O U A N Tiq KIMI DOAMI , mOJ SO GIAI PHAP NANG CAO SU THOA MAN CONG UIEC CUA NHAN UIEN V TE: TAI BENH UIEN DA KHOA DONG NAI Ngdy nhgn: 10/03/2020 Tran Mai Bdng Trudng DH Kinh Te Tp H6 Chi Minh Email: tmdong@ueh.edu.vn Tran Huvnh NgSn TruoTig DH Kinh Te Tp Ho Chi Minh Email: huynhngan812@gmail.com Ngdy nhgn lai: 01/04/2020 Ngdy duy^t dang: 10/04/2020 ^^di nghien cuu dugc thue hien nhdm dong gop mgt so gidi phdp ndng cao su thoa mdn cong ^Z^viec ciia cdn bg y ti, gop phdn giir chan nhdn vien co chuyen mon vd lam tdng su gan^ kit ciia hg Qua viec biin ddn cdc ly thuyet co lien quan, nghiin cuu de xudt mo hinh ly thuyet gom yiu to anh hudng din su thda mdn cong viec cua nhan viin: (I) Luong vd phiic Igi, (2) Dao tgo - thang tien, (3)_ Cdp trin, (4) Dong nghiip, (5) Diiu kien Idm viec vd (6) An todn cong viec Nghiin cuu thuc hien phdng vdn tay doi vdi nhdn viin y te (Id bdc sy, dugc sy vd dieu dudng co kinh nghiem Idm viec tren nam) nhdm tim hiiu sdu nhiing nguyin nhdn ddn din sic chua thoa mdn cong viec cua nhdn vien; dong thdi, hiiu chinh, bo sung vd hodn thien thang cho bdng khdo sat chinh thuc Kit qua khdo sdt 223 nhdn viiny ti dang Idm viic tgi Benh viin Da khoa Dong Nai cho thdy, dong nghiep vd dieu kiin lam viec Id hai yiu to md nhdn viin edm thdy^ hdi long han nhirng yiu to lai Trong do, an todn cong viec Idyeu to nhdn dugc su hdi long it nhdt tir ngudi lao dgng Tir khoa: Su thoa mdn cong viec, nhdn viin y ti, binh vien Da khoa Dong Nai l.Datvande Trong mdi trudng kinh doanh toan cau hda nhu hiln nay, mdt cdng ty cd the nhanh chdng bat kip ky thuat san xuat ciia ddi thii canh tranh bang each rnua cdng nghe mdi, cd the dl dang huy ddng vdn bang each vay ngan hang hay phat hanh cd phiiu; nhung ddi voi ngudn nhan luc, yeu td quan trong, xac dinh Igi the canh tranh va sir tdn vong ciia mot doanh nghiip, thi can eg mdt khoang thai gian dai d& xay dung, dao tao, phat triin va tri Khi mdt nhan su quan trgng di, hg mang theo ca tri thiic, khach hang va ddi la bi mat kinh doanh ciia doanh nghiep Vi vay cac doanh nghiip tu nhan lln ca quan nha nude diu khdng ngiing hoan thien chinh sach cua minh di cd thi giii chan ngudi lao dgng Trong do, sir thda mari cdng vile dugc xem la mdt ttong nhiing yiu to can dugc quan tam hang dau (Lawler va Porter, 1967) _ , , Trong bao cao cai tien chat lugng Sd Y te Ddng Nai (2017), sir hai long cdng viec ciia ddi ngii nhan vien y ti dugc danh gia chua dat so vdi mire diim dugc di ra, Xuat phat tir tinli hinh thuc tiln tai Binh viln, nai cac nhan vien y te phai lam So 141/2020 vile ttong mdt mdi trudng benh nhan qua tai tao nen ap luc cdng viec cao lam anh hudng den chat lugng cugc sdng cua hg (Benh vien Da Khoa Ddng Nai, 2018) va nhdm tac gia nhan thay van dl cap thiet hiln la can cd mgt nghien ciiu ve thuc trang su thda man cong viec ciia dgi ngii can bg y te, tir dd de xuat mgt sd giai phap dugc nham cai thien va nang cao su hai long cua hg Viec dam bao su thda man cdng viec cho nhan viln y tl la dieu can thiet va quan trgng de giii cMn dgi ngu y bac sy vira cd tam viia cd tam vdi nghe; ddng thdi, cung cap dich vu y ti hiiu qua^ cho cdng ddng, Bai nghiin ciiu dugc thuc hien tien hanh khao sat phan idn nhan viln y te tai benh viln Da khoa Ddng Nai Ca SO" ly thuyit vl su thda man cdng viec va thut: trang sy thda man cdng viec doi ngii nhan vien y te 2.1 Suthoa mdn cong viec Hiln cd kha nhilukhai niem ve su thda man cdng viec Ly thuyit ciia Hoppock (1935) ludng su thda man theo nhieu khia c^nh khac nhau, su thda man ttong cdng viec ndi chung khdng don thuan la tdng cdng su thda man theo tii'ng khia canh Mdt sd nha nghiin ciiu khac nhan dinh rang su khna hoc thuifng mai CB49 Q U A N -nq K I N H DOAUM thda man cdng viec thi Men muc dp ma nguoi lao ddng cam nhan va 4inh huang tich cue ddi vai cdng viec ttong td chuc (Vroom, 1964; Weiss va cgng su, 1967) Su thda man ttong cdng vile la cam giac ciia ngudi lao dgng ve su th^nh cong ttong cdng viec va cd lien quan true tilp den phiic Igi ca nhan (Kaliski, 2007) Nhu vay, nhin chung mgt ca nhan dugc xem la thda man vdi cdng vile hg cam thay thoai mai va hai long vdi cdng viec, chinh la ddng luc giitp hg phat huy het nang luc ciia minh lam viec Cac chi sd dl danh gia miic thda man cdng viec cua mdt ngudi la ban chat cdng vigc, tiln luang, thang tien, ddng nghiep va su giam sat ciia cap ttIn (Smith va cdng su, 1969) Nghiin ciiu ciia Tran Kim Dung (2005) su dung chi sd md ta cdng vile JDI - Job Description Index (bao gdm nhan td: Ban chat cdng viec, ddng nghiep, lanh dao, tiln luang, dao tao va thang tien) cua Smith va cgng su (1969) de ludng mire dg thda man cdng vile eua nhan viln tai Viet Nam Ddng thdi, tac gia ciing bd sung them hai nlian td phuc Igi cdng ty va dieu kiln lam viec vao thang JDI cho phu hgp vdi tinh hirih thuc tl tai Viet Nam Ngoai nhung yeu td chinh cd tac dgng den sir thda man^cdng viec nhu luang, dilu kiln lam viec, su thang tien va mdi quan he ddng nghiep, thi an toan cdng vile dugc xem xet nhu mgtkhia canh quan ttgng va yeu td anh hudng din nam gidi nhieu han nii gidi (Parvin_ va Kabir, 2011) Ngoai ra, rndi quan he giira ddng nghiep va cap tren la hai yiu td nhan viln cam thay rat de tac dgng den su hai_ long ttong cdng vile (Wang va cgng su, 2017) De thiic day su thda man cdng vile eho nhiing bac si tai cac benh vien edng, Xi-Torig va cdng su (2016) kiln nghi cac nha quan ly benh viln cdng ve viec quan tam nhieu hem den rihan vien qua mgt sd yiu td nhu dieu kien lam vile, nang cao miic thu nhap, ttao ca hdi hgc tap, dao tao nang cao trinh chuyin mdn va cai thiln mdj quan he giira cac ddng nghiep.^ Kit qua nghien cuu cho thay bail chat cdng viec va ca hpi daotao thang tien dugc danh gia la tac ddng manh nhat den sir thoa man ttong cdng viec Nhu vay, dua vao kit qua tdng hgp cac nghien cuu d tren, cd rat nhilu yeu td anh hudng din sir thda man cdng viec ciia nhan vien, luang va phiic Igi, dao tao va thang tiin, cap tren, ddng nghiip, dilu kien lam viec va an toan cdng vile la nhirng yiu td dugc nhieu nghien ciiu lua chgn va chimg minh la cd tac dgng den sir thda man cdng viec ciia nhan vien Luang, phuc lai, dao tgo yd ca hgi thdng tiin Cac nlia nghien ciiu cho rang cimg d mdt mire dd cdng vile thi ngudi lao ddng se cam thay thda man 50 khoa hoc thiftfng'mai' ban thu nhap cao ban (Bedeian va cgng s\r, 1992; Pettit Jr va cOng sir, 1997) Theo Spector (1997), luang dugc xem la mgt yiu td quan ttgng anh hudng deri su thda man cdng vile vi nd gan lien vdi cac nhu cau vat chat ciia ca nhan Mot sd nha nghiin ciiu nhan dinh rJng ca hdi thang tien cd mdi quan he chat che vdi sir hai ldng ttong cdng vile ciia ngudi lao dgng (Pergamit & Veum, 1999; Ellickson, 2002) Day ta yeu td ve mat tam ly vi no phan anh nhan thirc ciia nhan viln vl cac co hdi de phat ttiln nang lire va thang tien td chirc (Spector, 1997) cac yen td ve dao tao va thang tiln bao gdm co hgi tham gia cac chuang ttinh dao tao, viec td chiic tao dilu kiln cho nhan vien hgc tap hay su cdng bang ciia cac chinh sach va quy dinh ve thang tien (Lam TanKhai, 2017) , Cdp tren vd dong nghiip Hanh vi cua ngudi lanh dao ludn ed tac dgng den tam ly ciianhan viln, qua dd giiip hg de dang hda nhap vdi td chirc, cdi md ttong giao tiep vdi ddng nghiep va Um tang miic tin cay giiia hg vdi cap tten (Tsitmideli va cgng su, 2016) Tuong tu Lam Tan Khai (2017) cung khang dinh vile cap trin cd tinh than giitp da va lang nghe cap dudi, thai dp than thiln, cdi md va cdng bang ciing lam ngudi lao dgng thda man hon^ ttong cdng viec Ngoai ra, cac mdi quan he vdi ddng nghiip ciing tao nin ap luc hoac dgng lire cho ngudi lao dgng Theo Zhou va George (2001), dugc lam viec ttong mgt mdi trudng ma ddng nghiep ludn san sang giup dd, khuyen khich va chia se chuyen mdn, ngudi lao ddng se de dang dua dugc nhiing y tudng sang tao, huu ich nham mang lai hieu qua cao ban cho cdng vile Dieu kiin Idm viic vd an todn cong viic Ngay nay, su can bang giiia cdng viec va cugc sdng cang dugc ca ngudi lao dgng lan to chitc sii dyng lao dgng quan tam Viec can bang giiia hai mdi trudng se tao ddng luc de nhan vien hgc hdi, sang tao, phan dau hoan nhiem vu va t^o su gan kit giiia nhan vien vdi td chiic Dl lam tang miic thda man cdng viec cho ngudi lao ddng, cdng ty can tao mgt mdi trudng lam vile dam bao vl sinh va lam giam ap luc cdng vile cho hg (Tran Kim Dung, 2005) Smith va Yvonne (1999) danh gia an toan cong viec la yiu td rat can thiet dl nhan vien' cung cap chat lugn_g cdng vile Vi nhan viln thudng it nhan dugc sir hd trg ve an toan ttong cdng viec, nin hg mong dgi suhd trg nhieu hem tir td chiic va xa hdi bin canh ngudn hd tig den tir chinh ban than, gia dinh, ban be va ddng nghiep (Zhao va cdng sy:, 2015) Theo Woods (2017), mgt nhan vien cd the ngimg nd luc dk hoan cdng vile cam thdy So 141/2020 JMIAH TRI KIMI DOAMI thieu an toan cong viec vi thieu mim tin vl nhan viln cap dudi vl chuyin mdn, kha nang truyin tucmg lai ddi vdi td chiic dat ciing nhu kha nang dieu tiet cdng viec Benh vien Da khoa Dong Nai, mdt benh vien Ket qua khao sat chinh thiic 223 nhan vien y te tuyin tinh, cd chuc nang_ cap ciiu, kham va dilu tri dang lam vile tai Benh viln Da khoa Ddng Nai chi ngi, ngoai tni cac benh ve ngi khoa, ngoai khoa, san rang, diem trung binh cua bien luang vd phiic Igi phy khoa, ungbudu va cac chuyen khoa khac Trong chi dat 2.32^ diem (theo thang Likert diem) nhung nam gan day, su qua tai vl khdi lugng Trong dd, biln "'Mice luong tuang xung vdi nang lyre cdng viec, ty II nghi vile tai Benh vien Da khoa vd su dong gop cda bdn than" cd gia tti thap nhat la Ddng Nai dang d mire canh bao, dao ddng ttong 2.01 Dilu cho thay, ddi vdi yeu td nay, da phan khoang 17.5%-20.36% tir nam 2015 din 2017 (Sd Y ngudi lao dgng cho -rang gia tti ma hg rihan dugc ti Ddng Nai, 2017) Theo Christy (2017), ty le nghi khdng tuang xting vdi cong siic hg bd Khi ban ve viec dudi 10% dugc xe_m )a ly tudng Dieu cho yeu td dao tao - thang tiln, nhiing ca nhan tham gia thay dSu hieu vl su mat dn dinh viec tti phdng van da phan khdng nhilt tinh vl ca hgi phat ngudn nhan lire, dac bilt la su thilu hyt nhan su trien vi tti cdng viec kha dn dinh Mdt sd Ichac chuyin mdn tai benh vien Vi vay, myc tieu cita nghiin ciiu la giitp benh vien xay dung chinh sach nhan su phii hgp thdng qua nhirng giai phap nang cao sy thda man cdng viec cho ddi ngii can bd y te de dap ling muc tilu phat trien lau dai va ben viing Md hinh nghien ciiu de xuat yiu td anh hudng din sir thoa man cdng viec cua rihan viln bao gim: (1) Luang va phitc Igi, (2) Dao tao - thang tiin, (3) cap trin, (4) ddng nghiip, (5) Diiu kiln lam vi.lc va (6) An toan cdng viec, 2.2 Thuc trgng sir thoa man cong viec tgi bfnh viin Da khoa Dong Nai Trudc tiin hanh khao sat phin Idn nhan vien y ti tai benh viln Da khoa Ddng Nai, qua trinh Nguon: Nhom tdc gid, 2019 Hinh \: Mo hinh nghien cuu di xudt phdng van sau dugc thuc hien vdi ling vien (la bac sy, dugc sy va dilu duong cd kinh nghiem lam vile tren nam) riham tim hieu sau nhiing nguyen nhan dan den su chua thda i man ttong cdng viec ciia nhan vien; ddng thdi, DS hiiu chinh, bd sung va hoan thien thang i cho bang khao sat chinh thuc Kit qua phdng van tay ddi cho thay mgt so van dl ndi bac sau: Dau tiln la, ndi din yiu td luang va phiic Igi, da sd dap viln deu cd y kiln rang miic luong hien tai cdn thap nen mgi sinh hoat cita gia dinh hg phai chi tilu tilt kiem hoac sdng nhd vao ngudn hd trg tir ngudi than Hg mong mudn cd ludt miic luang du dam bao cho nhimg nhu cau sdng ca ban dl cd the on AinU t',r.u thin tliSn i^A ^ripr lau I3ii dai; Hfli- fhpTTi an Nguon: Kit qud khdo sdt, 2019 dinh tinh va loin lam viec them vvao Hinh 2: Diim trung binh cdc yiu to dd, hiy lam viec mdi trudng dl bi la^ dnh hudng su thoa mdn cong viec nliilm nhung tiau nhu nhirng nhan vien y te tham gia phdng van tay ddi khdng qua chii , , _, , ^ , ,, trgng nguy ca lay nhilm ma chu yeu quan tam den cho rang co hgi thang tien tai benh vien cong chi nguy CO bi hanh tir su quan tam qua mire cua dua trin nhirng moi quan he hoac mang tinh ke thira, than nhan' binh nhan, lam anh hudng din su tap Nhiing ca nhan cd xuat phat diem thap thi chi co the tmng cdng viec cua ho; ddng thdi, dgi ngu cap no luc vugt b§c hoac "chd thdi" Voi diem trung tren tai binh vien chua nhan duac su hai long cua binh kha thap la 2,4 (theo thang Likert diem) So 141/2020 _khoa hoc "thififng'mai 51 C M I A N T R I K I I M DOAiM nhanvien y te cho thay hg chua cam thay hai long ve yiu to dao tao - thang tien; ttong d6, chinh sach thang tien dugc cho la yiu to cd miic hai ldng thap nhat (diem trung binh cho bien la 2.36, thap nhat bien cua thang dao tao - thang tiln) Tilp din, dugc hdi ve yeu td cap tren, 2/5 dap viln tta Idi rang ngudi quan ly true tiep va cap tren chua tao dugc su tin tudng cho cap dudi vi thilu siic thuyet phuc va su quyet doan giai quyet cdng viec Them vao do, thilu su ehiase cdng vile ciing nhu thilu su tich cue tham gia dilu hanh hoat dgng chung ciia bg phan dan din vile dilu ddng r^an su chua hgp ly Nhilu nhan viln cap dudi cam thay ttach nhiem va khdi lugng cdng viec cua minh bi gia tang va nhieu hon nhiing ngudi khac Chinh vi nhung ly trin, cap lanh dao chua nhan dugc su hai long cua nhan vien cap dudi vdi diem trung binli la 2.32 Trong dd bien "Cd sic ho trg cdp dudi cdn thiet" dat gia tti trung binh cao nhat ttong thang nay, dat 2.39 dilm nhung van thap hon miic trung bmh 2.5 cua thang Likert diem Dieu cho thay, lanh dao tai benh vien that su khdng tao nen dgng luc lam vile cho nhan viln Ddi vdi yiu td dong nghiep, da sd nhan vien dugc phdng van danh gia cao sir hgp tac vdi cac ddng nghiep giua cac bd phan vdi hon la su hgp tac cung bg phan Nguyen nhan duge de cap den d day la thai hgp tac lam viec ttong dgi nhdm vln cdn xay trudng hgp so sanh lan nhau, tmyen dat nhiing tu tudng mang tinh tieu cue ttong ngi bg khoa, phdng Nhin chung, vi chua cd sir tin tudng vao trinh dg chuyen mdn cung nhu each sap xep va thuc hiln cdng viec dan din su hgp tac, chia se va cam thdng ttong cdng_ vile giiia nhan viln cimg khoa, phdng cdn chua tdt Tuy nhien, dong nghiip \k yiu to ma ngudi lao ddn_g hai long nhat ttong yeu td dugc khao sat, vdi dilm trung binh la 3.69 Dilu cho thay, mac du van cdn nhiiu y kiin ttai chilu viec phdi hgp vdi nhung nhin chung ddi ngii can bg y te tai benh vien Da khoa Ddng Nai danh gia cao su hop tac, hd tta va giitp cita ddng nghiip Khi xet den yeu to dieu ki^n Idm viic, tat ca bien quan sat ttong thang diiu kien lam viec diu dat diim trung binh tten 3.43, ttong _^bien "'Nguon nhdn luc tgi khoa phong du de ho trg anh/chi thuc hien cong viic cua_ minh" dat gia tri trung binh thap nhat Chimg td rang, viec thieu hut va sap xip nhan lire ttong ndi bg khoa, phdng chua hieu qua da lam suy giarn ddng luc lam viec cua nhan vien Trong yiu td dugc khao sat, an todn cong viec cd dilm trung binh thap nhat vdi 2.23 diim va khdng cd bien nao dat gia tri trin 2.5, gia tri 52 khoa hoc g mai' trung binh cita thang Likert miic dg Trong dd, bien quan sat "Anh/chi cam thdy dugc bdo ve an todn co nguy^ co bi hdnh tie b^nh nhdn vd thdn nhan" la bien nhan dugc sd diem trung binh la 2.16, thap nhat tat ca cac bien quan sat dugc ghi nhan Dieu ddi cho ban quan ly Benh vi?n phai xem xet lai moi trudng, quy ttinh, each thiic lam vile dl dam bao an toan cho ngudi lao ddng ca vl mat thi xac lan tinh than Chi tiet gia tri trung binh cho bien quan sat ciia cac thang dugc trinh bay bang De xuat giai phap nSng cao sur thoa man cong viec cua nhan vien y te tai b|nh vien Da khoa Dong Nai Bai nghiin ciru xem xet yen td anh hudng den SII thoa man ttong cdng viec cua nhan viln daug lam viec tai Benh vien Da Khoa Ddng Nai bap gdm: (I) Luang va phiic Igi, (2) Dao tao - thang tien, (3) Cap ttIn, (4) Ddng nghiip, (5) Dieu kien lam viec va (6) An toan cdng vigc Can cii vao kit qua khao sat, nhdm tac gia xin dua mdt sd ham y cho ban lanh dao benh vien nham cai thiln va nang cao sir thda man cdng viec cua dgi ngii can bg y te dang lam vile tai day Thir nhdt, vi nhilu can bg cho rang miic luong hiln tai chua tucmg xung vdi nang luc va sir ddng gdp ciia hg cho cdng vile, Ban Giam ddc benh vien nen tang thu nhap de thu hiit bac sy tre va tti su gan b6 ciia dgi ngii bac sy cd tay nghe Cu the, xem xet nang mire luang hien tai tir 10.000.000 VND/ngudi vdi miic cam ket ve thdi gian cdng tac nam len tdi thiiu 20.000.000 VI^iD/ngudi vdi thdi gian lam viec dugc cam kit la nam Ngudn quy dugc sir dung cho vile thu hiil nhan tai dugc trich tu quy phat trien su nghiep ciia den vi Thic hai, minh bach Id trinh thang tien bang each xay dung Ig trinh rd rang, hgp Iy_ cho dgi ngii nhan vien tie Nhung can bg chii chdt khqa/phdn^ trudc dugc bd nhiem can td chiic budi lay y kien va bd philu tin nhiem cdng khai; vi du nhu nhan vien cd qua trinh cdng tac trin nam cd ket qua kiem tta chuyen indn dat yeu cau theo tilu chuan danh gia ciia hdi ddng chuyin mdn (tai Benh viln) va dat dugc su tin nhiem ciia cac ddng nghiip kliac se dugc cic di dao tao ve ky nan^ quan ly de dugc quy hoach can bd quan ly cap cao ban Thir ba, khdng ngung nang cao nang lire chuyen mdn va quan tri cho_ can bg lanh dao de hg cd dugc su tin tudng ciia cap dudij dl hg cd dii nang luc hudng dan va dao tao tai chd cho ddi ngii nhan viln Them vao dd, cac tnrdng khoa va trudng phdng phai tham gia vao boat dgng kiim tra giam sat thuc hiln cdng viec ciia nhiing nhan vien da dugc phan cdng nhiem vy; ho trg dieu tio 141/2020 QUAN TRI KIMI DOAMI Bang 1.- Gid tri trung binh cho cdc biin quan sdt hanh cac nhan vien ca true Vi vay, de giam nguy ca bj hanh va bi quay nhilu cho BiiiJigMh nhan viln tai mgt sd khoa nhu BSng nghijp Luone va pliiic Ifi cap ciiu, hdi siic, v.v , benh Mire immg tutmg xung v6i nang luc va i\r Dong nghlfp luon san long ho up, giup 201 85 Jong Bflp cua bin than d&Ioikhicanlhik vien can tach bilt khu dieu tri To thai dp hop Eac (oE voi Anii/chi thay miic thu nhap cua minh la cham sdc benh nhan va than 14 65 nhan nudi benh tai nhirng khu Ajih/ch| CO the song d(ia vao muc luong )ong nghifp than Ihi^n, de gan 76 78 vuc nay, khdng de than nhan tilp c^n (khi chua cd chi dinh cho Jong nghiSp tin tam cong vi?o Cac khoan phii cap theo tirong vk luong 2,7 3,4S luge Iii dilng h^n ngudi than cham sdc) nhung van Cac chucmg Irinh ptiuc Igi cua B^nli vi$n Oi dii ky nSngvil trioh dg chuyen mon can phai dam bao cho than nhan b|nh 17 69 la diing va phong phu hiel de ho Hv anW dq liong cong vi?c nhan cd the kiem soat dugc tinh Cac che d$ phiic 1^ ciia iSi iistfc th^c hi$n trEing ngudi nha cua minh thdng 2.19 ]^y dii va kip thai Dieu kifn lam vi|c qua nhiing man hinh dugc lap Dio If vi thing liln dat ben ngoai khu vuc chd_ Choi lupng cong vif c anh/chj xu ty Anh/chi dugc bietve nhung dieu ki^n 36 344 Than nhan ngudi benh cd thi lang Iii hop ty Ihiing lien tai Benh vien thdng bao cho nhan viln ca •Iguon nhan t\tc laifctioaphong dii de ho B^h vi^n t^o nhieu cu hgi cho anh/ chi 2.38 43 li^anh/chl ihuc hi^ cong viec cua minh true hay diln thoai true tiep qua Sv phSi hpp noi bg va giija cac khoa dudng day ndng cua Benh viln Chinh s^h (hang nen va dao t ^ cong bang 245 3,52 ihong mang l?i h i ^ qua dicu tri nlu thay CO phat sinh sir cd hoac Dieu ki?n vat chat tai benh vien day Anh/ ch| dufc cung cap kien thirc ky nang nhirng van de ma than nhan cho 39 47 id, phuc vif lot cho cong viec :kn thict cho cong vi;c ciia minh la khdng hgp ly B|nh Vi?n co ke hojch ro rang ve dao tao 43 Ket luan vi phat Incn nghe nghiep ca nhan — ' • • - * Cap fren Vile thudng xuyen quan tam ftnW ch] cim thay duoc bdo v^ an loan din su thda man cua ngudi lao non va kh^ nang diSii hmh 29 dli c6 nguy co bi hanh tu bf nh 2.16 ddng la vd cung quan vi no 2o S(i ho Iri; cap duoi cin IhieL se giup td chiic co nhung chinli 2.32 39 ri pham vi dugc bao ve sach thu hut va giu chan nguoi Anh/ch] nhan dugc su benh vuc va cip Hen coi Irpng tai nang va su dong gop tai tdt hon, qua dd cd thi phat ;ain thong ciia ban lanh dao co Eua cap dudi 2.22 29 ranh chap vfri t>|nh nhan va than nhan trien lau dai va bin vung Dac biet la nhan viln y tl, mdt Imh i\nh/chj de bl anh huong tam ly co DOI XU cong bang vfii moi nhan vien in lu^n xa h^i tieu cue lien quan den 22 2.2S vuc duac xem la nong cdt hiln Ben canh nhiing mat tich ftnh/chi CO cam thay e ng?i d6 "6 kha nang liuycn dat thuyet phyc va cue thi van cdn nhiing mat tilu 2,21 nSe nguy co ISy nhifim qua trinh 34 ]i;u qui cue ma can bg y te dang lam viec tai benh viln Da khoa Ddng Nai Nguon: Nhom tdc gid, 2019 chua hai long vdi don vj minh phdi tdt nhan luc, phdi hgp ciing hoan cong vile tranh tinh trang phan bd cong vile Ididng dang cdng tac Biit dugc nhirng diiu nay, ban lanh ddng diu Thir tu, tang cudng thao luan sinh hoat dao cd thi dieu chinh phuong phap quan trj nhan sy nhdm theo tung khoa, phdng Nin lap thdi gian biiu phii hgp dl giup nhan vien lam vile vdi mgt tinh tuln/ian hoac thang/ian (ngoai thdi gian giao ban than hang say va cd trach nhiem; ddng thdi, mang thudng le) di cac viln khoa, phdng cd lai hieu qua cao cho td chiic.^ thi trd chuyen, lang nghe vl nhirng bat ddng cung nhu chia se nhiing khd khan cdng vile, Tdi liiu tham khdo: giiip mgi ngudi cdi md hoTi giao tilp, tao su Aziri, B {IdW), Job satisfaction: A literature thdng hiiu nhiiu hon va giiip lln va giiip cho cdng viec dugc trdi chay Thic nam, su an review, [vlanagement Research & Practice, 3(4) toan ciia dgi ngii y te ciing can dugc dam bao hem Bedeian, A G., Ferris, G R., & Kacmar, K Than nhan ngudi binh ddi vi quan tam qua miic M (1992), Age, tenure, and job satisfaction: A tale din ngudi than rna cd nhirng hanh dgng qua khich of two perspectives, Joumal of Vocational behavior, vdi nhan viln y ti nhu mSng chiri va tham chi de dga 40(1), 33-48 BicD So 141/2020 *^''''' trune binh ^klioa hoc thifdngmai c-F53 O U A N n q KiiM DOJ Bg Y ti (2014), Bdo cao tdng kit nam 2014, 17 Sd Y ti Ddng Nai, 2017, Bdo cdo tinh hinh mgt so nhiem vu vd gidi phdp tdm nam 2015, nghi viic cua bdc sT 2015-2017, Ddng Nai giai dogn 2016-2020, Ha Ngi 18 Spector, R E (1997), Job satisfaction: Ellickson, M C., & Logsdon, K (2002), Application, assessment, causes, and consequences Determinants of job satisfaction of municipal gov- (Vol 3), Sage publications ernment employees Public Personnel Management, 19 Trin Kim Dung, (2005), Nhu cau, sy: thoa 31(3), 343-358 mdn cua nhdn viin vd muc gan^ kit doi vdi to Hoppock, R (1935), Job Satisfaction New chirc, Bk tai nghiin ciiu khoa hgc cap Bd, Dai hgc York: Harper and Brothers, pp 47 Kinh ti TR Hd Chi Minh Kaliski, B.S 2007, Encyclopedia of Business 20 Tsitmideli, G., Skordoulis, M., Chalikias, M., andFinance, 2^^ ed, Detroit: Thompson Gale, pp 446 Sidiropoulos, G., & Papagrigoriou, A (2016), Lawler III, E E., & Porter, L W (1967), The Supervisors and subordinates' relationship impact effect ofperformance on job satisfaction, Industrial on job satisfaction and efficiency: The case of relations: A joumal of Economy and Society, 7(1), obstetric clinics in Greece Intemational Joumal of 20-28 Strategic Innovative Marketing, 3(3), 1-12, Lam Tan Khai, (2017), Cdc gidi phdp ndng 21 Vandenberg, R., J., & Lance, C E (1992), cao mire thoa man cong viic cua can bg nhdn Examining the causal order of job satisfaction and viin Van phong Hgi dong nhdn ddn, Uy ban nhdn organizational commitment, Joumal of manageddn thdnh Biin Hoa, tinh Dong Nai Luan van ment, 18(1), 153-167 thac sT kinh tl Dai hgc Kinh tl TP Hd Chi Minh 22 Vroom, V.H (1964), Work and motivation Luthans, R, &fhomas, L, T (1989), Therela- New York: John Wiley and Sons pp 99 tionship between age and job satisfaction: curvilin23 Wang, H„ Tang, C„ Zhao, S., Meng, Q„ & ear resultsfi'Oman empirical study-a research note Liu, X (2017), Job satisfaction among health-care Personnel Review, 18(1), 23-26 staff in township health centers in rural China: 10 Nguyin Thi Kim Thoa, (2017), Cdc gidi results from a latent class analysis, Intemational phdp ndng cao su thoa man cong viic cua nhdn viin journal of environmental research and public health, tgi Ngan hdng TMCP Ngoai thuong Viet Nam- Chi 14(10), 1101 nhdnh Bdc Sai Gdn, Luan van thac sT kinh te, Dai 24 Weiss, D., Davis, R.V., England, G.W & hoc Kinh ti TR Hd Chi Minh Lofquist, L.H (1967), Minesotla Satisfaction 11 Parvin, M M., & Kabir, M N (2011), Questionnaire (MSQ), United States: Dorsey Press Factors affecting employee job satisfaction of pharSummary maceutical sector, Australian joumal of business and management research, 1(9), 113 The aim of this study is to offer recommenda12 Pergamit, M., R., and Jonathan, R., V 1999, "What is a Promotion?", Industrial and Labor tions to increase satisfaction and commitment of medical staff working at Dong Nai General Relations Review, 52 (4), 581-601 13 Pettit Jr, J D„ Goris, J R.,,& Vaught, B C Hospital Drawing upon the theoretical background, this study suggests a proposed model with six ele(1997), An examination of organizational communication as a moderator of the relationship between ments that impact employee satisfaction; namely (1) Income and benefits, (2) Training and promotion, job performance and job satisfaction The Joumal (3) Superior, (4) Co-workers, (5) Working condiof Business Communication ,(1973), 34(1), 81-98 tions, and (6) Safety The smdy has conducted to 14 BenhvienDakhoaDdngNai, 2018,5(20 cao hogt dgng Binh viin Da khoa Ddng Nai^ nam 2017, mixed methods; (1) qualitative indepth interviews to experienced medical staff (doctors, pharmacists, Thdng tin dan vi, Binh vien Da khoa Ddng Nai 15 Smith, k., H & Yvonne, D., M (1999), nurses) to explore their insights to employee satisfaction; then, (2) quantitative survey to 223 medical Workplace Violence in Healthcare Environments, Nursing forum: An independent voice for nursing, staff at Dong Nai General Hospital The research results indicate that Co-workers and Working condi34(3), pp 5-13 16 Smith, P, Kendall, L„ & Hulin, C (1969), The tions gain higher evaluation than other dimensions, whereas Safety is the least satisfying aspect Measurement of Satisfaction in Work and Retirement: Handbook of Industrial and Organizational Psychology, Chicago: Rand McNaily 54 khoa hoc ^^^^^^^^^^^.^^^^.^ thiftfng'mai So 141/2020 ... vile tai Benh viln Da khoa Ddng Nai chi ngi, ngoai tni cac benh ve ngi khoa, ngoai khoa, san rang, diem trung binh cua bien luang vd phiic Igi phy khoa, ungbudu va cac chuyen khoa khac Trong chi... Dilu cho thay, ddi vdi yeu td nay, da phan khoang 17.5%-20.36% tir nam 2015 din 2017 (Sd Y ngudi lao dgng cho -rang gia tti ma hg rihan dugc ti Ddng Nai, 2017) Theo Christy (2017), ty le nghi khdng... cam thay e ng?i d6 "6 kha nang liuycn dat thuyet phyc va cue thi van cdn nhiing mat tilu 2,21 nSe nguy co ISy nhifim qua trinh 34 ]i;u qui cue ma can bg y te dang lam viec tai benh viln Da khoa