN4 difdc tap hdp til 4 bie'n ciia nhan to' "Thu nhap va phuc ldi" vie't tat THUNHAP. Nhan to'thu-tir cd 4 bie'n quan sat DT 1, DT2, DT3, DT5 dKdc lap hop lif 4 bie'n cua nhan to
"Dao lao va phat trien" vie't tat DAOTAO. Nhan to thiJ nam cd 4 bie'n quan sat MTl, MT2, MT3, MT4
Bdng 4. Ket q u a phdn tich nhon to EFA cho c o c bie'n phu thuoc
Bien qiian sat H$ so tai nhan to
Anh/chi thudng lam viec vdi tam trang tdt nhat Anh/chi thay dUdc ddng vien trong cong viec Anh/chi ludn cam thay hdng thu khi lam viec
Anh/chi ludn tich cdc tham gia cac hoat ddng cua benh vien
Anh/chi ludn nd'luc het sdc minh de hoan thanh cdng viec ducc giao 0.789 Ngudn • Kel qua phdn tich dd lieu ciia tdc gid. 2019
So 12-Thdng 7/2019 189
IAP CHi CONG IHIflNC
ddOc tap hdp tir 4 bie'n cua nhan to' "Mdi tnfdng Iam vide" vid't tat MOITRUONG. Nhan td diiJ sau cd 4 bie'nquansatDN!,DN2,DN3,DN4 difdc tap hdp tiif 4 bid'n cua nhan td' "Md'i quan he vdi dong nghiep" vid't tat DONGNGHIEP. Nhan td' thii bay cd 4 bien quan sat LDI, LD2, LD3, LD4 du'dc tap hdp til 4 bien cua nhan to' "Lanh dao tru'c tie'p" vie't tatLANHDAO.
Cac gia thuye't ciia md hinh hieu chinh dddc dat ra nhu-sau (Hinh 2);
Hinh 2: Md hinh nghien cOu hieu chinh
+ Hi: Cdng vide thu vi tac ddng tieh cifc ddn sU thda man ve cdng vide cua nhan vien.
+ H2: Sir cdng nhan tac ddng tich cifc de'n sif thda man ve cdng vide cua NV.
+ H3: Thu nhap va phuc ldi tac dgng tich cilc dd'n su' thda man ve cdng vide eua NV.
+ H4: Dao tao va phat trien tae ddng tieh cife de'n sif thda man ve cdng vide cua NV.
+ H5: Mdi tru'dng lam vide tac ddng tich cifc de'n sif thda man ve cdng viec ciia NV.
+ H6: Md'i quan he vdi dong nghidp tac ddng tich ciTc de'n sif thoa man ve edng viec cua NV.
+ H7: Md'i quan he vdi lanh dao tac ddng tich cdc dd'n sif thda man ve cdng vide eua NV.
+ H8: Sif thda man edng viec tac ddng tich eifc dd'n su" thda man ve cdng vide ciia NV.
3.3. Phdn tich mo hinh cd'u trdc tuyen tinh (SEM)
3.3.1. Kiim dinh mo hinh do ludng (measurement model)
De danh gia do tin cay cua thang do, nghidn cu'u siJ dung he so' tin cay tong hdp CR, tdng phifdng sai trich AVE va hd sd' tai nhan td' ddn le
(outer loading). Trong dd, he sd' tin cay tdng help phai Idn hdn 0.7 va he sd' outer loading phai Idn hdn 0.4 (Hair et al., 2014) thi cd y nghla ve gia tri tin cay. Ngoai ra, theo Fornell and Larcker (1981) thi tong phifdng sai trich Idn hdn mdc 0.5 se khang dinh dUdc do tin cay va do gia tri hoi tu eua thang do. Ke't qua tinh toan ve dp tin cay tong hdp, he sd'tai nhSn td'va phu'dng sai trich cua cac thang do thanh phan cho thay cae thang do cua khai niem deu dat ydu cau ve dd tin cay va gia tri hdi tu (Bang 5).
Bang 5. Ket qua do tin cdy va gia trj hpi tu cua thang do
Nhinto
CONGNHAN CONGVIEC DAOTAO DONGLUC DONGNGHIEP
tANHDAO MOITRUONG
Cronbach's Alpha
0.764 0.818 0.731 0.865 0.847 0.828 0.816
D$ tin c$y tong hpp
(CR) 0.864 0.879 0.842 0.903 0 896 0.885 0 879
long phUdng sai trich
(AVE) 0.679 0.645 0.641 0.650 0.682 0.659 0.644 Nguon. KS'i qud phdn tich dd Ueu cua ldc gid, 2019 Gia tri phan bidt (discriminant validity) difdc kiem dinh dd' do lu'dng do gia tri phan biet giiip dam bao sif khac biet, khdng cd md'i quan he tu'dng quan giifa cac ye'u td' sii dung do lifdng cac nhSn td' (Hair va cdng stf, 2014) bang each binh phifdng tdng phu'dng sai trich AVE. Cd the tha'y diTdc tat ca cac gia tri HTMT cd gia tri 0.986 > 0.85. Tac gia tid'n hanh loai bd 1 sd' bie'n TM2, TM4, DLl (cd can nhSc ndi dung). Nhuf vay, cac nhan td deu dat yeu cau ve gia tri phan bidt (Bang 6).
Thdm vao dd, de xac dinh ty Id HTMT, ndn kie'm dinh xem eae gia tri HTMT cd khac 1 cd j nghia thd'ng ke hay khdng. Yeu c^u nay phai difdc trai qua danh gia khoang tin cay bang phifdng phap Boostrap. Cot 2.5% va 97.5% chi ra ngifdng gidi han va eao ciia 95% khoang tin cay,
3.3.2. Kiem djnh mo hinh cd'u true (structual model)
Kiem dinh ve gid dinh vi pham da cong tuyen (Multicollinearty)
Vide irdc liTdng hd so' dirdng dSn difa tren h6i
190 So 12-Thdng 7/2019
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Hinh 3: He so' nhdn td tai ngodi bdng Smart PLS
J "" 1
0 7 8 1 — • ! DTZ
1 ^^ 1
r
DLlV ' ^ X
pa345-»{^/ 0.301 \
Dl? 1
DL3 {
DL4 I '^'•^
CONGNHAN CONGVIEC DAOTAO DONGLUC DONGNGHIEP LANHDAO MOITRUONG THOAMAN THUNHAP
CONG NHAN
0.197 0.100 0.667 0.071 0.302 0.385 0.548 0.273
Bang 6 CONG
VIEC
0.100 0 391 0.058 0.378 0.257 0.438 0.289
Kef qua DAO TAO
0 207 0.078 0 216 0.203 0 285 0.125
Ngudn • Ket qud phdn tich dit lieu cua tdc gid. 2019 kiem djnh gid trj phdn biet
DONG LUC
0 294 0.501 0.705 0.894 0 507
DONG NGHIEP
0.133 0.059 0.288 0 094
LANH DAO
0.312 0.580 0 452
MOI TRUONG
0 582 0.489
THOA MAN
0.644 THU NHAP
quy ciia ti^ng bie'n phu thudc va bid'n dif doan (Hair va edng sif, 2014). Ne'u trong sd' cac bid'n ddc ISp, nd'u cd xay ra hien ttfdng da cdng tuye'n thi cac hd sd'difdngdSn khdng dam bao. Kd't qua ciia VIF chl ra rang stf hen ke't gitfa cac nhan td dif doan khdng vi pham gia dmh ve da cdng tuyen vi tS't ca cac he sd' deu nam trong khoang chap
Nguon: Ket qud phdn tich dff lieu ciia ldc gid, 2019 nhSn (VIF = 1.014 - 1.359 <5), do dd vide phan tich cd thd' dtfdc tie'p tuc.
Kiem dinh sU phii hop mo hinh (model fit) Trong phan tich PLS, kha nang giai thich cua md hinh ca'u true dtfde danh gia bdi dtfdng din cS'u true va he sd' R^ cua bie'n phu thudc. Su' dung phin tieh phi tham sd bang ky thuat bootstrapping lap
So 12-Thang 7/2019 191
TAP CHi CONG THIfdNG
lai 5.000 lan ket qua. Theo Hair va cong sil (2014), gia tri R- la 0.25 the hien ca'u trijc noi sinh yeu, miJc 0,5 thi tiTdng dd'i va 0,75 thi d miJc cao.
Bang 7. Ket qud R^ vd Q'
THOAMAN DONGLUC
Gia tn R' 0.589 0 545
GiatnO^
0.443 0.340 Nguon: Ke't qud phdn tich dQ liSu c^a tdc gid
Ben canh gia trj R^, Q- la mot danh gia bd sung cho md hinh phii hdp (Geisser. 1974; Stone, 1974).
Gia tri Q2 ldn hdn 0 dd'i vdi mot bid'n tiem an ndi sinh ke't qua cu the chi ra stf hen quan dtf bao cua md hinh dtfdng dan dd'i vdi khai niem phu thudc cu the nay (Chin, 2010). De cd dtfdc gia tri Q', phtfdng phap Blindfolding dtfdc su" dung trong PLS d^ do Itfdng. Kd't qua eho thEl'y, stf lidn quan dtf bao Q^ eua nghien etfu nay do'i vdi ta't ca cac ca'u true Idn hdn 0 (0.443 va 0.340), chi ra rSng tS't ca eac bid'n phu thude trong md hinh deu co mtfc do lien quan tidn doan (Bang 7).
Tac ddng eua eac yd'u td' dtf doan dtfdc kie'm dinh bang tac dong cua (P) (Hair va edng stf, 2013). Ket qua cho tha'y, tS't ca cac ye'u to' deu cd mtfc do anh htfdng ttfdng dd'i dao ddng ttf 0.059 - 1.196 (Bang 8).
Bang 8. Ket qud gia trj P v d mtjlc d d dnti hi/dng Moi quan h$ giQa cac bien
CONGNHAN ^ THOAMAN CONGVIEC -> THOAMAN DAOTAO -* THOAMAN DONGNGHIEP ^ THOAMAN LANHDAO -^ THOAMAN MOITRUONG -> THOAMAN THOAMAN ^ DONGLUC THUNHAP -> THOAMAN
Gia tri P 0.116 0.059 0.082 0.122 0.070 0.110 1.196 0 091
Mtic d$ atih hudng Trung binh
Nho Nho Trung blnh
Nho Trung blnh
Ldn Nho Ngudn: Ket qud phdn tich du lieu cua tdc gid, 2019
Ke't qua cdu true tuyen tinh
Be kiem tra xem hd so'dtfdng dan cd khae biet dang ke' so vdi 0, gia tri t dtfdc tinh toan thdng qua bootstrapping. Trong nghien ctfu nay, ky thuat bootstrapping phi tham so' dtfdc kid'm dinh cho 165
quan sat, vdi lap Iai 5.000 l^n de dam bao yeu cau kiem dinh md hinh eS'u true tuye'n tinh. (Bang 9).
Ttf bdng thd'ng ke phan tich cae he sd' hoi quy tai Bang 10 cho thay md hinh thda man edng viec cd mdi quan he cung ehieu va ed y nghia thd'ng ke d mtfc y nghTa 5% la:
(1) MOITRUONG-J. THOAMAN vdi hd so tac ddng (p = 0.247)
(2) CONGNHAN -> THOAMAN vdi he so tac ddng (p = 0.233)
(3) THUNHAP ^ THOAMAN vdi hd sd' tac dong (p = 0.229)
(4) DONGNGHIEP ^ THOAMAN vdi he so tac ddng (p = 0.226)
(5) DAOTAO ^- THOAMAN vdi he so t^c ddng (p = 0.196)
(6) LANHDAO -> THOAMAN vdi hd sd' tic ddng (p = 0.193)
(7) CONGVIEC -> THOAMAN vdi he so tic ddng (p = O.I70).
Nhtf vay, ca 7 gia thuye^t deu dtfdc chap nhan d do tin cay 95%. Dieu nay cho tha'y cdc gia thuyd't dtfa ra deu tac ddng dd'n stf Ihda man cdng viec cua nhan vien. Trong nghien ctfu nay cDng nhin nhan md'i quan he gitfa Stf thda man cdng (bie'n trung gian) viec dd'i vdi dpng life lam vide cd md'i ttfdng quan manh va cd quan he cung chieu nhtf sau:
THOAMAN ->• DONGLUC vdi he sd tac ddng (p = 0.738).
Ngoai ra, cac ddng nhan to'tac dpng ehinh de'n stf thda man dtfdc ghi nhan theo thtf ttf quan trpng la MOITRUONG ^- THOAMAN, THUNHAP ^ THOAMAN, CONGNHAN -» THOAMAN, DONGNGHIEP -> THOAMAN la hoan toan phu hdp vdi thtfe te' cdng vide gan vdi ddng Itfe Iam viec hien nay tai Bdnh vien Thd'ng Nha't. Qua ke't qua kiem dinh mo blnh ly thuyd't ta dtfdc mo hinh dieu chinh nhtf sau:
Ttf ke't qua nghidn ctfu da cho tha'y ea 7 ye'u td' deu anh htfdng de'n stf thda man cdng vide cua nhan vien, nhieu nha't la: (1) Mdi trtfdng lam vide, (2) Stf cdng nhan, (3) Thu nhap va phiic ldi, (4) Md'i quan he vdi dong nghidp, (5) Dao tao va phat trie'n, (6) Lanh dao tru'c tid'p, (7) Cdng viec thu vi va ca 7 yd'u to' nay
192 So 12-Thang 7/2019
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Bang 9. Ket qud Bootstrapping imd hinh cd'u true Moi quan h$
CONGNHAN-* THOAMAN CONGVIEC -> THOAMAN DAOTAO ^THOAMAN DONGNGHIEP - » THOAMAN LANHDAO -^ THOAMAN MOITRUONG -> THOAMAN THOAMAN -> DONGLUC THUNHAP-> THOAMAN
Trpng so gSc 0.234 0.167 0.192 0.226 0.196 0.248 0.738 0.225
Trong s 5 tnjng blnh 0.233 0.170 0.194 0.227 0.195 0.247 0.740 0.227
Sai so ChuIn -0.001 0.003 0.002 0.002 -0.000 -0.001 0 002 0.001
2.5%
0.115 0.068 0.076 0.131 0.076 0.129 0.621 0.107
97.5%
0 339 0.258 0.307 0.316 0.317 -0.385 0.819 0.343 Nguon: Ket qud phdn tich du lieu cua tdc gid, 2019 Bang 10. K§'t qua tdc dpng tnJc tiep cue cac md'i quan he (ky thuqt Bootstrap) Moi quan h$ giOa cac bien
CONGNHAN ^THOAMAN CONGVIEC ^THOAMAN DAOTAO-* THOAMAN DONGNGHIEP-* THOAMAN LANHDAO ^THOAMAN MOITRUONG -> THOAMAN THOAMAN -> DONGLUC THUNHAP-* THOAMAN
H$ so tac dOng 0.233 0.170 0.196 0.226 0.193 0.247 0.738 0.229
Sais£i(SE) 0.056 0.049 0.059 0.047 0.062 0.063 0.048 0.060
Gia tri t 4.171 3 410 3.224 4.770 3.158 3.908 15.486 3 755
Mdc y nghTa 0.000 0 001 0.001 0.000 0 002 0.000 0.000 0 000 Nguon • KS't qud phdn tich dff lieu cua ldc gid, 2019
Bdng 11. Ket qud tac dong gidn tiep cua cdc yeu to den dong ILTC Idm viec
GiithuySi HI H2 H3 H4 H5 H6 H7 H8
Moi quan h$
CONGNHAN - * DONGLUC CONGVIEC -^ DONGLUC DAOTAO - * DONGLUC DONGNGHIEP - * DONGLUC LANHDAO - * DONGLUC MOITRUONG - * DONGLUC THUNHAP - * DONGLUC THOAMAN - * DONGLUC
H$s5tacd$ng 0.172 0.125 0.144 0.167 0.143 0.183 0.168 0.738
Sai so (SE) 0.044 0.035 0.043 0.038 0.048 0.051 0.042 0.048
Gia In t 3 942 3 483 3.325 4.427 3.030 3.602 3.989 15.486
Mlic y nghTa 0.000 0.001 0.001 0.000 0.002 0.000 0.000 0.000 Nguon: Ket qud phdn tich dff lieu cua tdc gid. 2019
So 12-Thang 7/2019 193
TAP CHi CONG IHtfdNG
deu anh htfdng dd'n ddng ltfc lam viec cua nhan vien gid'ng nhtf y kid'n ban dau cua chuyen gia va md hinh nghidn ctfu. Kd't qua nghien ctfu eung cho tha'y mtfc do quan trpng vdi ttfng ye'u tdanh htfdng dd'n stf thda man cdng viec cua nhan vidn la khdc nhau.
Ke't qua nghien etfu eho tha'y nhan to': (1) Mdi trtfdng lam vide la yd'u to'tac ddng manh nhat de'n stf thda man cdng vide cua nhan vien vdi he sd' (P
= 0.247). Dieu nay cung phii hdp vdi thtfe td', khi benh vidn la mdi trtfdng lam vide tid'p xiic vdi eac nguon benh, nhidm khuan cho ndn nha lanh dao da tao mdi trtfdng lam vide than thidn, doan ke't, cung cS'p cac trang thie't bi, may mdc phuc vu cho cong tac kham chffa bdnh, tao mdi trtfdng lam vide thoai mai nham thuc day nhan vien gSn ke't vdi td chtfc. Vi the' nhan vidn cang lam vide trong mdi trtfdng lam vide td't thi cang kich thich ddng life lam vide cua ho.
Stf cdng nhan la ye'u td' cd tac ddng manh thtf hai dd'n stf thda man cdng vide eua NVYT vdi hd so' (p = 0.233). Thtfc te', nha quan tri tai benh vien ludn quan tam va ghi nhan nhffng thanh tich cua nhan vidn dat dtfdc, tao stf gan bd giffa nhan vidn vdi td chtfc. Nd'u nhan vien dtfcfc khen ngdi va dtfdc danh gia cao, ddng life lam viec cang cao.
Yd'u to tac ddng manh thtf ba dd'n .stf thda man cdng vide cua nhan vien dd la thu nhap va phuc ldi vdi he so' (p = 0.229). Vi thu nhap va phuc ldi la mdt khia canh quan trong trong vide khuyd'n khich stf thda man trong cdng vide, nang eao ddng Itfc lam vide ciia nhan vidn, tuy theo nang sua't lam viec khac nhau se nhan dtfdc cac mtfc thtfdng khac nhau.
Tid'p theo, yd'u td' tae ddng manh thtf ttf dd'n stf thda man cdng vide cua nhan vidn la md'i quan he vdi dong nghiep vdi he sd' (p = 0.226). Dieu nay cho tha'y nhSn vidn trong bdnh vien lam vide vdi tinh than doan kd't, than thien, hd trd trong edng viec, giiip cho dong nghiep lam vide thoai mai hdn, dat dtfde hidu qua eao hdn. Nhan vien lam cdng tac chuydn mdn ludn chia se kinh nghidm nhtf hoi chan benh an dtfa ra htfdng dieu tn td't cho benh nhan, trao ddi trong viec siJ dung thudc phu hdp eho ngtfdi benh, cung nhtf nhffng sang kie'n mdi nham dtfa ra htfdng dieu tri bdnh nhSn mot each td't nhat.
Dao tao va phat trie'n la ye'u td' tac ddng thtf nam dd'n .stf thda man cdng viec cua nhan vien vdi he s d ( p = 0.196). Thtfe te'NVYT dang Iam viec trong bdnh vien chtfa dtfde nang cao trinh do
chuydn mdn phii hdp vdi tffng vi tri vide Iam, cdn kiem nhidm nhieu chtfc nang bae si chinh quy cdn thid'u d cac khoa. Nhan vidn cd tnnh do va nang ltfc chtfa dtfde sap xe'p phu hdp vdi chuyen mdn nhtf trinh dd dtfdc si dai hoc ma phan cdng lam d khoa xet nghiem, can lam sang hoac lam cdng tac chtfdng trinh do cdn thid'u nhSn stf.
Lanh dao trtfc tid'p la yd'u to' tac dong thtf sdu dd'n stf thda man cdng vide cua nhan vidn vdi he so (p = 0.193). Thtfc te' cho tha'y, lanh dao ludn ghi nhan stf ddng gdp cua nhan vidn, khuye'n khich nhan vidn nang cao trinh do chuydn mdn. Khi nhan vidn gap kho khan trong chuyen mon, lanh dao ludn chia se kinh nghiem, htfdng dan tan tinh tao dong ltfc Iam viec cho nhan vidn hoan thanh tdt nhiem vu.
Cdng vide thu vi la yd'u to' cd tac ddng manh it nhat dd'n stf thda man cdng viec cua nhan vien vdi he sd(P = 0.170). Dieu nay cung phu hdp vdi thifc te', la bdnh vidn da khoa ndn vi tri cua mdi NVYT mdi bd phan la khac nhau. Thong tin phan h^i cdng viec gitfa cac khoa Iudn dtfdc cap nhat hang ngay, hang gid de nhSn vidn ndm bat thdng tin v^
bdnh nhSn nham thuan tidn cho vide sap xd'p, luan chuyen bdnh nhan giffa cac khoa phu hdp. Nd'u cdng viec dtfdc luan chuyen phu hdp se giup cho nhan vidn lam vide thu vi hdn, tff dd tao dong life eho nhan vien Iam vide hidu qua hdn.
Dac biet, bie'n trung gian Stf thda man edng viec ed tae ddng rS't manh dd'n ddng ltfc lam vide cua nhan vidn vdi he so' (p = 0.738). Ngoai ra, nghien ctfu cung xem xet tac dong gian tie'p cua de'n sif thda man cdng viec nhan vidn, qua dd 7 yd'u to': (1) Mdi trtfdng lam vide, (2) Stf cdng nhan, (3) Thu nhap va phuc ldi, (4) Md'i quan he vdi dong nghidp, (5) Dao tao va phat trien, (6) Lanh dao trtfc tidp, (7) Cdng viec thu vi, cd tac ddng gian dd'p de'n dong ltfc lam vide eua nhSn vidn tai bdnh vidn.
Ttf nhtfng phan tich trdn tac gia cd the kd't luan md hinh ly thuyd't phit hdp vdi dff lieu nghidn ciJu cd 7 gia thuye't dtfdc chap nhan. Va md hinh ly thuye't dtfde dieu chinh (nhtf ke't luan dtfdi day).
4. Kd't luSn
Ke't qua nghien ctfu da danh gia mtfc dd anh htfdng eua ttfng nhan to' cu thd' tac ddng de'n ddng ltfc Iam vide cua nhan vidn trong mdt td chiJc.
Trong dd, Mdi trtfdng Iam vide c6 tae ddng manh nha't vdi gia tn trung binh 0.247, tid'p dd'n yd'u td Stf cdng nhan vdi gia tri trung binh 0.233, ye'u td Thu nhap va phuc ldi vdi gia tri trung binh 0.229,
194 So 12-Thang 7/2019
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ke tiep yeu toMdi quan he vdi dong nghidp cd gia so trung binh la 0.170. Ngoai ra, gan vdi cac ye'u tri trung binh la 0.226, ye'u hdn la yd'u td Dao tao td tac dpng trung gian, nghidn ctfu eung xem xet va phat trien vdi gia tri trung binh la 0.196, ye'u td tac ddng gian tie'p cua stf thoa man cdng viec, qua Lanh dao trtfc tid'p cd gia tri trung binh la 0.193 va dd ca 7 ye'u td cd tac dong gian tid'p den ddng Itfc yd'u td'anh htfdng it nha't la Cdng vide thu vi vdi tri lam vide thdng qua stf thda man cdng vide •
TAI LIEU THAM KHAO:
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2. Fornell, C , Larcker, D.F., 1981. Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research 18 (1), 39-50.
3. Hair, J. F., Hull, G. T. M.. Ringle, C M., and Sarstedt, M. 2014. A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). Thousand Oaks, CA: Sage.
4. Hair vd cdng sff (2016), PLS-SEM ca bdn, bdn dich tieng viet cua Nguyin Quang Anh, Nguyen Nggc Duy Phuong vd cdng sU, Viin Qudn tri Kinh doanh Song Hdnh (Luu hdnh ngi bg)
5. Henseler, J., and Chin, W. W. 2010. A Comparison of Approaches for the Analysis of Interaction Effects Between Latent Variables Using Partial Least Squares Path Modeling. Structural Equation Modeling 17(1): 82-109.
6. Hodng Trong, Chu Nguyin Mgng Nggc, 2008. Phdn tich dff lieu nghien ciiu vdi SPSS. Thdnh phd Ho Chi Minh • Nhd xudt bdn Hong Dffc.
7. Hodng Hdng Hgnh, 2011. Nghien cffu cdcy^u to lien quan di'n dgng life ldm viec cda bdc sT Benh vien Yhpcco truyin trung UOng, Ludn vdn Thac .^r. Trudng Dai hoc YteCdng cdng.
8. HuUand, John (1999). "Use of Partial Least Squares (PLS) in Strategic Managemenl Research: A Review of Four Recent Studies," Strategic Management Journal, 20:195-224.
9. Kenneth S.Kovach (1987). What motivates employees? Workers and supervisors give difeerent answers. Business Horizons, 30(5), 58-65.
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A systematic review. BMC health services research, 8. p. 247. ISSN 1472-6963 DOI: https://doi.org/10.1186/1472- 6963-8-247.
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14. Nguyin Thi Hodi Thu, Nguyin Viet Trieu vd Bin Thj My Anh, 2015. Ddng lffc ldm viec vd mot sdye'u tdliin quan cua nhdn vien y tetgi Benh vien Da khoa Hodn My, Minh Hdi. Cd Mau. Tgp chi Yhoc du phdng, tdp 27 sd 13 (2017) trang 146.
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TAP CHi C Q N C THlAfNG
Ngay nhSn bai: 20/6/2019
Ngay phan bidn danh gia va siJ!a cht?a: 30/6/2019 Ngay cha'p nh§n dang bai: 10/7/2019
Thong tin tdc gid:
l.TS. DINH KIEM
Nguyen Trifdng khoa Quan ly Ngudn nhSn life, Trtfcfng Dai h^c Lao dpng Xa hdi (CSH) TP. Hd Chi Minh 2.PHANTIEUTRAM
NhSn vidn Quan tri B$nh vi^n Thd'ng Nhat, TP. Hd ChiMinh
FACTORS AFFECTING THE WORK MOTIVATION OF THONG NHAT HOSPITAL'S EMPLOYEES
• Ph.D DINH KIEM
Former Dean, Faculty of Human Resources Management, University of Labour and Social Affairs - Ho Chi Minh City Campus
• PHAN TIEU TRAM Administration Officer, Thong Nhat Hospital
ABSTRACT:
This study is to identify factors affecting the work motivation of Thong Nhat Hospital's employees by analyzing data collected from 165 employees working at the hospital. The structural equation modeling (SEM) was used in this study to determine the factors affecting the work motivation of medical staff at Thong Nhat Hospital. The result shows that there are 7 factors affecting the work motivation of employees working at Thong Nhat Hospital, including interesting work, recognition, income and welfare, training and development, working environment, relationship with colleagues and direct managers. Among these factors, the working environment factor is the most influential factor.
Keywords: Influencmg factors, work motivation of employees, Thong Nhat Hospital.
196 So 12-Thdng 7/2019
