Nguyen Thi Hu§ va cpng si Tgp chi Khoa npc ngnien cuu jin-'r-nve ™ i - i: ;'i 'ii - • Joumal ofHealth and Development Studies (Vol.04 No.OI-^ BAI BAO NGHIEN CL'L CO( Vai tro cua nhan vi€n Cong tac xa hoi tai B^nh vifn Nhi IVung uong Nguyfln Thj Huf'*, Duong Thj Phuong^ T M TAT Muc tiSu: Nhan vien cong tac xa h^i cfl nhifm vu trien khai cac hogt d^ng nhu ho trp cho ngudi benh; kit nii ngudi benh den vdi cdc djch vu xa hpi, vfin dflng xa hfli tham gia vao vifc hfl trgf, giao dye Nghien cuu dupc th^c hifn nhdm tim hieu viec thuc hien vai tro cua nhan vien CTXH, nhung phan hdi vd muc dp hdi long tii phia ngudi bfnh, gia dinh ngudi bfnh va dpi ngu cdn bp y t6 Tren ca sd dd nghien cmi dl xudt mpt sd giai phap chuyen nghifp hoa dpi ngu nhan vien CTXH bfnh vi§n Fhinrag phap: Nghien cim dugc trien khai su dung so lieu dinh Iupng va dinh tinh vdi 100 ngudi nha bfnh nhi dilu trj tgi benh vien Nhi Trung uang vd 27 phong van siu vdi nhan vien y te, nhan vien CTXH dupc triln khai tCt thdng 12/2014 din thdng 6/2015 Ket qua nghi£n cuu: nhan vien CTXH benh vien hifn (cy the Ifi bfnh vifn Nhi Trung uong) ddm nhifm nhieu vai trd nhu ho trg, moi gidi/ trung gian, giao dye Ket qua nghifin cuu cho thdy vifc thyc hifn vai trd cua nhan vien CTXH vdn ton tai mot sfl bdt cap, kho khan nhung da nhgn dupc phan hfli tich cyc va ddnh gia hdi long tii phia ngudi bfnh, gia dinh cung nhu dpi ngii can bp, nhan vien y te Dilu cho thay sy c6 mat ciia dpi ngu nhan vien CTXH chuyin nghifp benh vifn vfl ciing quan frong Tit khoa: Cong tac xa hoi b^nh vi4n, nhdn vien Cong tac xd hpi, su hdi long, vai tro, chuyen nghiep hoa D ^ T VAN DE Lmh vyc cham soc sue khoe lufln Ifi mflt nhung uu tien hfing dfiu cua moi quflc gia vfin minh, tiln bp Cong tac xa hpi (CTXH) tiong benh vifn lan dfiu tien dupc trien khai tai cac bfnh vifn vfio nam 1905 tgi Boston, My (1,2) Dfln hfiu hflt cfic benh vifln d My dflu cfl phong CTXH va da trd thfinh mpt nhimg dilu kien bit bupc de cfic bfnh vien dupc cong nhan ifi hfli vien ciia Hpi cfic bfnh vifn (1,2) CTXH frong bfnh vifn d nude ta dfi xufit hifn tgi mpt so bfnh vifn myen trung uong va myfln tinh vdi cfi dfli ngu chuyen nghifp vfi khong ^^^^^^^^^ ^%\ *Tdc gid lien hf: Nguyen Tht Hui Ngdy nhgn bai: Email: Ngdy phdn bifn: nguyenlhihuel3l0@gmail.com ' Truong Bgi hpc Lao dpng A hpi YJJ "•^^'•i/ chuyfln Hoat dpng nfiy gflp phin hfl frp ngudi bfnh, nguoi nhfi vfi cfin bp y t l nhfim gifim tfii kho khan, fip lye frong qufi trinh khfim ehua bfnh, gop phdn nang cao chdt Iupng cham s6c sdc khoe ngudi dfin (3) Co nhiflu nghifln cdu frfln vfl ITnh vyc xa hfli hpc y tl, xa hfli hpc sdc khfle, tam ly hpc sue khoe diu eo nhimg phat hifn dfinh gifi vl tiiye trgng cflng tac cham sdc sdc khoe lgi benh vien, khai thac vl nhu cfiu, su cdn tiiilt CO mat dpi ngu nhan vign CTXH tiong bfnh vien Xudt phfit tir ttiuc tiang nhimg tfln tai tiong he tiiflng khfim ehua bfnh frong cac bfnh vifn hifn Cd nghien cihi da d l cap dfln vai frd cua nhfin vifln CTXH tr 'tjy ban Nhdn ddn xd Vinh Quynh, 7H^ Hd Npi Ngay ddng bdi: Thanh 23/11/2019 13/01/2020 24/03/2020 a Khoa hpc Nghien cuu Sue khoe vd Phdt triin (Tgp 04, So 01-2020) Joumal ofHealth and Development Studies (Vol.04, No 01-2020) bflnh vifn, frong ho trp nguoi bfnh Tuy nhifln, nhihig nghien euu trfln d mdc dp vT mo hogc xet den khia canh CTXH chua phfin tieh sfiu sdc vai fro cua nhfin vien CTXH chuyen nghiep frong bfnh vifn Tfli ^ tiln hfinh nghifln euu tgi mflt benli vien chuyfln khoa tuyen tnmg uong, la benh vifln bflnh vifn Nhi Trung uong Day Ifi benh vifn tuyfln cufli, chuyfln khoa voi doi tupng Ifi bfnh nhi, cfl sfl Iupng ngudi bfnh Iflfn, vfi thuong xuyfln xfiy tmh ti^g qufi tfii ngufli bflnh Tgi bflnh vien Nhi Tnmg uang da cfl mat vai fro cua nhan vifln CTXH chuyfln nghiep tu nam 2008 vdi tfl CTXH va la phong CTXH Vdi vifc v^n dung nhimg kflt qufi nghien cuu trudc do, lya chpn dja ban dien cuu cd myc dieh Ifim rd vai tro cua nhan vien CTXH chuyfln nghifp frong bfnh vifn Nhi Trung uong Vi 1;^ frfln, nhdm nghien cuu da thyc hifn nghifln cdu vfli muc tiflu tim hieu vifc thyc hifn cfic vai fro cua nhan vien CTXH nhu hfl fro cho ngudi bfnh; kflt noi ngudi bfnh dfln voi cac djeh vu xa hpi, van dpng xa hpi tham gia vao viec hd frp, gifio due Nghien edu ciing tim hieu nhiing phfin hfli va mde dp hfii long tu phia nguoi bfnh, gia dinh ngudi bfnh vfi dpi ngu cfin bfl y tl Trfln CO sd dfl nghifln cuu de xult mflt sfl gifii phap chuyfln nghiep hoa dpi ngii ahw vifln CTXH bfnh vifn PHirONG PHAP NGHlfeN CtfV Thiet ke nghifln cira: Mo tfi eat ngang vfl vai fro cua nhfin vien CTXH tgi Bflnh vifn Nhi Tmng ucmg hien Dia dilm va thdi gian pghiSn cmi: Nghien cuu tiiln khai tix thfing 12/2014 dfln 6/2015 tgi 10 Khoa diflu tii npi tni, Bflnh vifn Nhi Trung uong D6i tu-yng nghifln curu: nhan vien CTXH, nhan vifln y tl, nguoi nhfi bfnh nhi vfi bfnh nhi dang dilu trj tai bflnh vifln Nhi Trung uang frong thoi gian nghien cuu C& mSu, ch^n miiu Benh nhi va ngudi nhfi benh nhi vfio vifn khflng eu tru on dinh, vi vgy nhom nghien cdu lya chpn mfiu bang phuang phfip chpn mau thugn tifln Chpn mfiu khfio sfit tgi 10 ichoa, eu the la khoa Npi tilt - Chuyin hfla - Di truyen; khoa Tilt nifu; khoa Thfin vfi Lpc mfiu; khoa Tai - Mui - Hpng; khoa Rfing - Ham - Mat; khoa Mat; khoa Phuc hoi chde nang; khoa Chinh hinh nhi; Mifln djch - Dj dng - Khdp; khoa Sp mat vfi Tao hmh; khfio sfit tiln hanh tir 5/4/2015 dfln 15/4/2015, mfli tien hfinh khfio sfit du 10 ngudi frfln khoa eho din du 100 don vj mfiu Kit qufi thu dupe Ifi 100 philu khao sat tu 10 khoa V l mat thflng ke, cd mau tien khflng du ldn dfl mang tinh dai dien cho tdt cfi cfic bfnh vifn Tuy nhifln, xet rieng phgm vi nghifln cdu bfnh vien Nhi Trung uong, ca mfiu nfiy dupc xem la dfim bfio dp tin cgy cho kflt lugn rut thuflc phgm vi dia bfin Phuong phfip thu thfip $6 liflu Nhom tfic gifi su dyng cfic phuang phfip nghien cuu: phdng van sau (phflng van sau vdi nhfin vien CTXH, nhfin vifln y tfl, 10 ngudi nhfi bflnh nhi, bflnh nhi), quan sat, khfio sfit b i n g bfing hfli (100 ngudi nha benh nhi) Cong cu tiln hfinh khfio sfit Ifi bfing hdi theo mau thiet kfl dfinh eho ngudi nhfi ngudi bfnh PhuoTig phap xu* ly, phan tieh so liflu Kit qufi thu dupc td phong vfin dinh luong bfing bang hoi voi ngudi nhfi ngudi benh dupc xu ly bang phin mlm SPSS 16 for Wmdows Thflng tin djnh tinh dupc phan tich theo chu dl, su dung phdn mflm Atlas.ti de phfin tich du lieu td kit qufi phong van sau Nguyin Thi ^"f ^ cpng su hi Khoa npc iwgnien cuu'Jut'iu',^ i\ ' ' ^^>!Lti^;,r,^, » , Joumal ofHealth and Development Studies (Vol.04, No.OI-'"'"' D^o due nghifln ciru Nghifln cuu dupe thye hifln dudi sy chap thugn eua Ban lanh dgo Bfnh vifn Nhi tiimg uong Cfic ddi tupng dupe mdi tham gia nghien euu dupc gioi thieu vfl mue dich, y nghia cua nghien euu trudc tia loi v l viec dflng y tham gia nghifln cdu Viflc tham gia nghien cdu la hofin tofin ty nguyen, khong finh hudng din vifc cham soc, dieu trj tgi bfnh vifn Dfli tupng nghifln cdu cfl thfl dung cupc phong vdn bdt cd luc nao va/ hoge cfl thi td ehoi trfi Idi nhihig eau hoi mfi hp khflng mufln tra ldi KET QUA NGHlfeN CUU K i t qua thyc hifn vai trd cua vifln CTXH t^i bflnh vi§n Nhi Trung uomg Cfic hoat dpng frp giup cua nhfin vifln CTXH bflnh vifn Nhi Tmng ucmg da phfit huy vai fro eiia mpt nhan vifln CTXH chuyfln nghiep Ifim vifc vdi eae nhflm dfli tupng, Ifi vai frfl hfl trp, hudng dfin, giao due, moi gioi, trung gian Tuy nhifln, nhfin vien CTXH tai bflnh vifn Nhi Trung uong van cfln nhiflu khfl khan khia thyc hifn vai tio, kho khan Ion nhfit la thilu nguon nhan lye, nhu cfiu eua ngudi bfnh, nguoi nhfi ngudi bfnh va nhan vifln y tfl thi IOTI tiong sfl Iupng nhan vifln CTXH it, chua dap dug dupe nhu cdu cua nhiiu dfli tupng; nhgn thue cua cfic dfli tupng nguoi nhfi ngufli bfnh, nhan vien y te vfl CTXH cfln han chfl da phan nfio hgn chl tinh chuyfln nghifp cua hogt dpng CTXH tgi bfnh vien vk vai trd ho trg' Vdi vai frd hfl trp, nhfin vien CTXH bfnh vifn tiiyc hifn mpt sfl hogt dpng hfl trp vl vgt chdt, tinh than vfi hudng dfin Theo ket qua bfio cao hogt dpng cua Phdng CTXH bfnh vien Nhi Trung uang, riflng tiong nfim 2014 (4), nhfin vien CTXH da ho tiy dupc hon 85 ngfin lupt sudt an mien phi eho ngufli bfnh va nguoi nhfi ngudi bflnh frong qufi trinh diflu tn tgi bfnh vien Riflng frong dip tit Gifip NgP da van dflng cho khofing gin 1000 bfnh nhi d lgi dilu tij dupc bfl trp bua com mien phi tu ngfiy 30 din mung 3, 03 bua/ ngfiy vdi sfl tien 605 trifu dflng "Lop hpc Hy vpng" cua phong CTXH da dfip ling dupc phan nfio nhu cfiu cua cfic bfnh nhi Voi phuang ngon: "Bflnh tat da khien vifc hpc tap cua cfic em bi gifin doan, thoi gian d bfnh vien nhiiu ban d nhfi Nhung nflu eac em khflng the dfln trudng hpe chu vi bflnh tat, chung ta hay mang Idp hpc din bfln giudng bfnh cho cfic em" Hoat dpng hfl frp eua nhfin vien CTXH cdn dupc tiiyc hifn bfing vifc hfing tudn, phong CTXH mdi tinh nguyfn vifln Ifi sinh vifln trudng dai hpc din choi cung benh nhi, dgy hfit, ve, dgy hpc w Ngoai ra, hfing thfing cfic nghfl sT Nhfi hfit Tufli fre din bilu dien mien phi eho cac benh nhi Nhiing lfl ldn nhu 2/9, tiling tiiu, tit duang lich, tit tiiilu nhi w Cac bfnh nhi dflu co qua vfi dupe ehoi nhieu fro choi hip dfin, tfl chuc cac boat dpng tinh than cho cfic bfnh nhi Ben eanh nhan vifln CTXH tgi benh vifn Nhi Trung uong cung cfip cfic djch vu ho tiy dfli vdi gia dmh ngudi bfnh vl vifc hudng dan eac tiiu tyc nhap vifn, xudt vifn Cflng vifc cua hp bao gflm cfi viec bfio dfim rdng gia dinh ho frp ddy du cho 0^ frong qufi trinh fre nfim vifn, gidp gia dmh lam cac thu tyc gidy tij d l dupc hudng cfic chmh sfich mfi tifl em d huong, tim eho d eho ngudi nhfi ngufli b" qufi tiinh chfim sdc tt^ o bfnh vifn ' tiiong tm ngufln lye cd thfl tilp can dl giam b ' nhung ehi phi hogc sy cfing tiidng d bfnh vi* Tgp chi Khoa hpc Nghien cuu Sue khoe vd Phdt tnin (Tgp 04, S6 01-202 Joumal of Health and Development Studies (Vol.04 No.01-2020 Theo khfio sfit 100 ngudi nhfi ngudi bfnh dfl Ifim ro ban nhiing thflng tin tflng hop bao eao, 92% nhiin dupe h6 frp vat chdt (chi phi dilu tii, sudt an mifln phi, kit nfli nha tfii trp); 89% nhan dupe hfl frp tinh thdn (tham hoi dflng vifln, chuyfln tai tam tu nguyfln vpng toi nhan vifln y tl); 76% dupe huong dan (thu tyc xin tfii frp, xin mifln gifim vifln phi) H dan Hinh 1: Kit qua ho try cua nhan vien CTXH vdi ngirdi bfnh va ngirdi nha ngiroi bfnh bflnh vien Nhi TVung irong Kflt qufi nghien cuu cho thay vai fro ho frp cda nhfin vien CTXH tgi bfnh vifn Nhi Trung uong da cfl nhung ket qufi tot Gfin nhu tdt cfi nguoi nhfi bflnh nhi diu nhgn dupc it nhdt mflt su hfl frp cua nhan vifln CTXH vfl mat vat chat, tinh than, hay hudng dan thac mdc cua ngudi nhd tieng nguai binh, vi vgy cd nhimg vdn di vi tiin trien benh tgt cua con, tdi nhd cdc nhdn viin CTXH like ldm viec trao ddi vdi cdc bac sivd ndi lgi vdi gia dinh " (PVS, Nam, nguoi nhfi nguoi bfnh khoa Npi tiflt) Ve vai tro moi gidi, trung gian Vai fro mfli gidi cua nhan vifln CTXH tgi bflnh vifn Nhi Trung uong the hien d hogt dflng Ifi ngufli mfli gioi frong kit noi nhfi tfii frp voi eac ngudi bflnh kho khan ein gidp Cu thi nhung nam qua phdng CTXH bfnh vien Nhi Trung uong kflu gpi dupe tai frp cho ttang thiet bj y tfl nhu: 02 tfl cdu thuang, giuong so smh da nang, bom tiflm dien, may tim phfli nhfin tgo w kflu gpi cac nhfi tfii frp dau tu frang thiflt bj cho bflnh vifln Vai fro mfli gidi, trung gian cua nhfin vifln CTXH bflnh vifln Nhi Trung uong dupe thyc hifln tiieo quy tiinh sau: Nhfin vifln CTXH tai bfnh vifn Nhi Trung uong dflng vai tio trung gian, hp giup cho bac sT hiflu ngudi benh ban, la cfiu nfli gidp gifii tfla tam tu cua ngudi bfnh vdi bfic sT Trong qufi tiinh dieu trj tgi bfnh vifn, ngudi bfnh vfi ngudi nhfi cfl nhung kho khan muon kien nghj vdi nhan vifln y te se thong qua dfli ngu nhan vifln CTXH "Cdc bac si mdi ngdy phdi chdm sdc nhieu ngudi b$nh nen khdng the gidi dap hit nhieng Nguyen Thj Hui w cpngs^ Tgp chi Khou ,.^^ „ ^ , ^ - , ^_ ,, : Joumal ofHealth and Development Studies (Voi.04 No If B i n ^ 1: Tiepnh$n vdphSn lo^i hinh thCic taitr? Phdng CTXH Blf(>C 2: Len ke ho^ch vfi ho tr^r tCiy theo hinh thi>c tfii tr? „- Phdng CTXH; Nhfi tfii ttng gifi vd kStthOc Ph6ng CTXH Hinh Luu quy trinh tilp nhan tai try cua Phong CTXH - B^nh vifn Nhi IVung uvng Quy trinh thuc hien vai tio mfli gioi, trung gian dupe thye hifn qua bude Bude tiep nhfin tfii frp va phan loai hinh fliuc tai frp Phong CTXH Ifi nai tilp nhfin tfii frp tu tfit cfi cfic tfl chde, cfi nhfin dfln vdi bfnh vifn Cfic cfi nhan, tfl chuc mufln tfii tip cho bfit ky mpt ngudi bfnh nfio dflu thflng qua phong CTXH Hp CO the dua nhfi tfii tip tiflp xuc, tfing qufi cho bfnh nhi eo sin hoge gpi ^ truong hpp nguoi bfnh dang cfin sy giijp dd Phfin logi hinh thue tfii frp vgt chfit hay tfl chde chuang trinh, hay tham hoi Bude nhfin vifln CTXH len kfl hogch thyc hien tfii tip vfl thdi gian, dja diflm, chuong trinh cy the dya tien sfl Iupng, hinh thde ma nhfi tfii tip cung cfip Bude tri an nha tfii tip, day la hinh thuc dfl tri cfic mfli tfii frp, md rflng hf thflng cfic nhfi tfii frp cho ngudi bfnh Bude Iupng gifi lai kflt qua tip giup va kflt thuc vfin de lien quan dfln tinh frang bfnh, phucmg phfip cham soc nguoi benh va cfic thu tyc, quy trinh tiong dilu tii bfnh Trong sfl 100 ngudi dupc phdng vdn bang bfing hfli thi 76% frfi loi nhgn dupc sy frp giup cua nhan vien CTXH vfl hudng dan Trong dd cfl hudng dfin v l cac thii tue khfim chua bfnh, hudng dfin thu tyc xin tfii frp, thu tyc xin mifln gifim vifln phi "Luc chdu nhgp vi?n, thay hodn cdnh gia dinh tdi khd khan, bo m? chdu mat sdm, tdi thi gid yeu nin bde si diiu duang tru&ng dua trudng hgp ciia gia dinh tdi nha su giiip da cua nhdn vien CTXH Cac cd nhdn vien CTXH lin tgn khoa phdng di tham hdi Idy thdng tin vd hieong dan tdi ldm thu tii'c xin tdi trg Nhd dd md tdi nhgn dugc nhiiu su giup ciia cdc nhd hdo tdm giup chdu chiea benh- (PVS, Nu, Ba cua ngudi bfnh, khoa T h ^ - Lpc mau) vi vai trd gido d^c Nhfin vifln CTXH cung cfip cho gia dmh ngudi bfnh nhiing thflng tin lien quan dfln cham sdc ngudi bfnh, gifii dfip thac mac cua hp ve cfic Cfic nhfin vifln CTXH dflng vai yfl giao d hirflng dan cho ngudi bfnh cfich tfiic imp -' xu ly nhung cang tiling nguyfln nhan b" "h tgt gfiy nfln; huong dan cho ngufli nhfi - Nguygn Thi Huf vi c^ng s^ Tgp chi Khoa hpc Nghien cuu Sue khoe vd Phdt tnin (Tgp 04, S6 01-2020 Journal ofHealth and Development Studies (Vol.04, No.01-2020 nguoi bfnh nhdng thd tyc xult nhgp vifn, cac thu tuc xin dupe mifln giam vifn phi, huomg nhimg ehinh sfich uu dai vfi chl dfl bfio hiflm y tfl nguoi bflnh vi han chl vl nhan luc Nhung hogt dpng frp giup moi chi thye hien tiong pham vi bflnh nhi dilu tii tgi bfnh vien, chua thye hifln cac hfl frp sau dilu trj, sau vien hay gioi thifu cae djch vy ngofii xa hpi Nhan vien CTXH cung dflng thoi chuyfln dfln ngudi cham sfle ngufli benh thong tm vfl tinh trang bfnh, phucmgfindiflu fri, tam ly ngudi Vdi vai fro trung gian thi vifc ehuyin tfii bfnh, cfich chfim sfle nguoi bfnh Chia se thflng tin td nguoi bflnh din cfin bfl y tl cfl ganh ngng vdi nguoi cham soc va cung hfl frp Ifim nhung chua thyc su mgnh me ngudi bfnhfrongqufi trinh diflu trj Vdi vai tio gifio due, nhan vien CTXH thye Sy hai long vl vai trd cda nhfin vifln CTXH hien cfic boat dflng hudng dan cho nguoi nhfi tai benh vifn Nhi Trung vong ngudi bfnh nhiing thu tye xudt nhgp vifn, eac thu tue xin dupc mien gifim vifn phi, hudng Suhm long cua benh nhi, ngudi nhd binh nhi nhung chinh sach uu dai vfi chfl dp bfio hiflm y Voi vai fro ho frp tam ly, nhan vien CTXH tfl; truyfln thdng cung cap thflng tin cho ngudi cua phong hang len tham hdi, chia se, nha ngudi bfnh co them kiln thde cham s6c dpng vien tinh than vdi bfnh nhi vfi ngudi nhfi ngudi bfnh Tuy nhifln, nhung hogt dflng nfiy CO hofin cfinh kho khan tgi cae khoa phong chi dung lgi d vifc hflfrpcho nhihig dfli tupng nhung chi voi ngudi bfnh dae biflt, hofin cfinh bfnh nhi cfl hofin cfinh kho khan thay vi vfli khfl khan, chua thfl phyc vu dupc tat cfi cfic sfl dflng ngudi bfnh vfi ngufli nhfi bfnh nhfin Hinh 3: Mirc hai 16ng cua ngirdi nha ngirdi bfnh vl hoat dong CTXH t^i bfnh vifln Nhi Trung inmg Qua khfio sfit bang bfing hoi vdi 100 ngudi nhfi nguoi bfnh (hinh 3) thi ehi co 15% frfi Idi rdt hfii long, 65% hfii Iflng va 20% khdng CO y kiln Hoat dflng CTXH tgi bfnh vifln Nhi Trung uong hifn da eo vai trd nhdt djnh tiong tip giup cfic nhflm dfli tupng, nhifln mdc dp dfip dng nhung nhu elu chua u , ^,r tlina Tnfin, Neudi nhfi ngudi bfnh da nhan dupe it nhdt mpt sy frp giup the hifn tuong dfli hfii long, mflt sfl rit hai long, lai khflng cfl y kiln Nhung so vdi thyc tfl ddi tuong dupc fry giup it so vdi tflng sfl nguod bfnh diflu tri tai benh vifn Vai fro cua nhan vien CTXH tai bfnh vifln Nhi Trung uang c6 y nghia hit sdc to lom Nguyin Thi Huf vd cpng j(r Tap ch Journal ofHealth and DewlopmenI Snuiies (Vol.04 No.ui-i^^"' Tuy nhifln, hifln vfin chua dfip img dupc cho nhu clu eua ngufli nha benh nhi frong boat dpng huong dfin quy tiinh, thu tyc khfim chiia bfnh, cung efip thflng tin, tu van vfl cfic djeh vy eua bfnh vifn nhan lye ciia phong khflng du (hifn cfl tdt cfi ngudi, ca trudng phong) Hifn nay, ngufln nhfin lye hogt dpng CTXH tgi bfnh vien Nhi Trung uong thieu, 4/7 ngudi chua dupc dfio tao chuyfln mon chinh quy CTXH mfi chi dupe tap huan, dfio tgo ngfin hgn CTXH Cy thfl: hifn phong CTXH bfnh vien cfl thgc sT y tfl cflng cpng, cd nhan van hfla, cu nhan kinh tfl, cd nhfin ngogi ngu, cd nhfin CTXH Tuy nhien chua dfip dng dupc nhu cau hogt dpng CTXH benh vifn Nhi Tnmg uong Sfl Iupng nhan vien CTXH eon qufi it so voi sfl Iupng vfi nhu cau dfli tupng Nhfin lye hifn dii rat eo gang va tam huylt nhung cung chi hfl frp ve vat chat eho nhiing ngudi bfnh kho khan, tfl ehue sy kien, keu gpi tai trp Sft hdi long cua nhdn vien yte Nhfin vien y tfl hfing ngfiy tilp xde vfli nhan vien CTXH, tu khfiu cung cfip hfl sa benh fin, bfio nhiing hofin cfinh bfnh nhi kho khan dfl nhd giup dd eiia nhan vien CTXH Hp dfinh gifi hoat dpng CTXH benh vifn ed vai fro quan frpng, nhd nhan vien CTXH mfi nhiflu hofin canh bfnh nhi kho khan dupc giiip dd v l vat chat, tinh than tiong qufi trinh diflu tii Tuy nhien nhan vien y tfl dfinh gifi sd Iupng nhfin vifln CTXH it, tiong ngudi bfnh can giiip dd nhieu, do khflng thfl dfip ung dupc hit nhu elu eua benh nhi va ngudi nha Dfli ngu nhan vifln CTXH eung chua hfl trp thyc sy dfic Iyc cho nhan vifln y tfl "Nhiiu binh nhi cua khoa tdi dd dirge giup dd tiin vien phi, dugc hd trg suat an mien phi qud trinh dieu trj tgi b^nh viin Tuy nhien, hogt ddng cUng chi dphgm vi nhd vi sd lugng benh nhi cdn gidp dd qud nhiiu luc Itegng CTXH thi cdn it cd nhdn lgc vd nguon luc " (PVS, Nu, Dilu duong trudng khoaAS) Khflng chi tiyc tilp ho tiy eho ngudi bfnh vfi gia duih, nhan vien CTXH lifln kflt phfli hpp voi nhan vien y tl, tii khfiu tiflp nhan, tiiue hien kl hogch ho frp ngudi benh, vfi ciing giup dpi ngu nhfin vien y te gifim mpt phin cflng vifc, kit nfli giiia y tfi, bfic sT voi ngufli benh vfi ngudi nhfi Tuy nhifln, hp mod ehi bfl tip huong dfin eho nguoi benh, nguoi nhfi td dfl gifim fip Iyc cho nhan vifln y te, chd chua hfl frp ve chuyfln mon dfli voi nhfin vien y tl Nhu vay, dii dgt nhieu ket qua thye hifn vai frfl nhung dpi ngu nhan vien CTXH tai bfnh vifn Nhi Trung uong hifn van nhiflu thiflu hyt ve sfl Iupng vfi chat Iupng Tgi bfnh vifn Nhi Trung uong dpi ngu nhfin vien CTXH dfi thye hifn vai fro Ifi ngufli ho frp, vai fro la ngudi mfli gidi trung gian, vai trfl Ifi ngudi gifio dye hudng dfin vdi cfic nhdm ddi tirpng nguoi benh, ngudi nhfi ngudi bflnh vfi nhan vien y tfl Tuy nhifln, kit qua nghifln ciiu cho tiidy hogt dpng CTXH tai benh vifn Nhi Trung uong van nhiiu kho khan, hogt dpng ho frp ciia nhfin vien CTXH chua thuc sy chuyen nghifp Nguyfln nhfin xudt phat bdi nhiiu ly khfic frong nguyfln nhfin idn nhat la tiiilu ngufln nhfin Iyc, mfi nhu eau eua nguoi bfnh, ngudi nha ngudi bfnh vfi nhan vifln y t l qufi ldn nhung sfl Iupng nhan vien CTXH edn it, ehua dfip img du^c nhu cdu cua nhiiu dfli tupng Ben canh dfl, nhgn tilde eua cfic doi tirpng nguoi nhfi ngudi bfnh, nhan vien y tl \ e CTXH cdn hgn chl da phan nfio hgn ehe tinh chuyen nghifp eiia hoat dpng CTXH frong bfnh vifn Tap chiKhoa hpc Nghien cuu Sire khoe vd Phdt triin (Tgp 04, So 01-2020 Joumal ofHealth and Development Studies (Vol.04, No.01-2020 Xa hpi Viet Nam da vfi dang thuc hien nhirng bude chuyin minh ldn khflng ehi vl kinh tl mfi cfi vl mpl mgt van hfla - xa hpi Ciing voi sy phfit tiiln dfl thi ciing cfln nhiflu vdn dfl xa hpi can giai quyet, tiong dd co van de cham soc sue khde Do vay ngfinh CTXH hem luc nao hflt can xuat hifn vai tro eua nhan vifln CTXH ttong bfnh vifn huong din sy hfl ttp ean thifp vfi hfl frp hf thflng y tfl eiing nhu nguoi bfnh frong cham soc sue khoe Vifc dao tao vfi trifln khai dpi ngii nhfin vien CTXH ttong cfic bfnh vifln da, dang vfi se ttd mpt nhu eau cap thiet doi voi xa hpi Vift Nam hifn hon ea Nguoi bflnh, nguoi nhfi ngudi bflnh va nhan vifln y tfl hai Idng vfi mong mufln nhan dupc sy hfl trp dfl dap dng nhu can vat chat eung nhu tinh thfin Tuy nhifln, boat dpng CTXH tgi bfnh vifn Nhi Trung uang nhiflu kho khfin, dgc bift la thiflu nguon nhan lye, nhu cau ngudi bfnh, ngudi nhfi nguoi bflnh vfi nhan vifln y tfl qua Ifln so vfli so luong it oi nhan vifln CTXH Nhan thde cua nguoi nha nguoi benh, nhan vifln y te vfl CTXH hgn chfl da phin nfio Ifim eho hogt dpng mang tinh chuyfln nghiep chua cao Trong diflu kifn hoat dpng nghifln cdu vfi xay Dfl phat huy vai tifl ciia dpi ngu nhfin vifln dyng mo hmh hogt dflng CTXH tai Viet Nam CTXHfrongbfnh vifln Nhi Trung uong, ciing dang d nhiing bude ddu, nhdt la viflc phfit trifln nhu day manh, nhan rpng mfl hinh boat dpng mfl hinh CTXH ttong cfic bflnh vifn Nghien can chuyfln nghifp hfla vai fro cua nhfin edu da gop phan hofin thien viec thye hifn vifln CTXH bang nhiflu gifii phfip dflng bp vai tio cua nhan vien CTXH ttong bflnh vifn Trong d6 gifii phfip hang dau la tang cuong vda sfit thyc, phu hop voitinhhinh thyc tl tai nhan Iye vfl sfl Iupng, chfit Iupng dpi ngu Vift Nam Dfl la vai tto cua nhan vien CTXH nhan vifln CTXH chuyen nghifp cung cap cfic djch vy ttp giup Gifii phfip chuyfln nghiep hoa d$i ngu nhan cho cac ngudi benh, gia dinh ngudi bflnh va vien CTXH benh vien Nhi TVung irong dpi ngu y tetiongbflnh vifln (5) Nhom nghien cuu khong trinh bay sau ve nhu cfiu chuyfln nghifp hfla vfi hf thflng ngufln lye KET LUAN can CO de chuyen nghifp hda dpi ngu nhan vifln CTXH bfnh vifn Nhi Trung uang, nhom Ket qufi nghifln cuu cho thfiy sy co mat cua nghifln cdu se dfl cap gifii phfip chinh dfl dgt dpi ngu nhfin vifln CTXH chuyen nghiflp dupc myc dich chuyen nghiep boa dpi ngu tiong benh vien vo cung quan ttpng Dfli nhan vien CTXH frong bfnh vien tai benh ngu nhfin vien CTXH ddng vai fro thuc day vifn Nhi Trung uong hien nay: hifu qufi chit Iupng djch vy kham chua bfnh tgi benh vifn bfing viflc thyc hifln tflt nhung Thu nhat, ve tai chinh: hifn nay, hoat dpng vai fro cua minh Nhan vifln CTXH tgi bflnh CTXH tgi bfnh vifn Nhi Trung uong rat thiflu vifn Nhi Trung uong da thye hifn vai tto kinh phi hogt dflng, co sd vat chat trang thiflt la ngudi ho trp, ngudi mfli gidi trung gian, bi chua diy du Do vay, giai phfip ve tfii chinh ngudi gifio dye hudng dfin vdi cac nhflm dfli can dam bao kinh phi hogt dpng, ca sd vgt tupng ngudi bfnh, ngudi nha ngudi bfnh va chatfrangthiflt bi, vfi dgc biflt la ehfl dp tifln nhfin vifln y tl Nhung vai fro nhu bfl frp, luong, thudng cho dpi ngu nhan vifln CTXH ngudi mfli gioi trung gian dupc thyc hifn tflt dang Ifim vifc hifn Nguyin Thj Huf vd cgng st Journal ofHealth and Development Studies (Vol tM ->" "- Thu hai, ve gifio due: dfiy mgnh dfio tgo, tang cudng nhan Iyc Gifii phfip vfl gifio dye la cfin dao tgo, tfii dfio tao vfi thudng xuyen e|p nhgt, tang cudng bfl sung kiln tiidc, ky nang cho nhfin vifln CTXH Khflng chi dupc quan tam dfio tao, dfio tgi lgi mfi nhfin vifln CTXH can dfio tgo nfing cao, tham quan hpc hfli kinh nghiflm tu cfic mo hinh CTXH ttong bfnh vien tiong nude vfi the gidi, tham gia bdi dudng kifln thue, ky nang dfl nfing cao nfing Iyc, chuyen mfln vfi hieu qufi frp giiip Thd ba, vfl chinh sfich: benh vien cdn cd cfic chinh sfich tang cuong co sd vat chat, che dp dai ngp, quan tfim den nhfin vifln CTXH vfi nhan thde ddy du tim quan frpng vfl vai frd ciia nhfin vifln CTXH ttong bflnh vifn Phong CTXH cdn vj thi dpc lap,tiifinhlfip mgng luoi CTXH tai cfic khoa phong frong bfnh vien dfl cfl thi ho frp toi ngudi bfnh khfl khfin nhanh chong nhat Thu tu, vfl tuyfln tmyln nfing cao nhan thuc, hieu biet eua cfic doi tupng vfi cua xa hpi ve vai fro ciia nhan vien CTXH frong bfnh vifn Nhfin thde dupc day du ve y nghia, vai fro eua nhfin vien CTXH chuyen nghifp ^'^f bfnh vifn thi sy phoi hpp thyc hien se tot ban, hifu qua frp giup cao ban Bfin than nhan vien CTXH phfii y tiidc, nfim ro vfi hifin thu nguyen tfic dgo due ngbl nghiep hogt dpng CTXH TAI LI^U THAM KHAO Brenda Dubois, Karla Krogsnid Miley (1992), Social Work An Empowering Profession, NXB Allyn and Bacon 1992 DuBois and Mile (2005), Encyclopedia of Social Welfare History in North America, SAGE Publications 2005 Vu Thi Mmh Hanh (2012), Tflng quan vl Cflng tde x3 hfli linh vyc cham soc sue khoe tren the gioi va b Viet Nara, Hpi thao khoa hpc Cflng tac xa hfli bfnh vifn- Nhiing van dl ly luan va thyc tien thyc hfinh, NXB Dai hpc Quflc gia H6 Chi Minh 2012 Bfnh vifn Nhi Trung uong (2014), Bdo cao hoat dflng phong cong tac xa hpi bfnh vien Nlii Trung uong nam 2014 D^ing Kim Khanh Ly, Duong Thj Phuang (2013), Dinh hudng vai fro cua nhan vien cong tSc xa hfi cfic bfnh vifn Vift Nam hifn nay, Hpi thao quoc te; Chia se kinh nghifm quflc te ve Cong tac xa hgi va An sinh xa hfi, NXB Dai hgc quflc gia Ha Nfli, Tr 576- 590 Tgp chi Khoa hpc Nghien ciru Sue khoe vd Phdt triin (Tgp 04, S6 01-2020) Joumal ofHealth and Development Studies (VolM4 No.01-2020) The role of Social Worker at Vietnam National Children's Hospital I Nguyen Thi Hue', Duong Thi Phuong^ 'University ofLabour and Social Affairs ^People's Committee of Vinh Quynh Commune, Thanh Tri, Ha ijeetives: Social workers are responsible for implementing activities such as support for atients; connect patients to social services, mobilize social participation in supporting and education The study was conducted to understand the implementation of the role of social workers, feedback and satisfactionfi-omthe patients, patient's families and health workers Based on that, some solutions are proposed to professionalize the social worker in the hospital Methods: The study was conducted fi-om 12/2014 to 6/2015, by using quantitative and qualitative data with 100 families of patients whom is tteated at Vietaam National Children's Hospital and 27 in-depth interviews with health workers and medical social workers Research results: Many roles of medical social workers in the hospital (specifically the Vietaam National Children's Hospital) are implemented such as supporting, connectmg, education The research results show that the implementation of the role of social workers still faces some shortcomings and difficulties but has received positive feedback and satisfaction evaluation from patients, families as well as health workers This shows that professional social workers in the hospital is exfremely important Key words: Medical Social IVork, Medical Social Worker, satisfaction, the role, professiona ... bflnh vifln Vai fro mfli gidi, trung gian cua nhfin vifln CTXH bflnh vifln Nhi Trung uong dupe thyc hifln tiieo quy tiinh sau: Nhfin vifln CTXH tai bfnh vifn Nhi Trung uong dflng vai tio trung gian,... hifn vai frfl nhung dpi ngu nhan vien CTXH tai bfnh vifn Nhi Trung uong hifn van nhiflu thiflu hyt ve sfl Iupng vfi chat Iupng Tgi bfnh vifn Nhi Trung uong dpi ngu nhfin vien CTXH dfi thye hifn vai. .. diflu tii npi tni, Bflnh vifn Nhi Trung uong D6i tu-yng nghifln curu: nhan vien CTXH, nhan vifln y tl, nguoi nhfi bfnh nhi vfi bfnh nhi dang dilu trj tai bflnh vifln Nhi Trung uang frong thoi gian