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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 y nhdt eua minh, se mong mudn dupc thda mdn them nhieu nhu cdu khdc nhu tu khdng dinh minh, duac tdn tiong dugc phdttiien Chinh vi nhung ly 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,tiongbdi cdnh hien tai, chu de ndy vdn ludn coy nghiationgthuc te Detdt cd ngudi lao dpng hdi Idng vdi cdng viec, taptiungndng 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 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 phat trien cua ngudn nhan luc la thude 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 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, 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 ngudi va tao gia tri gia tang cho benh vien Vl vay, nang cao chat lupng va nang suat •Benh vien Cho Ray lao ddng ddi vdi dpi ngu can dupc quan tam Cof sor ly thuyet ve tao dong lire lam viec 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 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 kichtiiichcon ngudi nd luc lam viec dieu kien cho phep tao 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 ngUPi lao dpng.''' '''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 da cd rat nhieu hpc thuye't, nhu can ciia ngudi theo hai loai dpc lap va quan diem cung nhu each ti^p cSn khac cd anh hudng tdi hanh vi ngudi theo nhdng ve tao dpng luc lao dpng, sau day la mpt sd each khac nhau; kM ngudi cam thay khdng thoa man vdi cdng viec cua minh thi hp rat lo nghien cdu da dupc cdng bd; 2.1 ly thuyet ve cap bac nhu cdu cua Idng ve moi trudng hp dang lam viec, cdn hp cam thay hai Idng ve cdng viec thi hp chi quan Maslow(I943) Theo Maslow, ve can ban, nhu cau ciia tam den cMnh cPng vide Td dd, dng da phan ngudi duoc chia lam hai nhdm cUnh; nhu cau hai nhdm nhan td; tri va dpng vien CO ban (basic needs) va nhu cau bac cao (meta Thuyet hai nhan td cua Herzberg chda dung needs) an y quan trpng ddi vdi nha quan ly nhu sau; - Nhdng nhan td lam thoi man ngudi lao Nhu cJu cd ban lien quan den cac yeu td the ly ciia ngudi nhu mong mudn cd du thitc dpng la khac vdi cac nhan td tao sit thoa to, nudc uong dupc nghi ngdi Nhtmg nhu cau man Vi vay, khdng the mong dpi su thoa man CO ban deu la cac nhu cau khdng the thieu, ngudi lao dpng bang each don gian la xoa bd anh hudng va quyet dinh su tdn tai cua cac nguyen nhan gay sij bat man ngubi nen hp se diu tranh de dupc thda man Viec quan ly nhan vien cd hieu qua ddi cac nhu cau ay hdi phai giai quyet thoa dang dong thdi ca hai Nhiing nhu cau cao hon (cdn gpi la nhu cau nhdm nhan td tri va dpng vien, chd khdng bac cao) bao gdm nhiiu nhan td tinh than nhu nen chi chu trpng vao mpt nhdm nao su doi hdi cdng bSng, an tam, an toan, vui ve, dia Nhflng phat hien cda Herzberg cho xhiy ring vi xa hoi su tdn trpng vinh danh vdi mpt ca mpt sd dac diem cua mpt cong viec lien quan nhan tdi su hat long cdng viec, cac yeu td Cac nhu cau co ban thudng dupc uu tien chd khac cd lidn quan den su khdng hai Idng y trudc so vdi nhiing nhu cau bac cao Vdi bat cdng vide ky ai, t\iu ddi an, khat uong hp se khdng cdn Cdc yiu td cho su hdi Idng: Thanh tini; Su dong CO quan tam ddn cac nhu cau ve ve dep, cdng nhan; Ban than edng viec; Trach nhiem; su ton trpng Tdy nhien, my theo nhan thdc, Tien bp; Su phat trien hen thUc, hoan canh, thd bac cac nhu cau cd Cdc yeu td cho su khdng hdi Idng: CMnh sach ban cb the thay ddi Vi du nhu; ngudi ta cd the cdng ty; Su giam sat; Mdi quan he vdi ngudi han che an, udng ngu ngM de phuc vu cho cac gam sat va ddng nghiep; Dieu kien lam viec; sunghiep cao ca hon Luong Trang thai; Su bao ve 2.2 Thuyethaiyeu tdcuaHerzberg(1959) 2.3 Ly thuyet thlit ldp muc tiiu ciia Edwin Nam 1959, F Herzberg va cac ddng nghiep A Locke cua minh, sau thuc Men cac cudc phdng Trong mpt bai bao vidt nam 1960 cd tieu de vSn vdi hon 200 ngudi ky su va ke toan cua "Tien tdi mpt hpe diuye't ve ddng vien va khuyen nginh cdng nghiep khdc vi da rut khich," tien si Edwin A Locke cho rJng lam viec nhiSu ket luan rat bd ich Ong dat cac cau hdi cd muc tidu se mang tdi dpng luc giup nhan ve cac loai nhan td da anh hudng ddn ngudi lao vien dat dupc muc tieu dd va cai thien hieu suSt dong nhu; nao dii cd tac dung dpng vidn hp lam viec lam viec va nao thi cd tac dung ngupc lai Nghien cdu cua Locke cho thay muc tieu BSng kinh nghiem chuyen mdn, ong chia cac cang cu thd va khd khan thi ket qua thuc Men se tdt hon nhieu so vdi cSc muc tidu md ho hoac 16 Quoc dan,MN9i.2009 BAC si D A O TH I TH UY TRANG - TAO BONG L1/CLAMVI|C BANG LUONG BAC SI CAO CAP Ddn vi: trieu l o n g Bad Bac Bac Bac Bac Bac 8,0 6,2 6,56 6,92 7,28 7,64 Mile ItfOngd^n 30/6/2019 8,618 9,1184 9,6188 10,1192 10,6196 11,12 Mile Inong tit 1/7/2019 9,238 9,7744 10,3108 10,8472 11,3836 11,92 Hesd litong d^ d^ng Ddng vien chung chung ki^u "Cd len" hay ve ddng luc lam \iec ciia can bp y te va DD tai "Cd het siic di" se it hieu qua hon khuyfo khich Benh vien da khoa Nicosia ciia Cpng hda Sip ngudi khic b^ng mpt muc tieu cu thd nhu "Cd vdi 67 bac si va 219 dieu dudng tham gia nghien g^ng lam diing it nh^t 80% nhe" hoac "Tap ciiu cho thay rang: yeu td tiai da dupc xep trung Sli dung thdi gian that tdt di" Tuong tu, hang la cao nhat bdn ddng luc chinh, tiep muc tieu khd khan thudng cd dpng luc thiic day theo la thii lao, mdi quan he vdi ddng nghiep va cao hon so vdi muc tieu dd dang bdi \'i ngudi ta cac yeu td vd thupe tinh cdng viec Nghien ciiU phai ho^n th^nh nhieu dieu de dat dupc muc cho thay rang ddng luc da bi anh hudng bdi tieu dd ca hai yeu td tai chinh va phi tai chinh Cac hoat 05 nguyen tAc de thiet lap muc tieu: Rd rang, ddng lien quan den su danh gia cao nhu quan ly Thach thUc, Cam ket, Phan hoi, Dp phufc tap hieu suat hien tai khdng thuc hien tdi uu, NVYT ciia cdng viec nhan thay giam sat/kiem soat, viec lua chpn dd Ngoai ra, cdn cd nghien cuu ciia Melkidezek dao tao la khdng rd rang va khdng ddng deu va T Leshabari va cdng su ve ddng luc Idm viec cua nhdn vien y te (NVYT) d benh vien quoc gia ludng liieu suat la khdng huu ich Cac loai Muhimbih cua Tanzania (2008) Nghien ciiu ddng luc phi tai chinh dupc xac dinh nen dupc vdi su tham gia ciia ciia 448 nhan vien benh xem xet phat trien cac chien lupc qudn ly vien K^t qua nghien cuu cho thay gan mpt niia nguon nhdn luc Nghien cuu ciia Hala Ayyash va cdng sU bac si va didu dudng da klidng hai long vdi cdng viec cua hp Nguyen nhan la cac yeu td v^ (2011) ve Dpng luc lam viec cua dieu dudng tai miic luong thap, khdng dupc trang bj day dii cac benh vien Gaza dddi Gaza Cac mau ciia nghidn tiiiet bi vk dung cu can tliiet de dam bao cham ci:ru bao gdm 170 dieu duong Ket qua cho sdc benh nhan, khdng cd su danh gia va phan thay mtic dp ddng luc giUa cac ddi tupng nghien hdi thudng xuyen, cac kenh giao tiep kem giUa cuu la 66,2% NhQng ngudi tham gia nghien ciru ngudi lao ddng va quan ly, thieu su tham gia cho rang su quan tam va thu hudng la dpng luc vao qua trinh quyet dinh, va thieu quan tam cao nhat (75,8%), tiep den la quan ly va giam sat ddi vdi phuc Ipi NV-YT cua benh \ien Nghien (72,1%), giao tiep (70,0%) cdng nhan va khen ciiu cua Persefoni Lambrou va cdng su (2009) 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 B$cl BlLC2 Bac Bac Bac Bac Bac Bac Hesdlirnng 4,4 4,74 5,08 5,42 5,76 6,1 6,44 6,78 Mure 6,116 6,5886 70612 75338 8.0064 8,479 8,9516 9,4242 6,556 7,0626 7.5692 8,0758 8,5824 9,089 9,5956 10,1022 luungden 30/6/2019 MijTC tuung ti(l/7/2019 BANG LUONG BAC Si Don vi:tri$u d o n g B^cl He so luong 2,34 Mik Bac B&C3 Bac Bac Bac Bac Bac Bac 2,67 3,33 3,66 3,99 4,32 4,65 4,98 3,2526 3,7113 4,17 4,6287 5,0874 5,5461 6,0048 6,4635 6,9222 3,4866 3,9783 4,47 4,9617 5,4534 5,9451 6,4368 6,9136 7,4202 luong den 30/6/2019 Miilc liAAig tit 1/7/2019 viecdmilc thap nhat (53,6%).''> Cac yeu td tac dpng de'n dong luc lam vigc cua bac si khu v u t benh vi^n cong talVietNam 3.L Luang Luong la yeu td rat quan 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 bk dau c6ng viec d mdt benh vidn nao hp deu mong mudn tien luong xung dang vdi site lao ddng ban than bd Tidn luong tuong xilng vdi nSng suiit lao dOng giup bac si dam bao cudc sdng va tai tao silc lao ddng Tuy nhien, mure luong hien ddi vdi bac si cac benh vien cdng rat thap so vdi mat bang chung ciia xa hdi, nhat la vdi nhiing bac si mdi trudng Luong cua bac si hien dupc phan hang 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 Viec xep luong cua bac si 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-BYTBNV 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 nhu sau: -Mdc luong CO sd tir den 30/6/2019:1,39 tridu ddng/thang - Mile luong CO sd tit 1/7/2019: 1,49 trieu '"' 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 ddng/thang Khi mdi 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 ^ ^ miic khoang han 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, nhung bac SI lam tuyen dudi thi r^t it 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 Dieu 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 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 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 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 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-duoctinh-nhu-the-nao-c25193.html, tmy cap 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 dang dupc thuc hien tlieo Nghi dinh sd 56/2015/ND-CP 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 xep hang tich Cach danh gid tren khdng phdn loai duoc chinh xdc thdnh tich cua ngudi lao dpng, dd khdng dam bao tinh cdng bang 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 Sau 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 "sdng Idu Idn Ido lang" tai cac benh vidn cdng vdn cdn tdn tai, tao nen tam ly chan nan dpi ngu bdc si tre, khien hp 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 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 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 nhung ydu td tac dpng tieu cue den dong luc Idm vide cua bdc si benh vien cong hien 3.7 Cdng thdng nghe nghiep Moi tmdng Idm viec khdng thuan Ipi, su qud tai cdng viec, thdi gian lam viec kdo ddi, trach nhiem cdng viec cao, cang thang 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 Ngoai ra, cdng vide ddi hdi phai true ca ddm va cac nghi, ngdy Id, vay cdc bdc si, ddc biet la bac si nOt khdng cd nhieu thdi gian cho gia dinh; cdng viec hdng 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 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 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 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 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 su cdng bdng giira cac cd nhdn Dieu ndy d§ tao 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 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 lubng bang cdc chi sd danh gid 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 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 ky danh gid de cd the phdn loai va so sdnh dupc *•*' ThS Huynh Bao Tuan (Giang vien Khoa Quan !y cong nghiep - 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-traqua-dat-cho-nganh-y, truy cap 17/9/2019 cdc mire thudng cho cdc bdc si d ciing vi tri, tii dd cdc bdc si cd co sd phan dau 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 tich chung ciia nhdm va miic dp phdc tap cua cdng vide de hp cam thay phan khdi hidt nhiing no luc hodn thdnh cdng viec ciia hp iudn dupc to chiic ghi nhdn Quyet dinh khen thudng can dupc dua mdt cdch kip thdi, dung liic vd phdi dupc tidn hdnh cdng khai mang tinh khuyen khich cao de khich letinhthan 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 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 phti hpp vdi nhu cau ciia benh vien, tranh tinh n^^p- Danh gid chinh xdc, djnh lupng dupc se trang de bdc si lam viec qud tai Nhan vien y td giiip bac si yen cdng viec va tim thay niem vui ndi chung vd bac si ndi ridng dupc tuyen dung tai mditiUdnglam viec hay bd nhiem can dam bao cdc tieu ehuan yeu 4.4 Nhu cdu khAng dinh bdn thdn vd nhu cau cua vi tri viec 1dm Benh vien cdn quan tdm cdu duac ton den viec bd tri dung ngudi diing vide de phdt Conngudl se dupc thuc day Idm viec hidu qua huy tdi da ndng luc ciia hp Ben canh dd nen nhin thay dudng tuong lai vd dich den tinh gian bien che de loai bd nhiing phan cu the Vl vdy, cac Idnh dao benh vien khdng chi khdng lam dupc viec khdi td chiic, trdnh cac hudng bac si den muc tieu ciia td chiic md can tdc ddng tidu cue cho ngudi lao ddng cd nang giup ho xay dung Id trmh nghe nghidp cho ban luc than hp Dieu khdng nhiing tao ddng luc 4.7 Han che cdng thang nghe nghiep cho bdc si md tao mdt mdi trudng 1dm De ban chd tdi da cang thSng nghd nghiep viec phdt trien Ngodi ra, benh vidn cdn thuc ddi vdi bdc si, benh vien nen dua nhiing gidi hien hieu qua chinh sdeh ddo tao, bdi dudng de phdp nhu gidm thdi gian Idm viec, giam khdi giup bdc si hoan thdnh muc tieu nghe nghiep vd lupng cdng viec bang each vide tdng dpi ngii bdc muc tieu phat trien bdnh vidn si; ldp kd hoach phan cdng cdng tdc cu th^ dua 4.5 Cdi thien moi tn^mg lam viec tren y kien ciia bac si va lupng benh nhan thuc Benh vien can cdi thidn mdi trudng vd didu td; md rpng khu dieu tri tu nguydn nhdm cd thd kien lam viec cho bdc si: phuong tien cdng tdc tien hdnh khdm, chiia benh ngodi gid theo quy (may mdc) dupc trang thiet bi theo phuang dinh; tang miic phu cap cho bac si thuc hien cham CO ban va chuyen sau, tang cudng td khdm chda benh ngodi gid chiic cdc budi sinh hoat chuyen mdn, sinh hoat 4.8 Tdng thdi gian ddnh cho viic hoc tap vd van hda va gia tdng tiep xiic lanh dao Ve quan nghien cdu khoa hoc he vdi lanh dao, bdc si mong mudn duoc lang Thudng xuyen md hoac c^ bac si tham gia cdc nghe, tdn trpng vd phan hdi true tiep nhidu ban khda hudn luyen ddo tao ngan ban vd dai ban nham dat dupc hieu qua cdng viec tdt hon de ndng cao trinh dp, cap nhat kidn thiic mdi Benh vien cung nen tang cudng phd bien ve hoat dpng kham vd dieu tri cdc chuyen kien thiic quan tri hpc cho nhdn vien quan ly vd gia gidi true tidp giang day Khuydn khich bdc si 4p dung kien thiic qudn tri cho cdc boat ddng tham gia hoat ddng nghien ciiu khoa hpc, tham khdm vd di^u tri, tao dieu kien cho bac si chi tdp du cdc hditiidokhoa hpc trung vao chuyen mdn, it mat thdi gian va tdm Ket luan va kien nghi site nhiing cdng viec qudn ly hdnh chinh Bac si la ngudi tiep xuc thudng xuyen vdi nhi6u khe benh nhdn nen dpi ngu ndy dupc xem Id dai sii Ngoai ra, benh vidn can xay dung cdc chinh van hda ciia benli Wen Tao ddng luc Idm viec sach, quy trinh qudn ly theo hudng lay loi cho bdc si nghia Id tao chat lupng dich vu I'ch cua nhdn vien y te ndi chung vd bac si ndi kham chfla benh ngdy cdng chuyen nghiep cho rieng Idmtiringtam va cdng khai, minh bach benh vien cac chinh sach, quy trinh quan ly cho loan bd De tao ddng luc lao ddng cho bac si, bdnh nhan vien vien can thuc hidn cdc giai phdp sau: 4.6 Phan cdng vd bo tri cdng viec hap ly Tra luong tuong xiing sflc lao ddng va tren co Benh vien can tuyen dung day dii nhdn luc 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^ 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 chd Trudng dai hpc Y te cdng cdng: Gido tiinh qudn ly ngudn nhdn luc, Nxb Y hpc Ha Ndi 2015 PGS.TS Nguyin Tidp: Gido tiinh Tiin luang tiin cdng Nxh Lao ddng xa hdi Ha Ndi 2007 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 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 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 nam20ll 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 Huyen Anh: 'Luong co ban cua bac si ttt 01/7/2019 dupc ttnh nhu thd nao?"; ttt website: https://caodangyduocnhatrang.vn/tin-tucdoi-song/luong-co-ban-cua-bac-si-Ui-172019duoc-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 TAI LifiU THAM KHAO qua ddt cho nganh Y"; ttt website: http://www Quyet dinh sd 122/QD-TTg 10 thang qpsoluHons.vn/newsdetail.asp?newsID=1054 01 nam 2013 ve Phe duyet Chien Iuoc qudc gia 2&catlid=7&cat2id=18&title=tra-luong-theobdo ve chdm sdc vd ndng cao sdc khoe nhdn san-pham-va-cai-gia-phai-tra-qua-dat-choddn, tdm nhin den ndm 2030 nganh-y, ttuy cap 17/9/2019 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 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 cic linh vuc kham chQa bdnh ... 2.3 Ly thuyet thlit ldp muc tiiu ciia Edwin Nam 1959, F Herzberg va cac ddng nghiep A Locke cua minh, sau thuc Men cac cudc phdng Trong mpt bai bao vidt nam 1960 cd tieu de vSn vdi hon 200 ngudi... 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 qua Idn ndn thdi gian de cdc bdc si danh cho viec hpc tap vd nghien ciiu khoa... 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 dupc cho la khdng theo CO che
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